Adult Trauma Centers RE-AIM at Gun Safety

N/AEnrolling By InvitationNCT06302452

Johns Hopkins University1,776 enrolled

Overview

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

Conditions

Firearm Injury Safety Issues

Interventions

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Electronic Medical Record (EMR) Participants: Inclusion Criteria: * trauma patients admitted to adult trauma inpatient services at participating institutions Exclusion Criteria: * none Patient participants Inclusion Criteria: * at least 18 years of age; * admitted to a participating trauma service for an injury; * fluent in English or Spanish; * able to provide informed consent. Exclusion Criteria: * prisoner or in police custody; * admitted due to suicide attempt * any acute conditions that would preclude provision of informed consent or assent (i.e., acute psychosis, altered mental status, cognitive impairment). Staff participants Inclusion Criteria: * trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center Exclusion Criteria: * none

Locations (3)

Johns Hopkins Bayview Medical Center

Baltimore, Maryland, United States

Johns Hopkins Hospital

Baltimore, Maryland, United States

WellSpan Health

York, Pennsylvania, United States

Outcomes

Primary Outcomes

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

Secondary Outcomes

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