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.

项目概要 建议对家长和患者进行普遍的枪伤和暴力预防咨询 十多年来，维权者很少向其提供这种咨询障碍。 必须解决执行问题，以便有效开展与枪支有关的伤害预防工作。 研究团队在酒精筛查的实施和可持续性方面取得了成功，简要 在两项联邦资助的儿科创伤多中心试验中进行干预和转介治疗方案 该团队还拥有基于临床的枪械伤害预防和教育策略方面的专业知识。 我们将运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中的普遍枪伤预防倡议 我们之前曾合作进行多地点研究，我们的长期目标是展示最佳实践。 基于儿科创伤中心的枪械伤害预防策略，促进安全储存实践和 减少与枪支相关的伤害和死亡 该提案是为了响应 RFA-CE-23-006 资助而提交的。 选项 B，将测试综合培训策略的有效性，以改进实施 普遍枪械伤害预防工作，ACTFAST（采用全面的枪械安全培训） 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 级创伤的普遍枪伤预防举措的可持续性 中心；2) 提高家长的枪支安全知识、态度和安全枪支储存做法 儿科创伤患者在参与的儿科 1 级创伤中心接受治疗，并通过以下方式进行治疗 次要目标：1) 提高创伤中心上级的枪支安全知识和提供治疗的信心 枪支安全干预；2) 提高枪支安全知识、态度和枪支安全实践 参与儿科 1 级创伤中心的青少年创伤患者（11-17 岁）使用 RE-。 AIM 方法论，我们将评估我们在采用领域的综合战略， 我们将衡量临床医生枪支安全知识。 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调查进行衡量。此外，我们将收集并分析家长 (n=560) 和 青少年患者 (n=280) 在 ACTFAST 实施前后的知识变化数据， 态度，最重要的是，在基线以及出院后 2 周和 3 个月时的实践。