Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
Department of Pediatrics, Section of Adolescent Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
Ann Emerg Med. 2023 Oct;82(4):482-493. doi: 10.1016/j.annemergmed.2023.03.023. Epub 2023 May 2.
Safe firearm storage is protective against pediatric firearm injuries. We sought to compare a 3-minute versus 30-second safe firearm storage video in terms of acceptability of video content and use in the pediatric emergency department (PED).
We conducted a randomized controlled trial in a large PED (from March to September 2021). Participants were English-speaking caregivers of noncritically ill patients. Participants were surveyed about child safety behaviors (including firearm storage), then shown 1 of 2 videos. Both videos described safe storage principles; the 3-minute video included temporary firearm removal and a survivor testimonial. The primary outcome was acceptability, measured by responses on a 5-point Likert scale (strongly disagree to strongly agree). A survey at 3 months evaluated information recall. Baseline characteristics and outcomes were compared between groups using Pearson chi-squared, Fisher exact, and Wilcoxon Mann Whitney tests as appropriate. Absolute risk difference for categoric variables and mean difference for continuous variables are reported with 95% confidence interval (CI).
Research staff screened 728 caregivers; 705 were eligible and 254 consented to participate (36%); 4 withdrew. Of 250 participants, most indicated acceptability in terms of setting (77.4%) and content (86.6%), and doctors discussing firearm storage (78.6%), with no difference between groups. More caregivers viewing the longer video felt the length appropriate (99.2%) compared with the shorter video (81.1%, difference 18.1%, 95% CI 11.1 to 25.1).
We show that video-based firearm safety education is acceptable among study participants. This can provide consistent education to caregivers in PEDs and needs further study in other settings.
安全的枪支存放可预防儿童枪支伤害。我们旨在比较时长 3 分钟和 30 秒的枪支安全存放视频在视频内容可接受性和在儿科急诊部门（PED）使用方面的差异。
我们在一个大型 PED（2021 年 3 月至 9 月）进行了一项随机对照试验。参与者为非危重病患儿的英语母语看护人。参与者接受了关于儿童安全行为（包括枪支存放）的调查，然后观看了 2 个视频中的 1 个。两个视频均描述了安全存放原则；时长 3 分钟的视频包括临时枪支移除和幸存者证词。主要结局是可接受性，通过 5 分制 Likert 量表（强烈不同意到强烈同意）来衡量。3 个月后的调查评估了信息记忆。使用 Pearson 卡方检验、Fisher 确切检验和 Wilcoxon 曼-惠特尼检验比较组间的基线特征和结局，根据需要选择适当的检验方法。分类变量的绝对风险差异和连续变量的均数差异报告为 95%置信区间（CI）。
研究人员共筛查了 728 名看护人；705 人符合条件，254 人同意参与（36%）；4 人退出。250 名参与者中，大多数人表示对设置（77.4%）和内容（86.6%）、医生讨论枪支存放（78.6%）可接受，组间无差异。更多观看较长视频的看护人认为视频时长合适（99.2%），而观看较短视频的人认为合适的比例为 81.1%（差异 18.1%，95%CI 11.1 至 25.1）。
我们表明，基于视频的枪支安全教育在研究参与者中是可接受的。这可以为 PED 中的看护人提供一致的教育，并需要在其他环境中进一步研究。
