# ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 2024 · $800,000

## Abstract

PROJECT SUMMARY
Universal firearm injury and violence prevention counseling of patients has been recommended by multiple
national organizations for over a decade, yet clinicians rarely deliver this counseling. Implementation barriers
must be addressed to effectively deliver firearm related injury prevention programs. The research team has
demonstrated success in the implementation and sustainability of alcohol screening, brief intervention and
referral to treatment protocols in two federally funded multi-site trials. The team also has expertise in clinically-
based strategies for firearm injury prevention and educational program development. We will apply our
implementation science and subject matter expertise to implement a universal firearm injury prevention
initiative in a phased approach: first at a single, urban level 1 trauma center and second at a cohort of 4 trauma
centers serving urban, suburban, and rural communities following a stepped-wedge approach. All sites have a
successful history of prior collaboration through the Johns Hopkins Clinical Research Network. Our goal is to
demonstrate best practices for trauma center-based firearm injury prevention strategies that promote safe
storage practices and reduce firearm related injury and death. This proposal, submitted in response to PAR-
23-066, will refine a feasible, comprehensive training strategy for improving the implementation of a universal
firearm injury prevention program, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma
centers), and then study its implementation and effectiveness. In Phase 1 we will: (Primary Aim 1) demonstrate
feasibility of a program for adoption, implementation, and maintenance of a universal firearm injury prevention
intervention within one level 1 trauma center; and (Secondary Aim 1) evaluate trauma center clinicians’ firearm
injury prevention knowledge and confidence in delivering a firearm injury prevention intervention. In Phase 2,
we aim to: (Primary Aim 2) increase the adoption, implementation, and maintenance of a universal firearm
injury prevention intervention within four participating trauma centers in Johns Hopkins Medicine and the
Clinical Research Network, an alliance of academic and community hospitals in the mid-Atlantic states;
(Primary Aim 3) assess firearm injury prevention knowledge, attitudes, and safe storage practices among
trauma patients treated within participating trauma centers; and (Secondary Aim 2) evaluate trauma center
clinicians’ firearm injury prevention knowledge and confidence in delivering a firearm injury prevention
intervention. Using the RE-AIM methodology, we will evaluate our comprehensive strategy across the domains
of adoption, implementation, and maintenance at the institutional level. We will measure clinician firearm safety
knowledge and confidence in delivering firearm prevention counseling after participation in the clinician training
program as measured by pre and post training surveys. ...

## Key facts

- **NIH application ID:** 10932335
- **Project number:** 5R01MD019173-02
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **Principal Investigator:** Katherine Hoops
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $800,000
- **Award type:** 5
- **Project period:** 2023-09-20 → 2028-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10932335

## Citation

> US National Institutes of Health, RePORTER application 10932335, ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention (5R01MD019173-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10932335. Licensed CC0.

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