Reframing Firearm Injury Prevention Through Bystander Interventions for Youth Shooting Sports Participants

通过旁观者干预青少年射击运动参与者，重新构建枪械伤害预防

• 批准号: 10268935
• 负责人: Megan Larin Ranney
• 金额: $ 64.68万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2023-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10268935
• 关键词: Reframing; Firearm; Injury; Prevention; Through

PROJECT SUMMARY Firearm injury and mortality are a major public health concern for American youth age 1-19. Modifiable risk factors for youth firearm injury and death include unsafe storage of a firearm in the home, prior victimization/aggression, substance use, and depressive symptoms. Due to the fraught political landscape and lack of research funding, partnerships with firearm owners and firearm safety training programs to create and implement effective, non-policy-based preventive interventions for youth firearm injury are lacking. Bystander intervention (BI) is an intervention framework rooted in social psychological theories such as the Theory of Planned Behavior (TPB), with proven efficacy and effectiveness targeting both individual and community behavior change. “The Reframe” is a three-part, already-piloted intervention that uses the BI framework and TPB mechanisms to promote adult and youth community norms change about firearm safety, BI, and harm reduction techniques (e.g., safe storage, reducing access to lethal means, conflict resolution). Recognizing that BI is most rigorous when led by credible messengers, The Reframe uses instructional, peer-to-peer, and social-media strategies in conjunction with community organizations that are deeply connected to firearm safety efforts. Our community partner, the National 4-H Shooting Sports Program is a national leader and trusted messenger for firearm safety. In accordance with this RFA’s Research Objective Two, Funding Option B, we propose to conduct a Type I Hybrid Effectiveness-Implementation Trial to evaluate The Reframe’s effectiveness in changing firearm injury prevention norms, attitudes, intentions, and behaviors among a sample of fifty 4-H Shooting Sports Club communities (adults and youth). We propose to: (1) Conduct a series of key informant interviews with an advisory board of 20 key stakeholders (youth and adult 4-H Shooting Sports leaders representing a range of communities and 4-H experience) to ensure The Reframe addresses 4-H- specific issues of acceptability, feasibility, and appropriateness; (2a) Evaluate The Reframe’s effectiveness, compared to usual training, in changing individual- and community-level, proximal and distal behavioral outcomes related to firearm injury prevention at 0, 3, and 6 months; (2b) Examine barriers and facilitators to The Reframe intervention’s implementation using a mixed-methods (qualitative and quantitative) approach; (2c) Explore injury patterns among all 50 communities using population-level data. SIGNIFICANCE: This proposal will advance firearm injury prevention science by supporting a synergistic partnership between well- established firearm injury, suicide, and violence prevention researchers and the national 4-H Shooting Sports community. Consistent with CDC priorities, this proposal will build an evidence base for best practices for easy-to-implement individual- and community-level interventions that promote safe behaviors around youth firearm use and injury prevention.

项目概要 枪支伤害和死亡是 1-19 岁美国青少年面临的主要公共卫生问题。 青少年枪支伤害和死亡的因素包括在家中不安全地存放枪支、事先 由于令人担忧的政治局势和抑郁症状。 缺乏研究经费、与枪支拥有者的伙伴关系以及枪支安全培训计划来制定和实施 缺乏对青少年枪伤旁观者实施有效的、非政策性的预防干预措施。 干预（BI）是植根于社会心理学理论（例如“心理理论”）的干预框架 计划行为 (TPB)，已证明针对个人和社区的有效性和有效性 “重构”是一项已试行的干预措施，由三部分组成，使用 BI 框架和 TPB 机制促进成人和青少年社区有关枪支安全、BI 和伤害的规范改变 减少技术（例如，安全储存、减少使用致命手段、解决冲突）。 当由可信的使者领导时，BI 是最严格的，The Reframe 使用指导性的、点对点的和 与与枪支密切相关的社区组织联合制定社交媒体策略 我们的社区合作伙伴国家 4-H 射击运动计划是全国领先的。 根据本 RFA 的研究目标二，资助选项，值得信赖的枪支安全使者。 B，我们建议进行 I 型混合有效性实施试验来评估 The Reframe 的 改变样本中枪伤预防规范、态度、意图和行为的有效性 50 个 4-H 射击运动俱乐部社区（成人和青少年） 我们建议： (1) 开展一系列重点活动。 对由 20 个主要利益相关者（青少年和成人）组成的咨询委员会进行知情人访谈 4-H 射击运动 代表一系列社区和 4-H 经验的领导者），以确保 Reframe 解决 4-H- (2a) 评估重构的有效性， 与通常的训练相比，在改变个人和社区层面、近端和远端行为方面 0、3 和 6 个月时与枪伤预防相关的结果；(2b) 检查障碍和促进因素 使用混合方法（定性和定量）方法实施重构干预措施； (2c) 使用人口水平数据探索所有 50 个社区的伤害模式。 该提案将通过支持良好的合作伙伴关系来推进枪伤预防科学 建立了枪伤、自杀和暴力预防研究人员以及国家 4-H 射击运动 与 CDC 的优先事项一致，该提案将为最佳实践建立证据基础。 易于实施的个人和社区层面的干预措施，促进青少年的安全行为 枪支使用和伤害预防。