Acceptability of Long Versus Short Firearm Safety Education Videos in the Emergency Department: A Pilot Randomized Controlled Trial - 20/09/23
, Eric Sigel, MD b, Marian E. Betz, MD, MPH c, Jan Leonard, MSPH a, Ashley Brooks-Russell, PhD, MPH d, Lilliam Ambroggio, PhD, MPH a, eAbstract |
Study objective |
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).
Methods |
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).
Results |
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).
Conclusions |
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.
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| Please see page 483 for the Editor’s Capsule Summary of this article. |
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| Supervising editor: Lois K. Lee, MD, MPH. Specific detailed information about possible conflict of interest for individual editors is available at editors. |
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| Author contributions: MH conceptualized and designed the study, drafted the initial manuscript, reviewed and revised the manuscript, approved of the final version to be published, and takes responsibility for the final paper as a whole. ES, MEB, ABR, and LA contributed to study design, critically revised the manuscript and approved the final version of the manuscript. JL analyzed the data, critically revised the manuscript, and approved the final manuscript. All authors agree to be accountable for all aspects of the work. |
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| All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). Supported by an Emergency Medical Foundation/The American Foundation for Firearm Injury Prevention in Medicine/Emergency Nursing Association grant to Dr. Maya Haasz. Findings are those of the authors and do not represent the views of the funding agencies. The authors have no conflicts of interest relevant to this article to disclose. |
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| Trial Number: NCT0516887. |
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| Disclaimer: Deidentified individual participant data will not be made available. |
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| A podcast for this article is available at www.annemergmed.com. |
Vol 82 - N° 4
P. 482-493 - octobre 2023 Retour au numéro
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