Acceptability and feasibility of video-based firearm safety education in a Colorado emergency department for caregivers of adolescents in firearm-owning households.

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maya Haasz, Marian E Betz, Lilliam Ambroggio, Rachel Cafferty, Cheryl A King, Shale Wong, Jan Leonard, Ashley Brooks-Russell, Eric Sigel
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引用次数: 0

Abstract

Background: 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.

Methods: 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 χ2 tests. McNemar's test was used to compare firearm storage behaviours at the initial and 3-month visit within each group.

Results: 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.

Conclusions: 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.

Trial registration: The study was registered with ClinicalTrials.gov (NCT05168878).

在科罗拉多州的一个急诊科对拥有枪支家庭的青少年看护人进行基于视频的枪支安全教育的可接受性和可行性。
背景:容易获得枪支会增加青少年受伤的风险。我们评估了在儿科急诊室播放 3 分钟的枪支安全存放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室开展了一项单中心街区试验(2020 年 8 月至 2022 年 8 月)。参与者为拥有枪支家庭中青少年(10-17 岁)的看护者。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)完成基线调查,观看枪支安全存放视频并评估接受度。参与者完成为期 3 个月的关于枪支安全行为和知识回忆的后续调查。采用费雪精确检验和 χ2 检验对干预组和对照组的人口统计学变量和临床变量进行比较。McNemar 检验用于比较各组在首次访问和 3 个月访问时的枪支存放行为:研究人员共接触了 1264 名护理人员,其中 371 人(29.4%)同意参与,144 人(38.8%)认可拥有枪支。对照组有 95 人,干预组有 62 人。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%的人喜欢视频,50.0%的人认为从视频中学到了新东西:结论:在儿科急诊室开展基于视频的枪支教育,在照顾家中有枪支的青少年的人群中是可以接受的。这是一个风险较高的群体,在儿科急诊室开展持续的教育可能会使他们受益匪浅。为评估干预效果,需要对更多人群进行进一步研究:该研究已在 ClinicalTrials.gov (NCT05168878) 上注册。
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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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