Schwebel David C, Long D Leann, Gowey Marissa, Severson Joan, He Yefei, Trullinger Katelyn
Department of Psychology, University of Alabama at Birmingham, 1300 University Blvd, CH 415, Birmingham, AL, 35294, USA.
Department of Biostatistics, University of Alabama at Birmingham, 1300 University Blvd, CH 415, Birmingham, USA.
BMC Public Health. 2021 Feb 6;21(1):308. doi: 10.1186/s12889-021-10345-3.
Firearms injuries present a major pediatric public health challenge in the United States. This study protocol describes research to develop and then conduct a randomized clinical trial to evaluate ShootSafe, an interactive, engaging, educational website to teach children firearms safety. ShootSafe has three primary goals: (a) teach children basic knowledge and skills needed to hunt, shoot, and use firearms safely; (b) help children learn and hone critical cognitive skills of impulse control and hypothetical thinking needed to use firearms safely; and (c) alter children's perceptions about their own vulnerability and susceptibility to firearms-related injuries, the severity of those injuries, and their perceived norms about peer behavior surrounding firearms use. ShootSafe will accomplish these goals through a combination of interactive games plus short, impactful testimonial videos and short expert-led educational videos.
Following website development, ShootSafe will be evaluated through a randomized controlled trial with 162 children ages 10-12, randomly assigning children to engage in ShootSafe or an active control website. Multiple self-report, computer-based, and behavioral measures will assess functioning at baseline, immediately following training, and at 4-month follow-up. Four sets of outcomes will be considered: firearms safety knowledge; cognitive skills in impulse control and hypothetical thinking; perceptions about firearms safety; and simulated behavior when handling, storing and transporting firearms. Training in both conditions will comprise two 45-min sessions.
If results are as hypothesized, ShootSafe offers potential as a theory-based program to teach children firearms safety in an accessible, engaging and educational manner. Translation into practice is highly feasible.
The study protocol was registered on 11/10/20 at clinicaltrials.gov ( NCT04622943 ).
在美国,枪支伤害是儿童公共卫生面临的一项重大挑战。本研究方案描述了一项研究,旨在开发并开展一项随机临床试验,以评估“射击安全”(ShootSafe),这是一个交互式、引人入胜的教育网站,用于教授儿童枪支安全知识。“射击安全”有三个主要目标:(a)教授儿童安全狩猎、射击和使用枪支所需的基本知识和技能;(b)帮助儿童学习和磨练安全使用枪支所需的冲动控制和假设性思维等关键认知技能;(c)改变儿童对自身易受枪支相关伤害的脆弱性和敏感性、这些伤害的严重性以及他们对同龄人枪支使用行为的认知规范的看法。“射击安全”将通过交互式游戏、简短而有影响力的推荐视频以及专家主导的简短教育视频相结合来实现这些目标。
网站开发完成后,将通过一项随机对照试验对162名10至12岁的儿童进行“射击安全”评估,随机分配儿童参与“射击安全”网站或一个积极对照网站。多项自我报告、基于计算机的和行为测量方法将在基线、训练后立即以及4个月随访时评估功能。将考虑四组结果:枪支安全知识;冲动控制和假设性思维的认知技能;对枪支安全的看法;以及在处理、储存和运输枪支时的模拟行为。两种情况下的训练都将包括两个45分钟的课程。
如果结果如假设所示,“射击安全”作为一个基于理论的项目,有可能以一种易于理解、引人入胜且具有教育意义的方式教授儿童枪支安全知识。转化为实际应用非常可行。
该研究方案于2020年11月10日在clinicaltrials.gov上注册(NCT04622943)。