Pediatric Trauma Centers RE-AIM at Gun Safety

Enrolling by invitation · Not applicable

Conditions studied: Firearm Injury, Safety Issues

In brief

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 facts

Study ID

NCT06123611

Run by

Johns Hopkins University

People needed

1000

Starts

2024-02-25

Expected to finish

2027-09-30

Last updated by the study team

2026-03-16

Who can join

Age: 11 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• live with an admitted pediatric trauma patient at a participating trauma center
• be fluent in English or Spanish

You may not qualify if…

• 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)

Where it is running

• Johns Hopkins Medicine — Baltimore, Maryland, United States

Full record on ClinicalTrials.gov

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