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Enrolling by Invitation

NCT Number: NCT06123611

Pediatric Trauma Centers RE-AIM at Gun Safety

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.

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Key information

Conditions

Firearm Injury Safety Issues

Age range

11 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Johns Hopkins Medicine

Baltimore, Maryland, 21287, United States

Who can participate

Healthy volunteers accepted: No

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

For parents/guardians of pediatric trauma patients:

Inclusion criteria

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

Exclusion criteria

  • 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)

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. Implementation of Intervention

    Time frame: 3 years

    This outcome will be measured using chart review protocols examining rates of firearm access screening, documentation of firearm safety counseling, documentation of referral to community based resources and connection to medical homes as well as patient hospitalization characteristics including admission diagnosis, injury severity and patient demographic characteristics.

  2. Parent firearm safety attitudes and behaviors

    Time frame: 3 years

    This outcome will be measured using parent survey and interview adapted from prior work by the study team.

Secondary outcomes

  1. Clinician firearm safety knowledge and confidence

    Time frame: 3 years

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

  2. Adolescent patient firearm safety attitudes and behaviors

    Time frame: 3 years

    Measure firearm injury prevention knowledge, attitudes and safe firearm practices of adolescent trauma patients (11-17 years) within participating pediatric level 1 trauma centers. This outcome will be measured using patient survey and interview adapted from prior work by the study team.

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Collaborators

  • Centers for Disease Control and Prevention
  • Children's Hospitals and Clinics of Minnesota
  • Rhode Island Hospital
  • University of Utah
  • Yale University

Registry information

Official study title

Pediatric Trauma Centers RE-AIM at Gun Safety - Adopting Comprehensive Training for FireArm Safety in Trauma Centers

Acronym: ACTFAST

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Nov 9, 2023
Registry last updated
Mar 16, 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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