[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT06302452":3,"trial-entities:NCT06302452":99,"trial-summary:NCT06302452":103},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":21,"study_type":22,"primary_purpose":14,"phases":23,"enrollment_info":25,"interventions":28,"primary_outcomes":35,"secondary_outcomes":47,"sex":51,"minimum_age":52,"maximum_age":17,"healthy_volunteers":53,"eligibility_criteria":54,"std_ages":68,"locations":71,"central_contacts":92,"overall_officials":93,"references":97,"see_also_links":98},"NCT06302452","IRB00433605","Adult Trauma Centers RE-AIM at Gun Safety","ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention","ENROLLING_BY_INVITATION","2028-04-30","2026-03","2026-03-09","2024-10-30","Johns Hopkins University","OTHER",false,"The goal of this interventional study is to evaluate the implementation and effectiveness of a comprehensive a universal firearm injury prevention program, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), in level 1 trauma centers. The main aims of the study are:\n\n1. (Primary Aim 1) Increase the adoption, implementation, and maintenance of a universal firearm injury prevention intervention at three participating trauma centers in the mid-Atlantic states;\n2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.",null,[19,20],"Firearm Injury","Safety Issues",[],"INTERVENTIONAL",[24],"NA",{"count":26,"type":27},1776,"ESTIMATED",[29],{"type":30,"name":31,"description":32,"armGroupLabels":33},"BEHAVIORAL","Adopting Comprehensive Training for FireArm Safety in Trauma Centers","Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources",[34],"ACTFAST Intervention",[36,40,44],{"measure":37,"description":38,"timeFrame":39},"Proportion of admitted injured patients receiving each element of the ACTFAST Program","ACTFAST components will be collected through retrospective data abstraction of each site's electronic medical record to determine if admitted injured patients received the Screening, Brief Intervention and Referral to Treatment (SBIRT) program components during the different phases of the study.","48 weeks",{"measure":41,"description":42,"timeFrame":43},"Percentage of admitted injured patients receiving elements of the ACTFAST Program","Among those eligible, compared to pre-implementation, there will be a difference in patients receiving each element of the ACTFAST program as measured by participant survey responses gathered during the participant's admission and 2-weeks post-discharge from survey data derived from multiple sources developed through the prior work of members of the study team.","Admission, 2 weeks post discharge",{"measure":45,"description":46,"timeFrame":39},"Patient firearm safety attitudes and behaviors as assessed by survey","This outcome will be measured using the patient survey data adapted from prior work by the study team.",[48],{"measure":49,"description":50,"timeFrame":39},"Clinician firearm safety knowledge and confidence as assessed by survey","This outcome will be measured using clinician survey data derived from multiple sources developed through the prior work of members of the study team.","ALL","18 Years",true,{"inclusion":55,"exclusion":62,"raw_text":67},[56,57,58,59,60,61],"trauma patients admitted to adult trauma inpatient services at participating institutions","at least 18 years of age;","admitted to a participating trauma service for an injury;","fluent in English or Spanish;","able to provide informed consent.","trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center",[63,64,65,66,63],"none","prisoner or in police custody;","admitted due to suicide attempt","any acute conditions that would preclude provision of informed consent or assent (i.e., acute psychosis, altered mental status, cognitive impairment).","Electronic Medical Record (EMR) Participants:\n\nInclusion Criteria:\n\n* trauma patients admitted to adult trauma inpatient services at participating institutions\n\nExclusion Criteria:\n\n* none\n\nPatient participants\n\nInclusion Criteria:\n\n* at least 18 years of age;\n* admitted to a participating trauma service for an injury;\n* fluent in English or Spanish;\n* able to provide informed consent.\n\nExclusion Criteria:\n\n* prisoner or in police custody;\n* admitted due to suicide attempt\n* any acute conditions that would preclude provision of informed consent or assent (i.e., acute psychosis, altered mental status, cognitive impairment).\n\nStaff participants\n\nInclusion Criteria:\n\n* trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center\n\nExclusion Criteria:\n\n* none",[69,70],"ADULT","OLDER_ADULT",[72,81,84],{"facility":73,"city":74,"state":75,"zip":76,"country":77,"geoPoint":78},"Johns Hopkins Bayview Medical Center","Baltimore","Maryland","21287","United States",{"lat":79,"lon":80},39.29038,-76.61219,{"facility":82,"city":74,"state":75,"zip":76,"country":77,"geoPoint":83},"Johns Hopkins Hospital",{"lat":79,"lon":80},{"facility":85,"city":86,"state":87,"zip":88,"country":77,"geoPoint":89},"WellSpan Health","York","Pennsylvania","17402",{"lat":90,"lon":91},39.9626,-76.72774,[],[94],{"name":95,"affiliation":13,"role":96},"Katherine Hoops, MD, MPH","PRINCIPAL_INVESTIGATOR",[],[],{"nct_id":4,"conditions":100,"biomarkers":102},[19,101],"Injury",[],{"nct_id":4,"found":15,"summary":17,"prompt_version":17}]