Health TrialsbyHealthPanel

Trial of a Nurse-Led Firearm Safety Intervention in the Pediatric Inpatient Setting

ConditionsFirearm SafetySuicideFirearm Injury
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Pennsylvania

About this trial

In this randomized controlled trial, researchers will assess the effectiveness and implementation of S.A.F.E. Firearm in the inpatient pediatric hospital setting. S.A.F.E. Firearm has been adapted for nurse-led delivery to parents/caregivers (hereafter, parents) of hospitalized youth. Adapted S.A.F.E. Firearm involves a brief discussion between nurses and parents about secure firearm storage and an offer of a free firearm cable lock. Researchers will test S.A.F.E. Firearm and a bundle of strategies intended to support the routinization of S.A.F.E. Firearm into nursing workflows.

The questions the study aims to answer are:

* How effective is adapted S.A.F.E. Firearm at changing parents' firearm storage behavior? * How effective is the implementation strategy bundle at increasing delivery of adapted S.A.F.E. Firearm?

Some parents will be invited to participate in surveys about their experiences with adapted S.A.F.E. Firearm, and some nurses will be invited to participate in interviews about their experiences with the implementation strategy bundle.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Nurses who work on a nursing unit randomized to the intervention arm

Disqualifiers

Not a nurse who works on a nursing unit randomized to the intervention arm

Parent/guardian of youth ages 0-17 years old hospitalized on a participating inpatient unit (either Intervention or Usual Care arm) during the trial period

Age greater than or equal to 18 years old

At least 1 parent/guardian must be at the bedside to receive intervention prior to discharge

Trial design

Design model

Parallel

Treatments tested in this trial

  • Adapted S.A.F.E. Firearm

    Behavioral

    S.A.F.E. Firearm is an evidence-based program that includes (1) brief, parent-directed discussion on secure firearm storage using a harm reduction approach and (2) free cable locks offers to all parents

  • Implementation bundle

    Behavioral

    Electronic health record-based reminder, education, champions

Treatment groups

7,200 Participants
are divided into 2 treatment groups
Group A: Usual CareNo intervention 0 interventions
Group B: Adapted S.A.F.E. Firearm and implementation bundleExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Secure Storage

Count of participants with secure storage, which is defined as parent self-reported locked firearm storage. Locked storage reflects stored in a locked gun safe, cabinet, case, gun rack, and/or storage with a cable or trigger lock. Categories: none, some, all locked, don't know, prefer not to answer.

Time frame
2-4 week post-discharge, collected over 1 year of active implementation
2

Reach

Percentage reached, i.e., the percentage of eligible visits with electronic health record-documented receipt of both intervention components (intervention arm only).

Time frame
Documented in EHR at point of intervention delivery over 1 year of active implementation

Secondary outcomes

1

Behavioral intention to increase secure firearm storage

Count of participants with self-reported intention (i.e., motivation) to make firearms stored in or around their home less accessible to their child. Categories: strongly agree, agree, neither, disagree, strongly disagree, not applicable, prefer not to answer.

Time frame
24-72 hour post-discharge
2

Behavioral intention to ask about firearms where child stays/visits

Count of participants with self-reported intention (i.e., motivation) to ask about firearms and how they are stored in places where their child stays/visits. Categories: strongly agree, agree, neither, disagree, strongly disagree, not applicable, prefer not to answer.

Time frame
24-72 hour post-discharge
3

Permanent or temporary removal of firearms

Percentage of participants with self-reported permanent or temporary removal of firearms from the household. Categories: Any removal, no removal.

Time frame
2-4 week post-discharge
4

Use of cable locks

Count of participants with self-reported use of distributed cable locks. Categories: Used it to secure a firearm in my home, used it to lock something other than a firearm, put it away for potential future use, gave the lock to someone else to secure a firearm, threw away the lock, not sure, prefer not to answer.

Time frame
2-4 week post-discharge

Other outcomes

Sponsors and contacts

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University of Pennsylvania

Lead sponsor

National Institute of Nursing Research (NINR)

Collaborator

Children's Hospital of Philadelphia

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: