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; Ziegfeld, Susan; Ehrlich, Peter F.; Snodgrass, Marie; Levy, Marc; Naik‐Mathuria, Bindi; 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.

doi:10.1016/j.jpedsurg.2019.09.044

Cited by 19 publications

(10 citation statements)

References 19 publications

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“…11,17 Some survey respondents also perceive a negative effect on the relationship with families if they discuss firearms; however, the literature suggests that at least 50% of parents are open to firearms safety counseling from their pediatrician office. [18][19][20] Specifically, two-thirds of surveyed parents in Houston would likely follow advice from their child's physician regarding firearms safety. 19 With these findings in mind, coupled with a strong knowledge base and a nonjudgmental approach, pediatric providers may be more willing to discuss firearms safety with parents.…”

Section: Discussionmentioning

confidence: 99%

“…Some survey respondents also perceive a negative effect on the relationship with families if they discuss firearms; however, the literature suggests that at least 50% of parents are open to firearms safety counseling from their pediatrician office 18–20 . Specifically, two-thirds of surveyed parents in Houston would likely follow advice from their child’s physician regarding firearms safety 19 .…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Providers’ Knowledge, Attitudes, Practice, and Barriers to Firearms Safety Counseling

Bhalakia¹,

DeMello²,

Beckworth³

et al. 2021

Southern Medical Journal

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Objectives: Firearms-related injuries and deaths are a leading cause of death in children and young adults ages 5 to 24 years. This study evaluated the counseling practices and barriers to providing safe firearms storage education by pediatricians and advance practice providers.Methods: An online survey was sent to 296 pediatric outpatient providers in Houston, Texas. Pediatric providers were asked about demographics, knowledge, attitudes, and current practices regarding firearms safety counseling. Descriptive and comparative analyses were performed.Results: Survey respondents (N = 76) were 86% women and 87% physicians. Most (86%) agree that they should discuss firearms safety with parents, whereas only 32% report routine counseling. The most frequent barrier to providing education was insufficient time (63%), followed by unfamiliarity with guns (26%).Conclusions: Pediatric providers are interested in firearms safety counseling, but few incorporate it into their practice. Addressing barriers of time and comfort level around firearms are potential first steps to curbing a leading cause of injury death among children. Further research is needed to develop counseling methods that are time efficient and culturally competent for the pediatric office.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pediatric Providers’ Knowledge, Attitudes, Practice, and Barriers to Firearms Safety Counseling

Bhalakia¹,

DeMello²,

Beckworth³

et al. 2021

Southern Medical Journal

Self Cite

View full text Add to dashboard Cite

show abstract

“…Studies have shown that these interventions are beneficial for pediatric patients, parents, and clinicians and they help improve parents' firearm safety practices at home (eg, use of safer storage strategies). 13,14…”

Section: Reengineering To Improve Firearm Safetymentioning

confidence: 99%

“…Emerging research is also testing interventions delivered in health care settings that promote firearm safety, especially for pediatric populations. Studies have shown that these interventions are beneficial for pediatric patients, parents, and clinicians and they help improve parents’ firearm safety practices at home (eg, use of safer storage strategies) …”

Section: Reengineering To Improve Firearm Safetymentioning

confidence: 99%

Applying Lessons From Major Public Health Accomplishments to Firearm Injuries in the US

González-Guarda

2023

JAMA Health Forum

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“…Our previous research suggests that pediatricians' use of the AAP recommended approach to firearm safety is unlikely to be accepted by parents and may offend some, especially firearm owners [10]. Although past work on firearm safety campaigns [16,17] and video-delivered firearm safety messages [18] is important and useful, little is known about how firearm safety messages could be framed in order to increase parental actions to ensure safe storage, especially among firearm owners or as delivered by providers. Therefore, our objective was to develop firearm safety messages that were acceptable to parents and providers, to be evaluated for effectiveness for safe firearm storage in a future study.…”

Section: Introductionmentioning

confidence: 99%

An informed approach to the development of primary care pediatric firearm safety messages

Fuzzell

Dodd

et al. 2022

BMC Pediatr

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Background Firearm ownership is prevalent in the US and many children spend time in areas where firearms are not stored safely. The AAP recommends firearm safety counseling at pediatric well-visits. Methods We developed and tested six contextual messages to promote safe firearm storage based on: absence of harm, collective appeal to understanding child behavior, pediatrician’s authority, evidence-based, fear appeal, and general safety considerations. One hundred four parents who keep firearms at home were recruited from Amazon Mechanical Turk Prime and viewed video messages and reported behavioral intentions and emotional reactions following each message. Results All six contextual messages were perceived as important and believable and increased parents’ intentions to follow safety advice provided, but also elicited negative emotions. The authority message elicited more negative emotions and resulted in lower intentions to follow safe storage advice. Conclusions Including firearm messages with other child safety advice merits further evaluation. Authority messages should be avoided.

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

Cited by 19 publications

References 19 publications

Pediatric Providers’ Knowledge, Attitudes, Practice, and Barriers to Firearms Safety Counseling

Pediatric Providers’ Knowledge, Attitudes, Practice, and Barriers to Firearms Safety Counseling

Applying Lessons From Major Public Health Accomplishments to Firearm Injuries in the US

An informed approach to the development of primary care pediatric firearm safety messages

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