Virtual Reality Intervention to Support Clinicians' Firearm Safety Counseling Behaviors

Virtual Reality Clinical Trial

— REACH_CCTST  

Official title:

Implementation of a Novel Virtual Reality Intervention to Support Clinicians' Firearm Safety Counseling Behaviors

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06108141
• Other study ID #: 2023-0469
• Status: Recruiting
• Phase: N/A
• Start date: December 19, 2023
• Est. completion date: June 30, 2024

Study information

• Verified date: January 2024
• Source: Children's Hospital Medical Center, Cincinnati
• Contact: Francis Real, MD, MEd
• Phone: 484-716-3867
• Email: francis.real[@]cchmc.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 130
• Est. completion date: June 30, 2024
• Est. primary completion date: February 29, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Firearm Injury
• Virtual Reality

Intervention

Behavioral:
• Resident Education And Counseling on Household Firearm Safety
An intervention that includes a self-directed online curriculum and virtual reality simulations, designed to teach firearm screening and counseling among clinicians.
• Modified American Academy of Pediatrics Safer
An intervention that includes a self-directed online curriculum.

Locations

Country	Name	City	State
United States	Cincinnati Children's Hospital Medical Center	Cincinnati	Ohio

Sponsors (1)

Lead Sponsor	Collaborator
Children's Hospital Medical Center, Cincinnati

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percent Change From Baseline in the Percentage of Participants with documentation within the medical record of access to firearms.	Documentation of discussion during clinical encounter of access to firearms.	6 months
Primary	Percent Change From Baseline in the Percentage of Participants with documentation within the medical record of counseling on firearm injury prevention.	Documentation of discussion during clinical encounter of firearm injury prevention.	6 months