Adult Trauma Centers RE-AIM at Gun Safety

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

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.

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