Virtual Reality Intervention to Support Clinicians' Firearm Safety Counseling Behaviors (REACH_CCTST)

Cincinnati Children's Hospital Medical Center

Status: Active, not recruiting

Conditions: Firearm Injury; Simulation Based Medical Education; Virtual Reality

Treatments: Behavioral: Resident Education And Counseling on Household Firearm Safety; Behavioral: Modified American Academy of Pediatrics Safer

Study type: Interventional

Funder types: Other

Identifiers

NCT06108141

2023-0469

Details and patient eligibility

About

The goal of this clinical trial is to assess the efficacy of REACH Firearm Safety in a sample of pediatric residents. The main question it aims to answer are:

Do residents who have completed REACH Firearm Safety have increased documentation in the electronic medical records for screening and counseling for safe firearm storage?

Participants will be asked to engage in a virtual reality curriculum (REACH Firearm Safety). Researchers will compare the REACH Firearm safety group to a group of participants who complete an abbreviated online training.

Full description

The American Academy of Pediatrics urges pediatricians to counsel parents on the dangers of childhood access to firearms and restrict access through safe storage practices. However, evidence suggests that most pediatricians do not provide firearm-related counseling in real-world clinical practice. This is notable as firearm-related injury is now the leading cause of death in children aged 1-19 years in the United States. Virtual reality (VR) is a type of simulation-based medical education that allows users to interact with virtual environments and characters in a seemingly realistic way. Investigators developed Resident Education And Counseling on Household (REACH) Firearm Safety, a VR curriculum to allow pediatricians to practice screening and counseling on firearm safety. The objective of this proposal is to assess the efficacy of REACH Firearm Safety, along with key implementation metrics, to justify and inform scale and distribution of the training approach. To achieve the objective, Investigators will: (1) Conduct a multi-site two-arm randomized controlled pilot study assessing the efficacy of REACH Firearm Safety and (2) Measure acceptability, appropriateness, fidelity, feasibility, and cost of implementation of REACH Firearm Safety. The proposed research is significant and innovative because it is the first rigorous effort to evaluate the efficacy of VR as a training platform to teach communication skills related to firearm safety counseling.

Enrollment: 130 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Resident with continuity clinic at either Kentucky Clinic South, University of Kentucky (UK) Internal Medicine and Pediatrics group, CCHMC Hopple Street Neighborhood Health Center, or University of Cincinnati (UC) Hoxworth Medicine-Pediatrics Clinic

Exclusion criteria

• Resident unable to read or speak English
• Resident with continuity clinic outside of inclusion criteria clinics

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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130 participants in 2 patient groups

Resident Education And Counseling on Household (REACH) Firearm Safety

Experimental group

Description:

Resident participants will complete a modified online self-guided American Academy of Pediatrics (AAP) Safer curriculum. Next, residents will complete REACH individually with a trained facilitator.

Treatment:

Behavioral: Resident Education And Counseling on Household Firearm Safety

Modified AAP Safer

Active Comparator group

Description:

Resident participants will complete a modified online self-guided American Academy of Pediatrics (AAP) Safer curriculum.

Treatment:

Behavioral: Modified American Academy of Pediatrics Safer