Development and Evaluation of a Web-Based Family-Centered Decision Support Tool About Firearm Storage.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Annals of Behavioral Medicine Pub Date : 2024-08-07 DOI:10.1093/abm/kaae039

Emily Kroshus-Havril, Todd Kesner, Mary Kathleen Steiner, Kirsten Senturia, Frederick P Rivara

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Abstract

Background: Many youth in the USA have access to a loaded and unlocked firearm in their home. Discussions between adult family members have the potential to positively influence firearm storage.

Purpose: Work with firearm-owning parents to develop and obtain preliminary data about the efficacy of a family-centered decision support tool about firearm storage.

Methods: We adapted the Ottawa Personal Decision Guide for Two to the issue of firearm storage, producing the Family Safety Check-In. Subsequently, we evaluated its acceptability and impact on intentions to make a plan with their partner (or other adult sharing parental duties) about safer firearm storage. Participants were parents/guardians of at least one school-aged child, had firearms in their home, and resided in the USA (n = 402). They completed a web-based pre-test survey, were randomized to the Family Safety Check-In or an American Academy of Pediatrics (AAP) informational resource about firearm storage for families, and then completed a post-test survey.

Results: The Family Safety Check-In had higher ratings for acceptability (B = 1.24, 95% CI = 0.58-1.90) and appropriateness (B = 1.46, 95% CI = 0.72-2.19) than the AAP resource. Participants in the Family Safety Check-In condition also had greater intentions to make a plan with their partner about storing firearms more safely (OR = 1.90, 95% CI = 1.26-2.87).

Conclusions: The Family Safety Check-In is a promising direction for harm reduction that warrants further evaluation.

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开发和评估基于网络、以家庭为中心的枪支存储决策支持工具。

背景：在美国，许多青少年都可以在家中接触到上膛且未上锁的枪支。成年家庭成员之间的讨论有可能对枪支存放产生积极影响。目的：与拥有枪支的父母合作，开发以家庭为中心的枪支存放决策支持工具，并获得有关其有效性的初步数据：方法：我们将《渥太华双人个人决策指南》改编为枪支储存问题，制作了《家庭安全检查》。随后，我们评估了该工具的可接受性，以及它对与伴侣（或其他分担父母责任的成年人）就更安全的枪支储存制定计划的意向的影响。参与者是至少有一名学龄儿童的父母/监护人，家中有枪支，居住在美国（n = 402）。他们完成了基于网络的测试前调查，被随机分配到 "家庭安全检查 "或美国儿科学会（AAP）为家庭提供的枪支储存信息资源，然后完成了测试后调查：结果：与美国儿科学会的资料相比，"家庭安全检查 "的可接受性（B = 1.24，95% CI = 0.58-1.90）和适当性（B = 1.46，95% CI = 0.72-2.19）评分更高。家庭安全检查 "条件下的参与者也有更大的意愿与伴侣一起制定计划，更安全地存放枪支（OR = 1.90，95% CI = 1.26-2.87）：家庭安全检查是减少伤害的一个很有前景的方向，值得进一步评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .