The goal of this interventional study is to evaluate the implementation and effectiveness of a comprehensive a universal firearm injury prevention program, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), in level 1 trauma centers. The main aims of the study are: 1. (Primary Aim 1) Increase the adoption, implementation, and maintenance of a universal firearm injury prevention intervention at three participating trauma centers in the mid-Atlantic states; 2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
1,776
Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources
Johns Hopkins Bayview Medical Center
Baltimore, Maryland, United States
Johns Hopkins Hospital
Baltimore, Maryland, United States
WellSpan Health
York, Pennsylvania, United States
Proportion of admitted injured patients receiving each element of the ACTFAST Program
ACTFAST components will be collected through retrospective data abstraction of each site's electronic medical record to determine if admitted injured patients received the Screening, Brief Intervention and Referral to Treatment (SBIRT) program components during the different phases of the study.
Time frame: 48 weeks
Percentage of admitted injured patients receiving elements of the ACTFAST Program
Among those eligible, compared to pre-implementation, there will be a difference in patients receiving each element of the ACTFAST program as measured by participant survey responses gathered during the participant's admission and 2-weeks post-discharge from survey data derived from multiple sources developed through the prior work of members of the study team.
Time frame: Admission, 2 weeks post discharge
Patient firearm safety attitudes and behaviors as assessed by survey
This outcome will be measured using the patient survey data adapted from prior work by the study team.
Time frame: 48 weeks
Clinician firearm safety knowledge and confidence as assessed by survey
This outcome will be measured using clinician survey data derived from multiple sources developed through the prior work of members of the study team.
Time frame: 48 weeks
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