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

项目总结 建议家长和患者进行普遍的枪伤和暴力预防咨询 多个国家组织已经有十多年了，但临床医生很少提供这种咨询。智能交通系统的障碍 必须解决执行问题，以便有效地开展与枪支有关的伤害预防工作。这个 研究小组在酒精筛查的实施和可持续性方面取得了成功，简要 两个联邦资助的儿科创伤多部位试验的干预和转介治疗方案 中锋。该小组还拥有以临床为基础的预防火器伤害战略和教育方面的专业知识。 程序开发。我们将应用我们的实施科学和主题专业知识来实施 由三个儿科创伤中心组成的国家队列内的普遍火器伤害预防倡议， 我们之前曾在多站点研究方面进行过合作。我们的长期目标是展示以下最佳实践 以儿科创伤中心为基础的枪支伤害预防战略，促进安全储存做法和 减少与枪支有关的伤害和死亡。本提案是为响应RFA-CE-23-006资助而提交的 备选方案B，将测试全面培训战略的有效性，以改进执行 通用火器伤害预防工作，ACTFAST(在#年通过枪支安全综合培训 创伤中心)，通过以下主要目标：1)增加采用、实施和 参与儿科1级创伤的普遍枪支伤害预防倡议的可持续性 中心；2)在儿童家长中增加枪支安全知识、态度和安全枪支储存做法 儿科创伤患者在参与的儿科一级创伤中心接受治疗，并通过以下方式 次要目标：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)增加枪支安全知识、态度和枪支安全做法 参与的儿科一级创伤中心的青少年创伤患者(11-17岁)。使用RE- AIM方法，我们将评估我们跨采用领域的综合战略， 在机构层面实施和维护。我们将测量临床医生的枪支安全知识 在参加临床医生培训计划后，对提供枪支预防咨询的信心 通过培训前和培训后的调查来衡量。此外，我们还将收集和分析家长(n=560)和 青少年患者(n=280)ACTFAST实施前后的知识变化数据， 态度，最重要的是，在基线和出院后2周和3个月的做法。

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.