A Multicenter Evaluation of a Firearm Safety Intervention in the Pediatric Outpatient Setting

Brendan T. Campbell, Shefali Thaker, Mary E. Fallat, David S. Foley, Elizabeth McClure, Joseph V. Sakran, Isam W. Nasr, Susan Ziegfeld, Peter F. Ehrlich, Marie Snodgrass, Marc Levy, Bindi J. Naik-Mathuria, Brittany Johnson, Annalyn S. Demello, Stephanie Jones, Jennifer M. Watters, Peter Burke, Lisa Allee, Tamara Kozyckyj, Robert W. LettonDeborah A. Kuhls, Eileen M. Bulger, Ronald M. Stewart

Research output: Contribution to journalReview article

Abstract

Purpose: Firearm injuries continue to be a common cause of injury for American children. This pilot study was developed to evaluate the feasibility of providing guidance about firearm safety to the parents of pediatric patients using a tablet-based module in the outpatient setting. Methods: A tablet-based questionnaire that included a firearm safety message based on current best practice was administered to parents of pediatric patients at nine centers in 2018. Parents were shown a firearm safety video and then asked a series of questions related to firearm safety. Results: The study was completed by 543 parents from 15 states. More than one-third (37%) of families kept guns in their home. The majority of parents (81%, n = 438) thought it was appropriate for physicians to provide firearm safety counseling. Two-thirds (63%) of gun owning parents who do not keep their guns locked said that the information provided in the module would change the way they stored firearms at home. Conclusion: Use of a tablet based firearm safety module in the outpatient setting is feasible, and the majority of parents are receptive to receiving anticipatory guidance on firearm safety. Further data is needed to evaluate whether the intervention will improve firearm safety practices in the home. Level of Evidence: Level III.

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
DOIs
StateAccepted/In press - Jan 1 2019

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Firearms
Outpatients
Pediatrics
Safety
Parents
Tablets
Wounds and Injuries
Practice Guidelines
Counseling

Keywords

  • Firearms
  • Pediatric
  • Safety
  • Survey

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

A Multicenter Evaluation of a Firearm Safety Intervention in the Pediatric Outpatient Setting. / Campbell, Brendan T.; Thaker, Shefali; Fallat, Mary E.; Foley, David S.; McClure, Elizabeth; Sakran, Joseph V.; Nasr, Isam W.; Ziegfeld, Susan; Ehrlich, Peter F.; Snodgrass, Marie; Levy, Marc; Naik-Mathuria, Bindi J.; Johnson, Brittany; Demello, Annalyn S.; Jones, Stephanie; Watters, Jennifer M.; Burke, Peter; Allee, Lisa; Kozyckyj, Tamara; Letton, Robert W.; Kuhls, Deborah A.; Bulger, Eileen M.; Stewart, Ronald M.

In: Journal of Pediatric Surgery, 01.01.2019.

Research output: Contribution to journalReview article

Campbell, BT, Thaker, S, Fallat, ME, Foley, DS, McClure, E, Sakran, JV, Nasr, IW, Ziegfeld, S, Ehrlich, PF, Snodgrass, M, Levy, M, Naik-Mathuria, BJ, Johnson, B, Demello, AS, Jones, S, Watters, JM, Burke, P, Allee, L, Kozyckyj, T, Letton, RW, Kuhls, DA, Bulger, EM & Stewart, RM 2019, 'A Multicenter Evaluation of a Firearm Safety Intervention in the Pediatric Outpatient Setting', Journal of Pediatric Surgery. https://doi.org/10.1016/j.jpedsurg.2019.09.044
Campbell, Brendan T. ; Thaker, Shefali ; Fallat, Mary E. ; Foley, David S. ; McClure, Elizabeth ; Sakran, Joseph V. ; Nasr, Isam W. ; Ziegfeld, Susan ; Ehrlich, Peter F. ; Snodgrass, Marie ; Levy, Marc ; Naik-Mathuria, Bindi J. ; Johnson, Brittany ; Demello, Annalyn S. ; Jones, Stephanie ; Watters, Jennifer M. ; Burke, Peter ; Allee, Lisa ; Kozyckyj, Tamara ; Letton, Robert W. ; Kuhls, Deborah A. ; Bulger, Eileen M. ; Stewart, Ronald M. / A Multicenter Evaluation of a Firearm Safety Intervention in the Pediatric Outpatient Setting. In: Journal of Pediatric Surgery. 2019.
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abstract = "Purpose: Firearm injuries continue to be a common cause of injury for American children. This pilot study was developed to evaluate the feasibility of providing guidance about firearm safety to the parents of pediatric patients using a tablet-based module in the outpatient setting. Methods: A tablet-based questionnaire that included a firearm safety message based on current best practice was administered to parents of pediatric patients at nine centers in 2018. Parents were shown a firearm safety video and then asked a series of questions related to firearm safety. Results: The study was completed by 543 parents from 15 states. More than one-third (37{\%}) of families kept guns in their home. The majority of parents (81{\%}, n = 438) thought it was appropriate for physicians to provide firearm safety counseling. Two-thirds (63{\%}) of gun owning parents who do not keep their guns locked said that the information provided in the module would change the way they stored firearms at home. Conclusion: Use of a tablet based firearm safety module in the outpatient setting is feasible, and the majority of parents are receptive to receiving anticipatory guidance on firearm safety. Further data is needed to evaluate whether the intervention will improve firearm safety practices in the home. Level of Evidence: Level III.",
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