Shari L. Barkin|Stacia Finch|Edward H. Ip|Benjamin Scheindlin|Joseph A. Craig|Jennifer Steffes|Victoria Weiley|Eric J. Slora|David Altman|Richard C. Wasserman
Is Office-Based Counseling About Media Use, Timeouts, and Firearm Storage Effective? Results From a Cluster-Randomized, Controlled Trial
Vanderbilt University Medical Center|American Academy of Pediatrics|Wake Forest University|Burlington College|American Academy of Pediatrics|American Academy of Pediatrics|American Academy of Pediatrics|Center for Creative Leadership|American Academy of Pediatrics|University of Vermont
objective objective study determine whether patients families violenceprevention behaviors would affected primary care practitioners use violenceprevention clinical intervention routine wellchild examination methods clusterrandomized controlled trial 20022006 137 pediatric research office settings practices randomly assigned initiated patient recruitment either officebased violenceprevention intervention control group educational handout literacy promotion provided primary caregivers children aged 2 11 years presented wellchild visit surveyed baseline 1 6 months practitioners trained 1 review parent previsit summary regarding patientfamily behavior parental concern media use discipline strategies childrens exposure firearms 2 counsel using brief principles motivational interviewing 3 identify provide local agency resources anger behavior management indicated 4 instruct patientfamilies use tangible tools minute timers monitor media timetimeouts firearm cable locks store firearms safely children live play main outcomes change time selfreported media use amplt120 minutes per day use timeouts use firearm cable locks results generalized estimating equation analysis revealed significant effect 6 months decreased media use safer firearm storage intervention group compared control group showed increase limiting media use amplt120 minutes per day significant effect timeout use substantial increase storing firearms cable locks intervention group versus decrease control group conclusions randomized controlled trial demonstrated decreased media exposure increased safe firearm storage result brief officebased violenceprevention approach