Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| R01MD019173 | U.S. NIH Grant/Contract | View source |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
| Rhode Island Hospital | OTHER |
| WellSpan Health | OTHER |
Not provided
Not provided
Not provided
Not provided
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:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Intervention: Standard Care | No Intervention | All trauma patients will receive standard routine care which may include some screening and counseling on gun safety. | |
| ACTFAST Intervention | Experimental | During the implementation and maintenance periods, all trauma patients will receive study activities including firearm access screening, counseling on safe storage practices, and referral to safe storage and other community resources as appropriate. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of admitted injured patients receiving each element of the ACTFAST Program | ACTFAST components will be collected through retrospective data abstraction of each site's electronic medical record to determine if admitted injured patients received the Screening, Brief Intervention and Referral to Treatment (SBIRT) program components during the different phases of the study. | 48 weeks |
| Percentage of admitted injured patients receiving elements of the ACTFAST Program | Among those eligible, compared to pre-implementation, there will be a difference in patients receiving each element of the ACTFAST program as measured by participant survey responses gathered during the participant's admission and 2-weeks post-discharge from survey data derived from multiple sources developed through the prior work of members of the study team. | Admission, 2 weeks post discharge |
| Patient firearm safety attitudes and behaviors as assessed by survey | This outcome will be measured using the patient survey data adapted from prior work by the study team. | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Clinician firearm safety knowledge and confidence as assessed by survey | This outcome will be measured using clinician survey data derived from multiple sources developed through the prior work of members of the study team. | 48 weeks |
Not provided
Electronic Medical Record (EMR) Participants:
Inclusion Criteria:
Exclusion Criteria:
Patient participants
Inclusion Criteria:
Exclusion Criteria:
Staff participants
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Katherine Hoops, MD, MPH | Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Bayview Medical Center | Baltimore | Maryland | 21287 | United States | ||
| Johns Hopkins Hospital |
At the conclusion of the study, deidentified data will be made publicly available. Due to the sensitive nature of the topics being discussed, individual participant data will not be made available to other researchers outside of the study team.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D014193 | Trauma Centers |
| ID | Term |
|---|---|
| D004636 | Emergency Service, Hospital |
| D006748 | Hospital Departments |
| D006739 | Hospital Administration |
| D058016 | Health Facility Administration |
Not provided
Not provided
The trial uses a unidirectional crossover stepped wedge design with a sequential roll-out of the intervention, ACTFAST, RE-AIM implementation framework, over several discrete time points or "steps." Each of the three trauma centers will be randomly assigned to one step that will determine when they crossover from control to implementation.
Data are collected over multiple wedges, each 4-6 months in length. During the first wedge, none of the participating trauma centers will receive ACTFAST. During the second wedge, the first trauma center completes the Adoption and Implementation period. Over the third wedge, the first center shifts to the Maintenance period, the second trauma center enters the Adoption and Implementation period, and the remaining cohort stays in the control condition. This pattern continues until all trauma centers have progressed from control condition through the active implementation period.
Not provided
Not provided
Not provided
Not provided
| Baltimore |
| Maryland |
| 21287 |
| United States |
| WellSpan Health | York | Pennsylvania | 17402 | United States |
| D006268 | Health Facilities |
| D005159 | Health Care Facilities Workforce and Services |
| D004632 | Emergency Medical Services |
| D006296 | Health Services |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |