Johns Hopkins University
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.
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 priso…
Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources