Pediatric Trauma Centers RE-AIM at Gun Safety

Safety Issues Clinical Trial

— ACTFAST  

Official title:

Pediatric Trauma Centers RE-AIM at Gun Safety - Adopting Comprehensive Training for FireArm Safety in Trauma Centers

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT06123611
• Other study ID #: IRB00407213
• Secondary ID: CE003620
• Status: Enrolling by invitation
• Phase: N/A
• Start date: February 25, 2024
• Est. completion date: September 30, 2027

Study information

• Verified date: March 2024
• Source: Johns Hopkins University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 1000
• Est. completion date: September 30, 2027
• Est. primary completion date: September 30, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 11 Years and older

Eligibility

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)

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 Medicine	Baltimore	Maryland

Sponsors (6)

Lead Sponsor	Collaborator
Johns Hopkins University	Centers for Disease Control and Prevention, Children's Hospitals and Clinics of Minnesota, Rhode Island Hospital, University of Utah, Yale University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Implementation of Intervention	This outcome will be measured using chart review protocols examining rates of firearm access screening, documentation of firearm safety counseling, documentation of referral to community based resources and connection to medical homes as well as patient hospitalization characteristics including admission diagnosis, injury severity and patient demographic characteristics.	3 years
Primary	Parent firearm safety attitudes and behaviors	This outcome will be measured using parent survey and interview adapted from prior work by the study team.	3 years
Secondary	Clinician firearm safety knowledge and confidence	This outcome will be measured using clinician surveys derived from multiple sources developed through the prior work of members of the study team.	3 years
Secondary	Adolescent patient firearm safety attitudes and behaviors	Measure firearm injury prevention knowledge, attitudes and safe firearm practices of adolescent trauma patients (11-17 years) within participating pediatric level 1 trauma centers. This outcome will be measured using patient survey and interview adapted from prior work by the study team.	3 years