Reducing Youth Access to Firearms Through the Health Care Setting

NCT02136225 | Completed

• 2 other identifiers: 13-28292013-MU-CX-0002
• Study Type: interventional
• Target: 76
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this project is to examine the implementation and effectiveness of an intervention, delivered in a health care setting, to decrease home firearm access by youth. The investigators hypothesize that:

1. 1.parents who receive means restriction education provided by their primary care provider will be more likely to report, at the one month and one year follow-up, that they are storing their guns locked compared to parents who do not receive means restriction counseling.
2. 2.parents who receive a free gun locking device(s) will be more likely to report, at the one month and one year follow-up, that they are storing their guns locked compared to parents who receive means restriction counseling alone;
3. 3.parents whose adolescents are assessed at high risk for violence (\> 5 on the Violence Injury Protection and Risk Screen (VIPRS)) or depression (\>9 on the Patient Health Questionnaire-9 (PHQ-9)) will be more likely to report storing their gun(s) locked at the one month follow-up compared to parents whose children are assessed as low risk, regardless of whether they receive the counseling alone or counseling plus free locking devices and 4) youth whose parents receive a free gun locking device(s) will be more likely to report less access to guns, at one year follow-up, compared to parents who receive means restriction counseling alone.

Conditions

Youth Access to Guns in the Home

Keywords

youth; gun; access; home

Outcome Measures

Primary Outcomes (2)

• Change from baseline to one month and one year in the reported number of guns locked in the home.

  The study examines whether the youth and parents in the treatment groups leads to an increase in the number of guns stored securely (locked) in their home.

  Baseline, one month, 1 year

• Change from baseline to one month and one year in the reported number of locking devices parents use to store their guns.

  This study examines whether the youth and parents in the second treatment group, receiving means restriction counseling and locking devices, will increase their use of locking devices compared to youth and parents in the means restriction alone and control groups.

  Baseline, one month, one year

Secondary Outcomes (1)

• Change from baseline to one month and one year in the number of gun(s) reported locked in their home among parents whose youth are at high risk for violence or depression.

  Baseline, one month, one year

Study Arms (3)

Counseling

EXPERIMENTAL

Intervention: Means restriction counseling. Health care providers will counsel parents on the risks of having a gun, particularly an unlocked gun in the home where youth are present.

Behavioral: Means restriction counseling

Counseling and locking devices

EXPERIMENTAL

Intervention: Means restriction counseling and locking devices. Health care providers will counsel parents on the risks of having a gun, particularly an unlocked gun, in the home where youth are present. Parents will also receive locking devices to store their guns securely.

Behavioral: Means restriction counseling

Control group

NO INTERVENTION

Youth in the control group will receive usual care.

Interventions

Means restriction counseling BEHAVIORAL

Health care providers will counsel parents on the risks of having a gun, particularly an unlocked gun, in the home where youth are present.

Counseling; Counseling and locking devices

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patient at the Children's Hospital Colorado in the Adolescent Medicine Clinic
• Scheduled for any type of appointment
• Reports having a gun in the home

You may not qualify if:

• Adolescent or parent speaks/reads a language other than English or Spanish
• Adolescent has cognitive disabilities
• Adolescent resides in a group home or detention center

Sponsors & Collaborators

• University of Colorado, Denver: lead
• University of Colorado, Boulder: collaborator

Study Officials

• Eric Sigel, MD

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 8, 2014
• First Posted: May 12, 2014
• Study Start: March 1, 2014
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2018
• Last Updated: April 30, 2019

Record last verified: 2019-04