Haasz Maya, Betz Marian E, Ambroggio Lilliam, Cafferty Rachel, King Cheryl A, Wong Shale, Leonard Jan, Brooks-Russell Ashley, Sigel Eric
Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA
Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Inj Prev. 2024 Jul 24. doi: 10.1136/ip-2023-045204.
Easy firearm access increases injury risk among adolescents. We evaluated the acceptability and feasibility of improving knowledge of a 3 min safe firearm storage education video in the paediatric emergency department.
We conducted a single-centre block trial in a large paediatric emergency department (August 2020-2022). Participants were caregivers of adolescents (10-17 years) in firearm-owning households. First block participants (control) completed a baseline survey about child safety behaviours (including firearms). Second block participants (intervention) completed a baseline survey, watched the safe firearm storage video and evaluated acceptability. Participants completed a 3-month follow-up survey about firearm safety behaviours and knowledge recall. Demographic and clinical variables were compared between the intervention and control groups using Fisher's exact and χ tests. McNemar's test was used to compare firearm storage behaviours at the initial and 3-month visit within each group.
Research staff approached 1264 caregivers; 371 consented to participate (29.4%) and 144 (38.8%) endorsed firearm ownership. There were 95 participants in the control group and 62 in the intervention group. Follow-up was lower in the intervention group (53.7% vs 37.1%, p=0.04). Among participants viewing the video, 80.3% liked the video and 50.0% felt they learnt something new from the video.
Video-based firearm education in a paediatric emergency department is acceptable among a population of caregivers of adolescents with household firearms. This is a higher-risk group that may uniquely benefit from consistent education in the paediatric emergency department. Further study with larger populations is needed to evaluate intervention effectiveness.
The study was registered with ClinicalTrials.gov (NCT05168878).
容易获取枪支会增加青少年受伤的风险。我们评估了在儿科急诊科播放一个3分钟的枪支安全储存教育视频以提高相关知识的可接受性和可行性。
我们在一家大型儿科急诊科进行了一项单中心整群试验（2020年8月至2022年）。参与者为拥有枪支家庭中青少年（10至17岁）的照顾者。第一组参与者（对照组）完成了关于儿童安全行为（包括枪支）的基线调查。第二组参与者（干预组）完成了基线调查，观看了枪支安全储存视频并评估了可接受性。参与者完成了一项关于枪支安全行为和知识回忆的3个月随访调查。使用Fisher精确检验和χ检验比较干预组和对照组之间的人口统计学和临床变量。使用McNemar检验比较每组内初次就诊和3个月随访时的枪支储存行为。
研究人员接触了1264名照顾者；371人同意参与（29.4%），144人（38.8%）认可拥有枪支。对照组有95名参与者，干预组有62名参与者。干预组的随访率较低（53.7%对37.1%，p = 0.04）。在观看视频的参与者中，80.3%喜欢该视频，50.0%觉得他们从视频中学到了新东西。
在儿科急诊科进行基于视频的枪支教育在拥有家用枪支的青少年照顾者群体中是可接受的。这是一个高风险群体，可能会从儿科急诊科持续的教育中特别受益。需要对更多人群进行进一步研究以评估干预效果。
该研究已在ClinicalTrials.gov注册（NCT05168878）。
