About this trial
This randomized controlled trial will take place in up to 15 community health centers across the state of Illinois. Researchers will be studying S.A.F.E. Firearm, a program that aims to increase secure storage of firearms in homes with children. Specifically, S.A.F.E. Firearm includes a brief conversation between pediatric clinicians and parents about secure firearm storage and an offer of a free cable firearm lock within the well-child visit. Researchers will also study a package of strategies to help pediatric clinics incorporate this new practice. The strategies include training for clinic personnel and facilitation, or tailored problem-solving support.
The questions the study aims to answer are:
* How effective is the package of strategies at helping pediatric clinics adopt this new practice? * How effective is the S.A.F.E. Firearm program at changing parents' and guardians' firearm storage behavior?
Some parents and guardians will be invited to complete a brief survey after their visit about their experiences receiving S.A.F.E. Firearm. Some community health center personnel will also be invited to complete an interview about their experiences with S.A.F.E. Firearm and the package of strategies.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be a parent of a child ages 0-17 who has a well-visit at a participating health care clinic in the state of Illinois
Attend the child's well-visit
Be employed at a participating health care clinic in the state of Illinois
Aged 18+ years
Disqualifiers
None
Trial design
Crossover
Treatments tested in this trial
Implementation package (training and facilitation)
BehavioralTraining includes an initial presentation on S.A.F.E. Firearm, S.A.F.E. Firearm informational guides and other resources to support delivery, and recommendations for additional, optional self-guided learning resources. Facilitation will last twelve months at each site. It may involve 1) a pre-implementation readiness assessment for each clinic to identify potential implementation barriers and develop relationships with constituents; 2) kick-off meetings at the launch of the trial, at which clinic staff will identify how and where S.A.F.E. Firearm will be implemented within the clinic; 3) goal-setting within the first few months of the program; 4) trouble-shooting to address barriers identified during the pre-implementation readiness assessment and emergent challenges; and 5) designing a sustainment plan to maintain S.A.F.E. Firearm for future years.
Treatment groups
Trial outcomes
Primary outcomes
Parent-reported reach of S.A.F.E. Firearm
The proportion of eligible pediatric well-visits for which parents report receiving the two components of S.A.F.E. Firearm (discussion of secure firearm storage, offer of a free cable firearm lock)
Sponsors and contacts
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Northwestern University
Lead sponsor
AllianceChicago
Collaborator
Illinois Primary Health Care Association
Collaborator
University of Pennsylvania
Collaborator
National Institute of Nursing Research (NINR)
Collaborator
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