Nurse-Led Firearm Safety Intervention for Firearm Safety
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial examines the effectiveness of a nurse-led program in helping parents of hospitalized children store firearms safely. The program, called Adapted S.A.F.E. Firearm, includes a brief discussion between nurses and parents about secure firearm storage and provides a free cable lock. The researchers aim to determine if this approach changes how parents store firearms and if it can be seamlessly integrated into hospital routines. Parents of hospitalized children can participate if they are at the child's bedside before discharge. The trial also involves some nurses who will share their experiences with the program. As an unphased trial, this study offers parents a unique opportunity to contribute to important safety research that could benefit many families.
Do I have to stop taking my current medications for this trial?
The trial does not specify whether you need to stop taking your current medications. It seems focused on firearm safety discussions rather than medication use.
What prior data suggests that this intervention is safe for use in a pediatric hospital setting?
Research has shown that the Adapted S.A.F.E. Firearm intervention helps parents and caregivers of hospitalized youth store firearms safely. Studies have found that similar programs can significantly increase safe storage practices, potentially reducing youth firearm deaths by up to 32%.
This intervention is safe because it focuses on behavior rather than medical treatment. It involves discussions and distributing free firearm cable locks, avoiding side effects associated with medications.
The method has undergone testing elsewhere, and no harmful effects have been reported. Instead, it aims to enhance safety by ensuring secure firearm storage, which can prevent accidents and reduce risks. Overall, the intervention is well-received and emphasizes improving safety practices without any physical risks to participants.12345Why are researchers excited about this trial?
Researchers are excited about the Nurse-Led Firearm Safety Intervention because it takes a fresh approach to preventing firearm injuries. Unlike standard practices that might simply offer safety advice and free cable locks, this intervention combines the Adapted S.A.F.E. Firearm program with an implementation bundle. This means it not only educates on safety but also actively engages families in practical, hands-on safety measures. The unique aspect here is the nurse-led component, which can provide consistent, personalized support and guidance, potentially leading to better adherence and outcomes in firearm safety.
What evidence suggests that the adapted S.A.F.E. Firearm intervention is effective for improving firearm storage behavior?
Studies have shown that programs like the adapted S.A.F.E. Firearm, tested in this trial, can help parents store firearms more safely. Participants will receive either the usual care, which includes routine clinical care plus free cable locks, or the adapted S.A.F.E. Firearm and implementation bundle. Research indicates that when counseling accompanies safety devices like cable locks, parents tend to store firearms more securely. Simulation research suggests that even small improvements in firearm storage could prevent up to 32% of youth firearm deaths. Additionally, using these programs in healthcare settings has proven practical and well-received. Overall, these findings support the potential effectiveness of the adapted S.A.F.E. Firearm program in changing storage behaviors.12367
Are You a Good Fit for This Trial?
This trial is for nurses working on hospital units assigned to the intervention group, and parents or caregivers of children who are hospitalized. The focus is on families with youth in pediatric inpatient care.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Implementation
Adapted S.A.F.E. Firearm intervention is delivered to parents in the pediatric inpatient setting, including a brief discussion on secure firearm storage and offering free cable locks.
Follow-up
Participants are monitored for changes in firearm storage behavior and other safety outcomes post-discharge.
Maintenance
Evaluation of the implementation strategy bundle's long-term impact on the delivery of the S.A.F.E. Firearm program.
What Are the Treatments Tested in This Trial?
Interventions
- Adapted S.A.F.E. Firearm
- Implementation bundle
Trial Overview
The study tests a nurse-led program called S.A.F.E. Firearm, where nurses talk with parents about safe gun storage and offer free cable locks. It also looks at strategies to help make this part of routine nursing practice. Participants are randomly assigned to groups.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Behavioral: Adapted S.A.F.E. Firearm; Behavioral: Implementation bundle
Usual care: routine clinical care plus free cable locks available in the hospital safety center
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pennsylvania
Lead Sponsor
National Institute of Nursing Research (NINR)
Collaborator
Children's Hospital of Philadelphia
Collaborator
Citations
Adapting Safety Check as a Universal Suicide Prevention ...
Simulation research has found that a modest increase in safe firearm storage could prevent as many as 32% of youth firearm deaths in the U.S. With documented ...
2.
firearminjury.umich.edu
firearminjury.umich.edu/project/adapting-the-safety-check-intervention-for-wide-scale-implementation-in-health-systems-for-prevention-of-pediatric-firearm-injury-and-mortality/Adapting the Safety Check Intervention for Wide-Scale ...
This pilot study will adapt the original Safety Check intervention using an established adaptation framework and create parent and clinician tools to support ...
Effectiveness of Interventions to Promote Safe Firearm Storage
The totality of evidence suggests that counseling augmented by device provision can effectively encourage individuals to store their firearms safely.
4.
mhresearchnetwork.org
mhresearchnetwork.org/a-comparative-effectiveness-trial-of-strategies-to-implement-firearm-safety-promotion-as-a-universal-suicide-prevention-strategy-in-pediatric-primary-care-aspire/A comparative effectiveness trial of strategies to implement ...
The study will allow us to compare two approaches to implementing the program in pediatric primary care and evaluate the effectiveness of the adapted ...
5.
cdc.gov
cdc.gov/firearm-violence/php/funded-research/current-three-year-awardees-rfa-ce-20-006.htmlRFA-CE-20-006: 3-year awards | Firearm Injury and Death ...
This study will evaluate the effectiveness of a bystander intervention in changing firearm injury prevention norms, attitudes, intentions ...
Reducing firearm access for youth at risk for suicide in ... - PMC
Overall, self-reported firearm safety practices improved from the initial ED LMC intervention to the 1-week follow-up. This demonstrates that it ...
NCT06382194 | Decision Making Tool for Firearm Storage
The intervention is a newly developed decision aid designed to guide decisions about storage of firearms among older gun owners with early dementia and/or ...
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