Trial of a Nurse-Led Firearm Safety Intervention in the Pediatric Inpatient Setting

Part of paid clinical trials in Philadelphia, Pennsylvania.

Sponsor
University of Pennsylvania
Study ID
NCT07501247
Status
Not Yet Recruiting

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Conditions

  • Firearm Injury
  • Firearm Safety
  • Suicide

Eligibility Criteria

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

Interventions

  • Adapted S.A.F.E. Firearm — BEHAVIORAL
    S.A.F.E. Firearm is an evidence-based program that includes (1) brief, parent-directed discussion on secure firearm storage using a harm reduction approach and (2) free cable locks offers to all parents
  • Implementation bundle — BEHAVIORAL
    Electronic health record-based reminder, education, champions

Study Details

In this randomized controlled trial, researchers will assess the effectiveness and implementation of S.A.F.E. Firearm in the inpatient pediatric hospital setting. S.A.F.E. Firearm has been adapted for nurse-led delivery to parents/caregivers (hereafter, parents) of hospitalized youth. Adapted S.A.F.E. Firearm involves a brief discussion between nurses and parents about secure firearm storage and an offer of a free firearm cable lock. Researchers will test S.A.F.E. Firearm and a bundle of strategies intended to support the routinization of S.A.F.E. Firearm into nursing workflows. The questions the study aims to answer are: * How effective is adapted S.A.F.E. Firearm at changing parents' firearm storage behavior? * How effective is the implementation strategy bundle at increasing delivery of adapted S.A.F.E. Firearm? Some parents will be invited to participate in surveys about their experiences with adapted S.A.F.E. Firearm, and some nurses will be invited to participate in interviews about their experiences with the implementation strategy bundle.

Key Dates

Start date
Dec 31, 2026
Status verified
Apr 2026
Primary completion
Dec 31, 2027
Completion
May 31, 2028

Study Design

Enrollment
7,200 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Usual Care
    Usual care: routine clinical care plus free cable locks available in the hospital safety center
  • Experimental: Adapted S.A.F.E. Firearm and implementation bundle
    Behavioral: Adapted S.A.F.E. Firearm; Behavioral: Implementation bundle

Primary Outcome Measure

Secure Storage [ Time Frame: 2-4 week post-discharge, collected over 1 year of active implementation ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
Children's Hospital of PhiladelphiaPhiladelphiaPennsylvania19104
Joel Fein, MD
[email protected]
610-308-3874
Chelsea Ward McIntosh, MS
[email protected]
215-590-1244
Joel Fein, MD (PRINCIPAL_INVESTIGATOR)
University of PennsylvaniaPhiladelphiaPennsylvania19104
Katelin Hoskins, PhD
[email protected]
215-919-0281
Katelin Hoskins, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
Children's Hospital of Philadelphia· Philadelphia, PAUniversity of Pennsylvania· Philadelphia, PA

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