Pediatric Trauma Centers RE-AIM at Gun Safety

Part of paid clinical trials in Baltimore, Maryland.

Sponsor
Johns Hopkins University
Study ID
NCT06123611
Status
Enrolling By Invitation

Conditions

  • Firearm Injury
  • Safety Issues

Eligibility Criteria

Sex
ALL
Age
11 Years - N/A
Healthy Volunteers
Not accepted

Interventions

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

Study Details

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.

Key Dates

Start date
Feb 25, 2024
Status verified
Mar 2026
Primary completion
Sep 30, 2026
Completion
Sep 30, 2027

Study Design

Enrollment
1,000 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER

Arms

  • No Intervention: Standard Care
    In the pre-implementation period, all trauma patients will receive standard routine care. Which may include some screening and counseling on gun safety.
  • Experimental: ACTFAST Intervention
    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.

Primary Outcome Measure

Implementation of Intervention [ Time Frame: 3 years ]

Locations (1)

FacilityCityStateZIPSite coordinators
Johns Hopkins MedicineBaltimoreMaryland21287-

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By research site
Johns Hopkins Medicine· Baltimore, MD

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