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Enrolling by Invitation

NCT Number: NCT06302452

Adult Trauma Centers RE-AIM at Gun Safety

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.

Enrolling by Invitation

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Key information

Conditions

Firearm Injury Safety Issues

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Johns Hopkins Bayview Medical Center, Baltimore, Maryland, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

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

Primary outcomes

  1. Proportion of admitted injured patients receiving each element of the ACTFAST Program

    Time frame: 48 weeks

    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.

  2. Percentage of admitted injured patients receiving elements of the ACTFAST Program

    Time frame: Admission, 2 weeks post discharge

    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.

  3. Patient firearm safety attitudes and behaviors as assessed by survey

    Time frame: 48 weeks

    This outcome will be measured using the patient survey data adapted from prior work by the study team.

Secondary outcomes

  1. Clinician firearm safety knowledge and confidence as assessed by survey

    Time frame: 48 weeks

    This outcome will be measured using clinician survey data derived from multiple sources developed through the prior work of members of the study team.

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Collaborators

  • National Institute on Minority Health and Health Disparities (NIMHD)
  • Rhode Island Hospital
  • WellSpan Health

Registry information

Official study title

ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention

Acronym: ACTFAST

Important dates

Study start
2024
Primary completion
2028
Study completion
2028
First posted
Mar 8, 2024
Registry last updated
Mar 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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