RFA-CE-23-006, Store Safely: Firearm injury prevention for rural families

RFA-CE-23-006，安全储存：农村家庭预防枪伤

• 批准号: 10784847
• 负责人: Cynthia (Cindy) Ewell Foster
• 金额: $ 47.03万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2026-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10784847
• 关键词: RFA; CE; 23; 006; Store

Project Summary/Abstract Firearm injuries are the leading cause of death among youth in the United States and rates of firearm-related suicides among rural youth are increasing at an alarming rate. Reducing access to firearms is a key component of suicide prevention because 91% of suicide attempts with a firearm are fatal. Although safe firearm storage reduces risk of firearm injury and death, few interventions exist that are tailored to rural communities where firearms are prevalent and an important part of community and family culture and where health care access disparities limit opportunities for safe storage education. Store Safely is a multi-component online primary prevention strategy designed via a university-community partnership specifically for rural firearm owning families that has shown promise in terms of its acceptability, feasibility, and preliminary impact. In a sample of 43 rural families, 98% reported engaging with all intervention components and 86% completed a home safety checklist. 40% of families self-reported making a change to their storage, such as purchasing gun locks, safes, or lockboxes; separating ammunition from weapons; reviewing the safety of current storage practices; and relocating firearms to a location harder to access by their children. 80% found Store Safely to be culturally sensitive and would recommend the materials to other parents. In response to this urgent need and RFA-CE-23-006 (Funding Option B) we will use a community-based participatory research (CBPR) approach and a hybrid two effectiveness-implementation framework to test this innovative, highly scalable online intervention. Our specific aims include: 1) refinement of the Store Safely intervention, incorporating feedback from the pilot trial and our community partners, 2) a pilot RCT of 20 families to refine measures and procedures, and 3) a hybrid-two trial with 800 rural firearm owning families randomized to receive Store Safely or a wait list control to provide definitive assessment of the impact of Store Safely on the primary intervention target of locked firearm storage as well as mechanisms of intervention to include knowledge, attitudes, and behavioral intentions as well as family safety behaviors, such as home safety checks. Implementation questions are designed to identify the most fruitful means of reaching and recruiting families to the intervention. Our team of investigators is uniquely poised to successfully lead this study given our lengthy track record of community-based participatory research, the development of interventions for youth at risk for suicide and firearm injury, and implementation science. If found to be effective, Store Safely has the potential to reduce suicide mortality in rural areas by capitalizing on the strengths of rural communities to enhance safety.

项目摘要/摘要 枪伤是美国年轻人死亡的主要原因，与枪支有关的死亡率 农村青年的自杀率正在以惊人的速度增加。减少枪支的使用是一个关键 这是预防自杀的重要组成部分，因为91%的持枪自杀企图都是致命的。虽然安全 枪支储存降低了枪支伤亡的风险，但针对农村地区量身定做的干预措施很少 枪支盛行的社区和社区和家庭文化的重要组成部分，以及 卫生保健获取机会的差距限制了安全储存教育的机会。商店安全是一个多组成部分的问题 通过专门针对农村枪支的大学-社区合作伙伴关系设计的在线初级预防战略 拥有在可接受性、可行性和初步影响方面表现出希望的家庭。在一个 在43个农村家庭的样本中，98%的家庭报告参与了所有干预措施，86%的家庭完成了 家庭安全核对表。40%的家庭自我报告对他们的存储进行了更改，例如购买枪支 锁、保险箱或锁箱；将弹药与武器分开；检查当前储存的安全性 以及将枪支转移到子女更难接近的地方。80%的人认为商店是安全的 对文化敏感，并向其他家长推荐这些材料。为了应对这一紧迫需求， RFA-CE-23-006(资助方案B)我们将使用基于社区的参与性研究(CBPR)方法 以及混合两种有效性实施框架，以测试这一创新的、高度可扩展的在线 干预。我们的具体目标包括：1)完善商店安全干预，纳入反馈 来自试点试验和我们的社区合作伙伴，2)20个家庭的试点RCT，以完善措施和 程序，以及3)混合两项试验，800个农村拥有枪支的家庭随机接受安全存储 或等待列表控制，以提供对安全存储对主要干预的影响的最终评估 锁定的枪支储存目标以及干预机制，以包括知识、态度和 行为意图以及家庭安全行为，如家庭安全检查。实施 问题的目的是确定接触和招募家庭参加干预的最有效手段。 考虑到我们长期的调查记录，我们的调查团队准备成功地领导这项研究 以社区为基础的参与性研究，为有自杀危险的青少年制定干预措施和 枪伤，和实施科学。如果被发现是有效的，安全商店有可能减少 通过利用农村社区的优势来加强安全，从而降低农村地区的自杀死亡率。