Implementing A Secure Firearm Storage Program in Illinois Health Centers in Partnership With AllianceChicago and the Illinois Primary Health Care Association (COMMUNITY ASPIRE)

Conditions

• Suicide

Eligibility Criteria

Sex

ALL

Age

N/A - N/A

Healthy Volunteers

Not accepted

Interventions

• Implementation package (training and facilitation) — BEHAVIORAL
  Training includes an initial presentation on S.A.F.E. Firearm, S.A.F.E. Firearm informational guides and other resources to support delivery, and recommendations for additional, optional self-guided learning resources. Facilitation will last twelve months at each site. It may involve 1) a pre-implementation readiness assessment for each clinic to identify potential implementation barriers and develop relationships with constituents; 2) kick-off meetings, at which clinic staff will confirm how and where S.A.F.E. Firearm will be implemented within the clinic; 3) goal-setting; 4) trouble-shooting to address barriers identified during the pre-implementation readiness assessment and emergent challenges; and 5) designing a sustainment plan to maintain S.A.F.E. Firearm for future years.

Study Details

This randomized controlled trial will take place in up to 15 community health centers across the state of Illinois. Researchers will be studying S.A.F.E. Firearm, a program that aims to increase secure storage of firearms in homes with children. Specifically, S.A.F.E. Firearm includes a brief conversation between pediatric clinicians and parents/guardians about secure firearm storage and an offer of a free cable firearm lock within the well-child visit. Researchers will also study a package of strategies to help pediatric clinics incorporate this new practice. The strategies include training for clinic personnel and facilitation, or tailored problem-solving support. The questions the study aims to answer are: * How effective is the package of strategies at helping pediatric clinics implement this new practice? * How effective is the S.A.F.E. Firearm program at changing parents', caregivers' and guardians' (hereafter, "parents") firearm storage behavior? Some parents will be invited to complete a brief survey after their visit about their experiences receiving S.A.F.E. Firearm. Some community health center personnel will also be invited to complete an interview about their experiences with S.A.F.E. Firearm and the package of strategies.

Key Dates

First listed

Mar 20, 2025

Start date

Jul 14, 2026

Status verified

Jul 2026

Primary completion

Jan 13, 2029

Completion

Jan 13, 2029

Study Design

Enrollment

1,086 participants (estimated)

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• No Intervention: Control/usual care
  During the control data collection phase, no individuals will be exposed to S.A.F.E. Firearm. No training or facilitation will be received. The length of the baseline data collection phase will differ between each "wedge" (i.e., group of clinics) depending on when the group is randomly assigned to cross over into the active implementation phase. All sites will be in the control data collection phase for at least three months before having the interventions activated.
• Experimental: Active implementation phase (training and facilitation received, S.A.F.E. Firearm delivered)
  Once a group of clinics crosses over from the control data collection phase, the implementation approaches (e.g., training, facilitation) and the S.A.F.E. Firearm program will be enacted. S.A.F.E. Firearm involves pediatric clinicians having a secure firearm storage discussion with a parent during their child's well-visit and offering them a free cable firearm lock. This active implementation phase will last for 12 months.
• No Intervention: Sustainment (training and facilitation removed)
  Following the conclusion of the 12 months in which the implementation approaches (training and facilitation) are used at a clinic, outcomes will be assessed for the duration of the study during a "sustainment" window. No additional training or facilitation will be received during the sustainment period following the experimental period. However, clinics will still continue to deliver S.A.F.E. Firearm.

Primary Outcome Measure

Reach [ Time Frame: 2.5 years (duration of the study - control through sustainment) ]

Locations (1)

Find similar trials in Chicago, IL

Related Studies

• Piloting a Culturally Adapted Suicide Prevention for Black Students in Chicago
  Recruiting · University of Chicago · Chicago, Illinois
• Reaching Out to Distressed Medical Residents, Fellows and Faculty
  Recruiting · Oregon Health and Science University · Portland, Oregon
• e-Connect: A Service System Intervention for Justice Youth at Risk for Suicide
  Recruiting · Columbia University · New York, New York
• Youth Depression and Suicide Research Network
  Enrolling By Invitation · University of Texas Southwestern Medical Center · Dallas, Texas