Implementation of a firearm safety guidance training program for pediatric providers

Brittany L. Johnson, Kristen Beckworth, Avni Bhalakia, Annalyn DeMello, Bindi Naik-Mathuria

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Purpose: Pediatric unintentional firearm injuries are potentially preventable with firearm safety guidance (FSG). In baseline assessment, we learned that providers feel uncomfortable delivering FSG due to lack of training, but are inclined to learn. Here we present the development and concept testing of an FSG training program. Methods: Using Kern's 6 rules of curriculum development, a training template was developed: 1. Program development, 2. Review by multidisciplinary expert team, 3. Concept testing, and 4. Modifications. Foundations included: raising awareness, increasing provider knowledge of safe storage methods, introducing a visual aide (American Academy of Pediatrics [AAP] infographic), and providing examples of guidance delivery. In-person training was provided and modifications made until there was uniform provider satisfaction. Program effectiveness and satisfaction were evaluated through surveys and focus groups. Descriptive statistics and univariate analyses were utilized. Results: Over one year, in-person training was provided to 44 pediatric providers (residents and practicing pediatricians) at 8 clinics. Modifications included: addition of a Spanish-version visual aide, instruction on safety device use, simulation scenarios, making the handout more child-friendly, and development of a home safety video to include firearm safety with other topics. Following training, routine FSG by pediatricians increased from 34% to 71% (p = 0.001). Focus groups revealed provider satisfaction with the AAP infographic and increased comfort of FSG delivery. Conclusion: Following development and quality improvement, our FSG training model received positive feedback and increased provider delivery by pediatric providers. This model could be used for development of FSG training programs in other settings.

Original languageEnglish (US)
Pages (from-to)1622-1629
Number of pages8
JournalJournal of Pediatric Surgery
Issue number8
StatePublished - Aug 2022
Externally publishedYes


  • Education
  • Firearm safety
  • Implementation
  • Pediatrics
  • Safe firearm storage

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health


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