دورية أكاديمية
A randomized controlled trial of public messaging to promote safe firearm storage among U.S. military veterans.
العنوان: | A randomized controlled trial of public messaging to promote safe firearm storage among U.S. military veterans. |
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المؤلفون: | Karras E; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, Canandaigua VA, Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14424, USA; Department of Psychiatry, University of Rochester, Rochester, NY, USA; Injury Control Research Center, West Virginia University, Morgantown, WV, USA. Electronic address: Elizabeth.Karras@va.gov., Stokes CM; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, Canandaigua VA, Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14424, USA; Injury Control Research Center, West Virginia University, Morgantown, WV, USA; Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV, USA., Warfield SC; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, Canandaigua VA, Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14424, USA; Injury Control Research Center, West Virginia University, Morgantown, WV, USA; Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV, USA., Barth SK; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, Canandaigua VA, Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14424, USA; Injury Control Research Center, West Virginia University, Morgantown, WV, USA; Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV, USA., Bossarte RM; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, Canandaigua VA, Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14424, USA; Injury Control Research Center, West Virginia University, Morgantown, WV, USA; Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV, USA; Department of Behavioral Medicine and Psychiatry, School of Medicine, West Virginia University, Morgantown, WV, USA. |
المصدر: | Social science & medicine (1982) [Soc Sci Med] 2019 Nov; Vol. 241, pp. 112205. Date of Electronic Publication: 2019 Aug 03. |
نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
اللغة: | English |
بيانات الدورية: | Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Oxford ; New York : Pergamon, c1982- |
مواضيع طبية MeSH: | Firearms* , Public Service Announcements as Topic* , Safety* , Veterans*, Adolescent ; Adult ; Female ; Health Promotion ; Humans ; Male ; Mental Health ; Middle Aged ; Suicide/statistics & numerical data ; United States ; Young Adult ; Suicide Prevention |
مستخلص: | Background: The objectives of this study were to determine whether short-term exposure to firearm safety messaging significantly improved (1) firearm storage practices, and (2) attitudes of safe firearm storage behaviors among U.S. veterans, a group at elevated risk for firearm suicide. Design: A three-arm, parallel-group RCT was conducted online in the U.S. nationwide from December 2015 to January 2016. Setting: A national random sample of U.S. veterans (N = 358) was recruited from the GfK KnowledgePanel, a probability-based internet panel representative of U.S. adults. All study activities were administered online over a three-week study period. Intervention: Participants were randomized and exposed three times (once per week) to either (a) firearm safety message only (n = 115); (b) firearm safety and mental health promotion messages (n = 133); or (c) active control group exposed to mental health promotion message only (n = 110). Each message was less than two minutes long. Measures: Assessments were completed at baseline (pre-randomization) and at end-of-trial. Changes in awareness of risk for injuries, attitudes/beliefs related to safe storage practices, behavioral intentions, and storage practices were measured using self-reported surveys. Linear mixed effect models with weighted generalized estimating equations were used to test for exposure effects. Analyses were conducted February 2018. Results: Analyses restricted to those with baseline firearm access (n = 195) identified no significant changes for intentions or safe storage practices across exposure groups. At baseline, participants' attitudes and beliefs were generally supportive of safe firearm storage. The Firearm Safety message yielded small increases in agreement with the concept that secure storage is "important during emotional or stressful times" (0.36; 95% CI = 0.08, 0.64). Other significant changes in awareness and beliefs were found, but across all study conditions. Conclusion: Results reinforce the critical need for considerable research and testing prior to the widespread implementation of public messages to increase the likelihood for desired exposure effects. (Published by Elsevier Ltd.) |
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معلومات مُعتمدة: | R49 CE001170 United States CE NCIPC CDC HHS; U54 GM104942 United States GM NIGMS NIH HHS |
فهرسة مساهمة: | Keywords: Firearm suicide; Health education; Health promotion; Public health campaign; Safe firearm storage; U.S. veterans |
تواريخ الأحداث: | Date Created: 20190808 Date Completed: 20200826 Latest Revision: 20240329 |
رمز التحديث: | 20240329 |
مُعرف محوري في PubMed: | PMC7561038 |
DOI: | 10.1016/j.socscimed.2019.03.001 |
PMID: | 31387766 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1873-5347 |
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DOI: | 10.1016/j.socscimed.2019.03.001 |