- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02318732
Evaluation of California's Armed and Prohibited Persons System (APPS)
Prospective Evaluation of California's Armed and Prohibited Persons System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Violence remains an important public safety and public health problem. Prior research has shown that denying firearm purchases by individuals who are at high risk for committing violent crimes, thereby restricting their access to firearms, is an effective violence prevention strategy. The Armed and Prohibited Persons System (APPS) is a new violence prevention initiative undertaken by the California Department of Justice (CalDOJ). APPS is used by law enforcement to systematically identify persons who, having legally purchased firearms in the past, have become prohibited persons in the present-usually as the result of a criminal conviction. Such individuals are at increased risk for future violence.
APPS uses existing data to identify firearm owners among persons who have become prohibited from owning or possessing firearms under California or federal law. CalDOJ then uses this information to contact and attempt recovery of firearms in the possession of prohibited individuals.
This controlled prospective longitudinal evaluation of APPS relies principally on data collected by CalDOJ in the course of APPS operations or on data in the public domain, such as community characteristics published by the U.S. Census Bureau.
To maximize fairness during the implementation of APPS, approximately 1,000 California communities will be stratified by region, population, and violent crime rate and randomized into two groups that will be exposed to APPS at different times during the study period. Hierarchical analysis will examine outcomes for individuals clustered at the community level. The principal analysis will be on an intent to treat basis. A secondary per protocol analysis will also be conducted.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Sacramento, California, United States, 95618
- UC Davis
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults with records of firearms ownership who have experienced a prohibiting event. Prohibiting events are based in Federal and California state law. Among others, they include criminal convictions for felonies and selected violent misdemeanors; emergency hospitalization for dangerousness associated with severe mental illness, as specified in statute; and status as respondent to a domestic violence restraining order.
Exclusion Criteria:
- None.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Group 1
APPS intervention will be implemented in Group 1 communities prior to implementation in Group 2 communities.
|
Contact with and recovery of firearms from individuals who are prohibited from possessing them
|
|
Active Comparator: Group 2
APPS intervention will be implemented in Group 2 communities following implementation in Group 1 communities.
|
Contact with and recovery of firearms from individuals who are prohibited from possessing them
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of arrest for violent and firearm-related crimes
Time Frame: Up to 3 years
|
Arrests for violent and firearm-related crimes among persons eligible for the APPS intervention
|
Up to 3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of arrest for non-violent, non firearms-related crimes
Time Frame: Up to 3 years
|
Arrests for crimes not involving violence or firearms among persons eligible for the APPS intervention
|
Up to 3 years
|
|
Incidence of emergency mental health hospitalizations
Time Frame: Up to 3 years
|
Emergency mental health hospitalizations following a determination of dangerousness to self or others or grave disability among persons eligible for the APPS intervention
|
Up to 3 years
|
|
Incidence of domestic violence restraining orders
Time Frame: Up to 3 years
|
Domestic violence restraining orders among persons eligible for the APPS intervention
|
Up to 3 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Community level rates of violence
Time Frame: Up to 3 years
|
Community-level rates of violent and firearm-related crimes
|
Up to 3 years
|
|
Cost benefit analysis
Time Frame: Up to 3 years
|
Assess benefits of APPS relative to costs.
|
Up to 3 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Garen J Wintemute, MD, MPH, University of California, Davis
Publications and helpful links
General Publications
- Wintemute GJ, Beckett L, Kass PH, Tancredi D, Studdert D, Pierce G, Braga AA, Wright MA, Cerda M. Evaluation of California's Armed and Prohibited Persons System: study protocol for a cluster-randomised trial. Inj Prev. 2017 Oct;23(5):358. doi: 10.1136/injuryprev-2016-042194. Epub 2016 Oct 11.
- Wintemute GJ, Tancredi D, Pear VA, Li Y, McCort CD, Pierce G, Braga AA, Wright MA, Laqueur H, Kravitz-Wirtz N, Studdert D, Beckett L. Population-level effects on crime of recovering firearms from armed prohibited persons: intention-to-treat analysis of a pragmatic cluster-randomised trial in California cities. Inj Prev. 2024 Oct 2:ip-2024-045234. doi: 10.1136/ip-2024-045234. Online ahead of print.
Study record dates
Study Major Dates
Study Start
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 553213
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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