Firearm Secure Storage Device Distribution RCT
Comparative Effectiveness of Firearm Secure Storage Device Distribution Strategies: A Hybrid Type 1 Effectiveness-Implementation Randomized Clinical Trial
This study aims to learn how to best promote safe firearm storage in the community. Firearm injuries are a major public health concern, and securely storing firearms can help prevent accidental injuries, suicide, and unauthorized access. This research will test whether providing people with a choice of firearm storage devices improves safe storage practices compared to providing standard cable locks alone. Adults who are patients, visitors, or employees at participating Penn Medicine community health centers may choose to enroll by scanning a QR code displayed at the site. After reviewing study information and providing consent, participants will complete a short online survey about firearm ownership and storage practices. Participants will then be randomly assigned to receive either cable locks or a choice of storage devices such as a lock box and/or cable locks, which will be mailed to their home at no cost. Participants will receive firearm safety educational materials and will be asked to complete brief follow-up surveys by text message about one month and three months later. Some participants and health center staff may also be invited to participate in interviews about their experiences with the program. The goal of this research is to identify practical and acceptable ways for health systems to support safe firearm storage and reduce firearm-related injuries in diverse communities.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Trauma Injury Prevention Coordinator
- Telefonní číslo: 215-746-0149
- E-mail: InjuryPrevention@pennmedicine.upenn.edu
Studijní záloha kontaktů
- Jméno: Senior Project Manager
- E-mail: laurentn@pennmedicine.upenn.edu
Studijní místa
-
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Pennsylvania
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Philadelphia, Pennsylvania, Spojené státy, 19104
- Nábor
- Penn Medicine
-
Kontakt:
- Senior Project Manager, MSW
- Telefonní číslo: 609-248-0229
- E-mail: nathalie.laurent@pennmedicine.upenn.edu
-
Kontakt:
- Trauma Injury Prevention Coordinator, RN
- Telefonní číslo: 609-248-0229
- E-mail: sunny.vespico@pennmedicine.upenn.edu
-
Vrchní vyšetřovatel:
- Mucio (Kit) Delgado, MD, MS
-
Vrchní vyšetřovatel:
- Elinore Kaufman, MD, MSHP, FACS
-
Dílčí vyšetřovatel:
- Katelin Hoskins, PhD, MBE
-
Dílčí vyšetřovatel:
- Renee Betancourt, MD
-
Dílčí vyšetřovatel:
- Michael Harhay, PhD, MPH
-
-
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Patient, visitor, or employee at enrollment site
- Can access QR code survey at enrollment site via smartphone and have access to text messaging
- Have a residential [U.S.] mailing address
- Report a firearm at home
- Request a secure storage device
Exclusion Criteria:
- Prior enrollment from same household address (needed to preserve independence of study observations)
- Inability to complete study consent and assessments in English or Spanish
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
|
Aktivní komparátor: Cable lock distribution (usual practice)
Up to 5 cable locks |
Participants assigned to this intervention will receive up to five firearm cable locks at no cost. The cable locks will be mailed to the participant's home along with firearm safety educational materials. |
|
Aktivní komparátor: Choice of a lock box and/or cable locks (choice of preferred devices)
Preferred device option, with choices of: (A) up to 5 cable locks; (B) lock box only; or (C) lock box plus up to 4 cable locks |
Participants assigned to this intervention will receive up to five firearm cable locks at no cost. The cable locks will be mailed to the participant's home along with firearm safety educational materials. Participants assigned to this intervention will receive one firearm lock box at no cost. The lock box will be mailed to the participant's home along with firearm safety educational materials. Participants assigned to this intervention will receive one firearm lock box and up to four firearm cable locks at no cost. The storage devices will be mailed to the participant's home along with firearm safety educational materials. |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Proportion of Participants Reporting All Firearms Stored Securely at 30 Days
Časové okno: 30 days after enrollment
|
Proportion of participants reporting that all firearms in or around their home are stored securely (vs. some or none) on the 30-day follow-up survey. Secure storage will be assessed through participant self-report using the following response options: Yes, all of them (1); Yes, some of them (2); None of them (3); Not sure (4); No guns in or around home (5); and Prefer not to answer (6). |
30 days after enrollment
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Proportion of participants with all firearms stored securely at 3 months
Časové okno: 3 months after enrollment
|
Proportion of participants reporting that all firearms in the household are stored securely (vs. some or none) on the 3-month follow-up survey. |
3 months after enrollment
|
|
Proportion of participants changing from no firearms stored securely to some or all firearms stored securely at 1 month
Časové okno: 30 days after enrollment
|
Participants reporting that some household firearms are stored securely (vs. none) on 1 month follow-up survey after device distribution. |
30 days after enrollment
|
|
Proportion of participants changing from no firearms stored securely to some or all firearms stored securely at 3 months
Časové okno: 3 months after enrollment
|
Participants reporting that some household firearms are stored securely (vs. none) on 3 month follow-up survey after device distribution. |
3 months after enrollment
|
|
Number of preferred firearm storage devices requested
Časové okno: Baseline (enrollment)
|
Among patients randomized to the preferred device arm, the number of firearm storage devices requested by participants will be assessed. |
Baseline (enrollment)
|
|
Incremental intervention cost per participant
Časové okno: Baseline (enrollment)
|
Incremental cost of delivering the intervention, including the cost of firearm storage devices and associated shipping costs. Costs will be calculated in US dollar per participant |
Baseline (enrollment)
|
Další výstupní opatření
Další výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Number of Participants by Cable Lock Frequency at 30 Days
Časové okno: 30 days after enrollment
|
Frequency of cable lock use among participants reporting use of cable locks on firearms at the 30-day follow-up assessment. Participants will report how often cable locks are used using the following response options:
|
30 days after enrollment
|
|
Number of Participants by Cable Lock Frequency at 90 Days
Časové okno: 90 days after enrollment
|
Frequency of cable lock use among participants reporting use of cable locks on firearms at the 90-day follow-up assessment. Participants will report how often cable locks are used using the following response options:
|
90 days after enrollment
|
|
Number of Participants by Cable Lock Frequency at 180 Days
Časové okno: 180 days after enrollment
|
Frequency of cable lock use among participants reporting use of cable locks on firearms at the 180-day follow-up assessment. Participants will report how often cable locks are used using the following response options:
|
180 days after enrollment
|
|
Number of Cable Locks by Recipient Type at 30 Days
Časové okno: 30 days after enrollment
|
Number of cable locks reported as being held by the participant (self), family members, friends, or other individuals at the 30-day follow-up assessment. Participants will report the number of cable locks held by each recipient type. |
30 days after enrollment
|
|
Number of Cable Locks by Recipient Type at 90 Days
Časové okno: 90 days after enrollment
|
Number of cable locks reported as being held by the participant (self), family members, friends, or other individuals at the 90-day follow-up assessment. Participants will report the number of cable locks held by each recipient type. |
90 days after enrollment
|
|
Number of Cable Locks by Recipient Type at 180 Days
Časové okno: 180 days after enrollment
|
Number of cable locks reported as being held by the participant (self), family members, friends, or other individuals at the 180-day follow-up assessment. Participants will report the number of cable locks held by each recipient type. |
180 days after enrollment
|
|
Number of Participants by Lock Box Usage Category at 30 Days
Časové okno: 30 days after enrollment
|
Lock box usage will be assessed through participant self-report at the 30-day follow-up. Participants will report whether the lock box is being used to secure a previously unlocked firearm, replace an existing firearm lock, or is not being used for a firearm. The number of participants selecting each response category will be reported. |
30 days after enrollment
|
|
Number of Participants by Lock Box Usage Category at 90 Days
Časové okno: 90 days after enrollment
|
Lock box usage will be assessed through participant self-report at the 90-day follow-up. Participants will report whether the lock box is being used to secure a previously unlocked firearm, replace an existing firearm lock, or is not being used for a firearm. The number of participants selecting each response category will be reported. |
90 days after enrollment
|
|
Number of Participants by Lock Box Usage Category at 180 Days
Časové okno: 180 days after enrollment
|
Lock box usage will be assessed through participant self-report at the 180-day follow-up. Participants will report whether the lock box is being used to secure a previously unlocked firearm, replace an existing firearm lock, or is not being used for a firearm. The number of participants selecting each response category will be reported. |
180 days after enrollment
|
|
Number of Participants by Lock Box Recipient Type at 30 Days
Časové okno: 30 days after enrollment
|
Lock box possession will be assessed through participant self-report at the 30-day follow-up. Participants will identify who has the lock box using the following response categories: self, family member, friend, or other individual. The number of participants selecting each response category will be reported. |
30 days after enrollment
|
|
Number of Participants by Lock Box Recipient Type at 90 Days
Časové okno: 90 days after enrollment
|
Lock box possession will be assessed through participant self-report at the 90-day follow-up. Participants will identify who has the lock box using the following response categories: self, family member, friend, or other individual. The number of participants selecting each response category will be reported. |
90 days after enrollment
|
|
Number of Participants by Lock Box Recipient Type at 180 Days
Časové okno: 180 days after enrollment
|
Lock box possession will be assessed through participant self-report at the 180-day follow-up. Participants will identify who has the lock box using the following response categories: self, family member, friend, or other individual. The number of participants selecting each response category will be reported. |
180 days after enrollment
|
|
Number of Participants by Lock Box Frequency at 30 Days
Časové okno: 30 days after enrollment
|
Frequency of lock box use will be assessed through participant self-report at the 30-day follow-up. Participants will report how often the lock box is used using the following response categories: Always (1), More than half the time (2), and Less than half the time (3). The number of participants selecting each response category will be reported. |
30 days after enrollment
|
|
Number of Participants by Lock Box Frequency at 90 Days
Časové okno: 90 days after enrollment
|
Frequency of lock box use will be assessed through participant self-report at the 90-day follow-up. Participants will report how often the lock box is used using the following response categories: Always (1), More than half the time (2), and Less than half the time (3). The number of participants selecting each response category will be reported. |
90 days after enrollment
|
|
Number of Participants by Lock Box Frequency at 180 Days
Časové okno: 180 days after enrollment
|
Frequency of lock box use will be assessed through participant self-report at the 180-day follow-up. Participants will report how often the lock box is used using the following response categories: Always (1), More than half the time (2), and Less than half the time (3). The number of participants selecting each response category will be reported. |
180 days after enrollment
|
|
Number of Participants by Cable Lock Usage Category at 30 Days
Časové okno: 30 days after enrollment
|
Cable lock usage will be assessed through participant self-report at the 30-day follow-up. Participants will report whether the cable lock is being used to secure a previously unlocked firearm, replace an existing firearm lock, or is not being used for a firearm. The number of participants selecting each response category will be reported. |
30 days after enrollment
|
|
Number of Participants by Cable Lock Usage Category at 90 Days
Časové okno: 90 days after enrollment
|
Cable lock usage will be assessed through participant self-report at the 90-day follow-up. Participants will report whether the cable lock is being used to secure a previously unlocked firearm, replace an existing firearm lock, or is not being used for a firearm. The number of participants selecting each response category will be reported. |
90 days after enrollment
|
|
Number of Participants by Cable Lock Usage Category at 180 Days
Časové okno: 180 days after enrollment
|
Cable lock usage will be assessed through participant self-report at the 180-day follow-up. Participants will report whether the cable lock is being used to secure a previously unlocked firearm, replace an existing firearm lock, or is not being used for a firearm. The number of participants selecting each response category will be reported. |
180 days after enrollment
|
|
Number of Participants Who Reported Using Injury Prevention Resources at 30 days
Časové okno: 30 days after enrollment
|
Assessed via a 3-item self-reported follow-up questionnaire evaluating participant engagement with provided injury prevention resources. The questionnaire assesses whether participants accessed the texted gun safety webpage, whether they spoke with the Injury Prevention Coordinator (including reasons for contact), and whether they have unmet gun safety resource needs. |
30 days after enrollment
|
|
Number of Participants Who Reported Using Injury Prevention Resources at 90 days
Časové okno: 90 days after enrollment
|
Assessed via a 3-item self-reported follow-up questionnaire evaluating participant engagement with provided injury prevention resources. The questionnaire assesses whether participants accessed the texted gun safety webpage, whether they spoke with the Injury Prevention Coordinator (including reasons for contact), and whether they have unmet gun safety resource needs. |
90 days after enrollment
|
|
Number of Participants Who Reported Using Injury Prevention Resources at 180 days
Časové okno: 180 days after enrollment
|
Assessed via a 3-item self-reported follow-up questionnaire evaluating participant engagement with provided injury prevention resources. The questionnaire assesses whether participants accessed the texted gun safety webpage, whether they spoke with the Injury Prevention Coordinator (including reasons for contact), and whether they have unmet gun safety resource needs. |
180 days after enrollment
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Mucio (Kit) Delgado, MD, MS, University of Pennsylvania
- Vrchní vyšetřovatel: Elinore Kaufman, MD, MSHP, University of Pennsylvania
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další identifikační čísla studie
Další identifikační čísla studie
- 26-6055
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