Acceptability and Use of Evidence-Based Practices for Firearm Storage in Pediatric Primary Care.

Abstract:

OBJECTIVE:Promoting safe firearm storage in pediatric primary care is one way to address youth suicide by firearm. The study objective was to determine the perspectives of primary care physicians (PCPs) and leaders of primary care practices regarding the acceptability and use of screening, counseling, and firearm locks-all components of an adapted evidence-based intervention known as the Firearm Safety Check. METHODS:In 2016, an online survey was conducted in two large US health systems. PCPs (n = 204) and leaders (n = 57) from 83 clinics were invited to participate. Respondents included 71 clinics (86%), 103 PCPs (50%), and 40 leaders (70%). Main outcomes included acceptability (6-point Likert scale, with higher scores indicating better acceptability) and use of the 3 intervention components (4-point Likert scale, with higher scores indicating greater use), as measured by an adapted validated instrument. RESULTS:Analyses were conducted in 2017. PCP acceptability of screening (mean = 4.28; standard deviation [SD] = 1.12) and counseling (mean = 4.56; SD = 0.89) were high, but acceptability for firearm lock provision was more neutral (mean = 3.78; SD = 1.16). Most PCPs endorsed sometimes screening (85%) and counseling (80%). Few PCPs offered firearm locks to caregivers (15%). Leaders reported consistent information. CONCLUSION:The acceptability of screening for firearms and safe storage counseling was high; both components were used commonly but not routinely. The acceptability of providing firearm locks was neutral, and use was rarely endorsed. This study provides important insights about areas of focus for future implementation efforts from policy and research perspectives.

journal_name

Acad Pediatr

journal_title

Academic pediatrics

authors

Beidas RS,Jager-Hyman S,Becker-Haimes EM,Wolk CB,Ahmedani BK,Zeber JE,Fein JA,Brown GK,Gregor CA,Lieberman A,Marcus SC

doi

10.1016/j.acap.2018.11.007

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

670-676

issue

6

eissn

1876-2859

issn

1876-2867

pii

S1876-2859(18)30753-8

journal_volume

19

pub_type

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