Pediatric Trauma Centers RE-AIM at Gun Safety (ACTFAST)

Johns Hopkins University

Status: Invitation-only

Conditions: Firearm Injury; Safety Issues

Treatments: Behavioral: Adopting Comprehensive Training for FireArm Safety in Trauma centers

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT06123611

IRB00407213

CE003620 (Other Grant/Funding Number)

Details and patient eligibility

About

Universal firearm injury and violence prevention counseling of parents and patients has been recommended by multiple national organizations for over a decade, yet clinicians rarely deliver this counseling. Barriers to its implementation must be addressed in order to effectively deliver firearm related injury prevention efforts. This study will implement a universal firearm injury prevention initiative within a national cohort of three pediatric trauma centers. The investigator's long-term goal is to demonstrate best practices for pediatric trauma center-based firearm injury prevention strategies that promote safe storage practices and reduce firearm related injury and death. This research will test the effectiveness of a comprehensive training strategy for improving the implementation of a universal firearm injury prevention effort, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), to 1) increase the adoption, implementation and sustainability of a universal firearm injury prevention initiative within participating pediatric level 1 trauma centers; 2) increase firearm safety knowledge, attitudes and safe firearm storage practices among parents of pediatric trauma patients and youth patients treated within participating pediatric level 1 trauma centers, and 3) increase trauma center clinicians' firearm safety knowledge and confidence in delivering a firearm safety intervention.

Enrollment: 1,000 estimated patients

Sex: All

Ages: 11+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

For parents/guardians of pediatric trauma patients:

Inclusion Criteria:

• live with an admitted pediatric trauma patient at a participating trauma center
• be fluent in English or Spanish

Exclusion Criteria:

• family members who do not live with the admitted pediatric trauma patient

For youth trauma patients:

Inclusion Criteria:

• Must be between the ages of 11-17 years
• admitted to a participating trauma inpatient service for an injury
• fluent in English or Spanish
• able to provide written assent and parent able to provide written consent

Exclusion Criteria:

• Youth who are prisoners or in police custody
• Youth who are admitted due to suicide attempt
• Youth with acute conditions that would preclude provision of informed consent (i.e., acute psychosis, altered mental status, cognitive impairment)

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,000 participants in 2 patient groups

Standard Care

No Intervention group

Description:

In the pre-implementation period, all trauma patients will receive standard routine care. Which may include some screening and counseling on gun safety.

ACTFAST Intervention

Experimental group

Description:

During the implementation and maintenance periods, all trauma patients will receive study activities including firearm access screening, counseling on safe storage practices, and referral to safe storage and other community resources as appropriate.

Treatment:

Behavioral: Adopting Comprehensive Training for FireArm Safety in Trauma centers