Adult Trauma Centers RE-AIM at Gun Safety (ACTFAST) Prevention

Safety Issues Clinical Trial

Official title:

ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06302452
• Other study ID #: IRB00433605
• Secondary ID: R01MD019173
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 2024
• Est. completion date: February 2028

Study information

• Verified date: May 2024
• Source: Johns Hopkins University
• Contact: Katherine Hoops, MD, MPH
• Phone: (410)955-6412
• Email: khoops1[@]jh.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this interventional study is to evaluate the implementation and effectiveness of a comprehensive a universal firearm injury prevention program, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), in level 1 trauma centers. The main aims of the study are:

1. (Primary Aim 1) Increase the adoption, implementation, and maintenance of a universal firearm injury prevention intervention at three participating trauma centers in the mid-Atlantic states;

2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 1776
• Est. completion date: February 2028
• Est. primary completion date: February 2028
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Electronic Medical Record (EMR) Participants:

Inclusion Criteria:

• trauma patients admitted to adult trauma inpatient services at participating institutions

Exclusion Criteria:

• none

Patient participants

Inclusion Criteria:

• at least 18 years of age;

• admitted to a participating trauma service for an injury;

• fluent in English or Spanish;

• able to provide written consent.

Exclusion Criteria:

• prisoner or in police custody;

• admitted due to suicide attempt

• any acute conditions that would preclude provision of informed consent or assent (i.e., acute psychosis, altered mental status, cognitive impairment).

Staff participants

Inclusion Criteria:

• trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center

Exclusion Criteria:

• none

Related Conditions & MeSH terms

• Firearm Injury
• Safety Issues

Intervention

Behavioral:
• Adopting Comprehensive Training for FireArm Safety in Trauma Centers
Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources

Locations

Country	Name	City	State
United States	Johns Hopkins Bayview Medical Center	Baltimore	Maryland
United States	Johns Hopkins Hospital	Baltimore	Maryland

Sponsors (3)

Lead Sponsor	Collaborator
Johns Hopkins University	National Institute on Minority Health and Health Disparities (NIMHD), Rhode Island Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of admitted injured patients receiving each element of the ACTFAST Program	ACTFAST components will be collected through retrospective data abstraction of each site's electronic medical record to determine if admitted injured patients received the Screening, Brief Intervention and Referral to Treatment (SBIRT) program components during the different phases of the study.	48 weeks
Primary	Percentage of admitted injured patients receiving elements of the ACTFAST Program	Among those eligible, compared to pre-implementation, there will be a difference in patients receiving each element of the ACTFAST program as measured by participant survey responses gathered during the participant's admission and 2-weeks post-discharge from survey data derived from multiple sources developed through the prior work of members of the study team.	Admission, 2 weeks post discharge
Primary	Patient firearm safety attitudes and behaviors as assessed by survey	This outcome will be measured using the patient survey data adapted from prior work by the study team.	48 weeks
Secondary	Clinician firearm safety knowledge and confidence as assessed by survey	This outcome will be measured using clinician survey data derived from multiple sources developed through the prior work of members of the study team.	48 weeks