Purpose

Approximately 800 children annually suffer unintentional firearm injuries and deaths from unsecured firearms in the United States. These injuries are preventable, and may be avoided by providing parents with firearm safety guidance (FSG). The purpose of this study was to evaluate the experience of pediatric providers in delivering FSG following incorporation of the American Academy of Pediatrics (AAP) infographic.

Methods

Qualitative study completed July 2019-December 2019. Community pediatricians in Houston, Texas were provided the AAP firearm safety infographic and encouraged to provide FSG routinely during well-child visits with firearm-owning parents. Efficacy, feasibility of use and barriers to FSG were assessed via focus groups. Content analysis was utilized to identify emergent themes from provider experiences.

Results

Forty-four pediatricians across eight clinics delivered FSG using the AAP infographic. Of these, thirty-four participated in focus groups discussing their experience. Only 34% of those in the focus groups had routinely provided FSG prior to the study. The AAP infographic was a useful tool because of its visibility, valuable information, and assistance with broaching the topic of firearm safety with parents. Three themes were identified from qualitative analysis: methods of successful delivery of FSG (62%), patient responses to FSG (25%), and barriers to delivery of FSG (13%). Parents were generally receptive to the guidance.

Conclusions

The AAP firearm safety infographic, which is free and publicly available, can be a valuable and satisfactory tool for delivery of firearm safety guidance by pediatric providers, including surgeons. Further study is needed to assess whether the guidance changes parental storage behaviors.

Level of evidence

Level VI

中文翻译：

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美国儿科学会枪支安全信息图改进了枪支安全指南：一项定性研究

目的

在美国，每年约有 800 名儿童因无安全保障的枪支遭受意外枪支伤害和死亡。这些伤害是可以预防的，并且可以通过向父母提供枪支安全指导 (FSG) 来避免。本研究的目的是评估儿科提供者在纳入美国儿科学会 (AAP) 信息图后提供 FSG 的经验。

方法

定性研究于 2019 年 7 月至 2019 年 12 月完成。德克萨斯州休斯顿的社区儿科医生获得了 AAP 枪支安全信息图，并鼓励他们在与拥有枪支的父母进行健康儿童就诊期间定期提供 FSG。通过焦点小组评估了 FSG 的功效、使用可行性和障碍。内容分析用于从提供者的经验中识别新兴主题。

结果

八家诊所的 44 名儿科医生使用 AAP 信息图提供 FSG。其中，34 人参加了焦点小组讨论他们的经历。焦点小组中只有 34% 的人在研究前定期提供 FSG。AAP 信息图是一个有用的工具，因为它的可见性、有价值的信息以及与家长讨论枪支安全主题的帮助。从定性分析中确定了三个主题：成功实施 FSG 的方法（62%）、患者对 FSG 的反应（25%）和实施 FSG 的障碍（13%）。家长们普遍接受指导。

结论

AAP 枪支安全信息图是免费且可公开获得的，可以成为包括外科医生在内的儿科提供者提供枪支安全指导的有价值且令人满意的工具。需要进一步研究来评估指导是否会改变父母的存储行为。

证据水平

六级