{
  "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 χ 2 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).",
  "authors": [
    {
      "affiliations": [
        "Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Maya Haasz"
    },
    {
      "affiliations": [
        "Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Marian E Betz"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA",
        "Department of Pediatrics, Section of Hospital Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Lilliam Ambroggio"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Rachel Cafferty"
    },
    {
      "affiliations": [
        "Department of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, Michigan, USA"
      ],
      "name": "Cheryl A King"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Shale Wong"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA",
        "Department of Biomedical and Health Informatics, Data Science and Biostatistics Unit, Children's Hospital of Philadephia, Philadelphia, Pennsylvania, USA"
      ],
      "name": "Jan Leonard"
    },
    {
      "affiliations": [
        "Injury and Violence Prevention Center, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA"
      ],
      "name": "Ashley Brooks-Russell"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Section of Adolescent Medicine, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Eric Sigel"
    }
  ],
  "title": "Acceptability and feasibility of video-based firearm safety education in a Colorado emergency department for caregivers of adolescents in firearm-owning households",
  "uid": "b979ba6c-4a47-5e4a-8bee-24f7d68e6720"
}