Brief Summary
There is currently no available data regarding using the inpatient setting as an opportunity to talk to parents/guardians about firearm safety. The investigators will be doing a pre-/post-intervention study to investigate the effect of an intervention (a 5.5 minute Be SMART video and written materials developed by the organization Everytown for Gun Safety), on parental/legal guardian knowledge, attitudes and practices regarding firearm safety. While the American Academy of Pediatrics recommends the safest home for children is one without guns, the reality is that there are families with guns in the home. This non-political video focuses on ways to keep children safe from firearms.
The investigators will also investigate any additional effect of physician-delivered counseling on parental/guardian knowledge, attitudes and practices regarding gun safety as compared to receiving the information solely via video and written materials.
Participants will be randomized to 1 of 3 groups (intervention, intervention + MD discussion and control group). Outcomes will be assessed immediately post intervention and in a 30-day follow up phone call.
The investigators will also investigate any additional effect of physician-delivered counseling on parental/guardian knowledge, attitudes and practices regarding gun safety as compared to receiving the information solely via video and written materials.
Participants will be randomized to 1 of 3 groups (intervention, intervention + MD discussion and control group). Outcomes will be assessed immediately post intervention and in a 30-day follow up phone call.
Brief Title
Pediatric Inpatient Firearm Safety Study
Detailed Description
Eligibility:
All parents/guardians of inpatients admitted to the Children's Hospital at Montefiore.
Exclusion:
Parents/guardians whose children are in acute distress or in the Pediatric Intensive Care Unit.
Outcomes:
The primary outcome is the change in parent/legal guardian's behavior over the past 30 days with respect to how often they asked whether or not there are guns in the home when their child/children goes to play in another's person's home, as indicated by a Likert scale assignment of an ordinal value (1-5, 1= never, 2=rarely, 3=sometimes, 4=most of the time, 5=always).
Secondary outcomes will include:
* Change in the primary outcome (intention to ask noted above) between the intervention groups (Be SMARTalone vs. Be SMART + MD)
* Demographic factors associated with primary outcome
* Description of general knowledge on firearm safety of parents/legal guardians of patients in our community
* Description of attitudes about firearm safety of parents/legal guardians of patients in our community
* Description of general practices regarding firearm safety of parents/legal guardians of patients in our community
* Description of parents attitudes regarding physicians discussing firearm safety with them
All parents/guardians of inpatients admitted to the Children's Hospital at Montefiore.
Exclusion:
Parents/guardians whose children are in acute distress or in the Pediatric Intensive Care Unit.
Outcomes:
The primary outcome is the change in parent/legal guardian's behavior over the past 30 days with respect to how often they asked whether or not there are guns in the home when their child/children goes to play in another's person's home, as indicated by a Likert scale assignment of an ordinal value (1-5, 1= never, 2=rarely, 3=sometimes, 4=most of the time, 5=always).
Secondary outcomes will include:
* Change in the primary outcome (intention to ask noted above) between the intervention groups (Be SMARTalone vs. Be SMART + MD)
* Demographic factors associated with primary outcome
* Description of general knowledge on firearm safety of parents/legal guardians of patients in our community
* Description of attitudes about firearm safety of parents/legal guardians of patients in our community
* Description of general practices regarding firearm safety of parents/legal guardians of patients in our community
* Description of parents attitudes regarding physicians discussing firearm safety with them
Categories
Completion Date
Completion Date Type
Actual
Conditions
Firearm Safety
Eligibility Criteria
Inclusion Criteria:
\-
Exclusion Criteria:
* parents/guardians whose child is hospitalized in the Pediatric Intensive Care Unit
* parents/guardians whose child is in acute distress
* parents/guardians who have previously been in the study
\-
Exclusion Criteria:
* parents/guardians whose child is hospitalized in the Pediatric Intensive Care Unit
* parents/guardians whose child is in acute distress
* parents/guardians who have previously been in the study
Inclusion Criteria
Inclusion Criteria:
\-
\-
Gender
All
Gender Based
false
Keywords
firearm
gun
safety
pediatric
inpatient
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
NCT Id
NCT03077646
Org Class
Other
Org Full Name
Montefiore Medical Center
Org Study Id
2016-6918
Overall Status
Completed
Phases
Not Applicable
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
Pediatric Inpatient Firearm Safety Study
Primary Outcomes
Outcome Description
The primary outcome is within each group the change in how often the parent/guardian asked whether there are guns in the home when the child went to another person's home in the last 30 days Likert Scale 1=never, 2=rarely, 3=sometimes, 4=most of the time, 5=always
Outcome Measure
Change in Likert Scale of Frequency of Asking About Guns in the Home When Their Child Goes to Another Person's Home, Pre-intervention and 1 Month Post-intervention
Outcome Time Frame
Baseline and last 30 days
Secondary Outcomes
Outcome Description
Likert Scale Score of degree of agreement with the statement
1=strongly disagree, 2=disagree, 3=not sure, 4=agree, 5=strongly agree
1=strongly disagree, 2=disagree, 3=not sure, 4=agree, 5=strongly agree
Outcome Time Frame
1 month after intervention
Outcome Measure
Doctors Who Take Care of Kids Should Talk to Parents About Safe Gun Storage at 1 Month Post-intervention
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Actual
First Submit Date
First Submit QC Date
Std Ages
Child
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
0
Investigators
Investigator Type
Principal Investigator
Investigator Name
Alyssa Silver
Investigator Email
alysilve@montefiore.org
Investigator Phone
718-741-2304