RFA-CE-23-006, Pediatric Trauma Centers RE-AIM at Gun Safety

RFA-CE-23-006，儿科创伤中心重新瞄准枪支安全

• 批准号: 10790742
• 负责人: Katherine Hoops
• 金额: $ 64.78万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 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/10790742
• 关键词: RFA; CE; 23; 006; Pediatric

PROJECT SUMMARY 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. The research team has demonstrated success in the implementation and sustainability of alcohol screening, brief intervention and referral to treatment protocols in two federally funded multi-site trials at pediatric trauma centers. The team also has expertise in clinically-based strategies for firearm injury prevention and educational program development. We will apply our implementation science and subject matter expertise to implement a universal firearm injury prevention initiative within a national cohort of three pediatric trauma centers with which we have previously collaborated on multisite research. Our 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 proposal, submitted in response to RFA-CE-23-006 funding option B, 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), through the following primary aims: 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 treated within participating pediatric level 1 trauma centers, and through the following secondary aims: 1) increase trauma center clinicians’ firearm safety knowledge and confidence in delivering a firearm safety intervention; 2) increase firearm safety knowledge, attitudes and firearm safety practices of adolescent trauma patients (11-17 years) within participating pediatric level 1 trauma centers. Using the RE- AIM methodology, we will evaluate our comprehensive strategy across the domains of adoption, implementation, and maintenance at the institutional level. We will measure clinician firearm safety knowledge and confidence in delivering firearm prevention counseling after participation in the clinician training program as measured by pre and post training surveys. In addition, we will collect and analyze parent (n=560) and adolescent patient (n=280) data before and after ACTFAST implementation for changes in knowledge, attitudes and, most importantly, practices at baseline and at 2 weeks and 3 months after hospital discharge.

项目摘要 已建议对父母和患者进行普遍枪支伤害和预防暴力咨询 多个国家组织已有十多年了，但是临床医生很少提供此咨询。它的障碍 必须解决实施，以有效地提供相关的相关伤害预防工作。 研究团队在酒精筛查的实施和可持续性中表现出成功，简短 在两项由联邦资助的多站点试验的小儿创伤中的干预和转介给治疗方案 中心。该团队还具有基于临床的枪支伤害和教育策略的专业知识 计划开发。我们将运用我们的实施科学和主题专业知识来实施 全国各三个儿科创伤中心的全国人群中的通用枪支伤害倡议 我们以前曾在多站点研究中进行合作。我们的长期目标是展示最佳实践 基于小儿创伤中心的枪支伤害预防策略，以促进安全储存措施和 减少与枪支有关的伤害和死亡。该提议，响应RFA-CE-23-006资金 选项B，将测试全面培训策略的有效性，以改善A的实施 通用枪支伤害预防工作，ACTFAST（在 创伤中心），通过以下主要目的：1）增加采用，实施和 在参与儿科1创伤中的通用枪支伤害预防倡议的可持续性 中心； 2）增加枪支安全知识，与会者和安全的枪支存储措施 在参与儿科1级创伤中心接受治疗的小儿创伤患者，通过以下 次要目的：1）增加创伤中心临床医生的枪支安全知识和信心 枪支安全干预； 2）提高枪支安全知识，吸引力和枪支安全实践 青少年创伤患者（11-17岁）在参与的小儿1级创伤中心内。使用重新 AIM方法，我们将评估我们在采用领域的全面战略， 在机构层面实施和维护。我们将衡量临床枪支安全知识 以及参加临床培训计划后提供预防枪支咨询的信心 通过培训前和培训后的调查衡量。此外，我们将收集和分析父（n = 560）和 青少年患者（n = 280）数据在ACTFAST实施之前和之后，知识变化， 态度，最重要的是，在基线和住院后2周和3个月的态度。