Evidence map›Paper›PMID 34304738›Full record

ArticleInjury epidemiology2021

Barriers to recruitment, retention and intervention delivery in a randomized trial among patients with firearm injuries.

Anthony S Floyd, Vivian H Lyons, Lauren K Whiteside, Kevin P Haggerty, Frederick P Rivara, Ali Rowhani-Rahbar

Registry-linked trialOpen access · goldAbstract readLetter
In one paragraph

Article in Injury epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02630225 (Helping Individuals With Firearm Injuries), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02630225 nacompletednot on this map

Helping Individuals With Firearm Injuries: A Cluster Randomized Trial

TypeinterventionalSponsorUniversity of WashingtonRan2016 to 2019Enrolled232ConditionsWounds, GunshotArmsCritical Time Intervention, Treatment as Usual, Motivational Interviewing, Multi-Agency Attention
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Strategies for recruiting adolescents in rural areas in firearm injury research.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 2 countries.

Anthony S FloydAddictions, Drug & Alcohol Institute, University of Washington, 1107 NE 45th. Street, Suite 120, Seattle, WA, 98125, USA. asfloyd@uw.edu.ORCID http://orcid.org/0000-0002-1063-0132
Vivian H LyonsDepartment of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA.
Lauren K WhitesideFirearm Injury & Policy Research Program, Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA, USA.
Kevin P HaggertySchool of Social Work, University of Washington, Seattle, WA, USA.
Frederick P RivaraFirearm Injury & Policy Research Program, Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA, USA.
Ali Rowhani-RahbarFirearm Injury & Policy Research Program, Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA, USA.
University of Washington · US

Funding

City of Seattle DA16-1570City of Seattle DA17-1570City of Seattle DA18-1570City of Seattle DA19-1570
6 · The paper itself

Abstract

backgroundWe discuss barriers to recruitment, retention, and intervention delivery in a randomized controlled trial (RCT) of patients presenting with firearm injuries to a Level 1 trauma center. The intervention was adapted from the Critical Time Intervention and included a six-month period of support in the community after hospital discharge to address recovery goals. This study was one of the first RCTs of a hospital- and community-based intervention provided solely among patients with firearm injuries. MAIN TEXT: Barriers to recruitment included limited staffing, coupled with wide variability in length of stay and admission times, which made it difficult to predict the best time to recruit. At the same time, more acutely affected patients needed more time to stabilize in order to determine whether eligibility criteria were met. Barriers to retention included insufficient patient resources for stable housing, communication and transportation, as well as limited time for patients to meet with study staff to respond to follow-up surveys. These barriers similarly affected intervention delivery as patients who were recruited, but had fewer resources to help with recovery, had lower intervention engagement. These barriers fall within the broader context of system avoidance (e.g., avoiding institutions that keep formal records). Since the patient sample was racially diverse with the majority of patients having prior criminal justice system involvement, this may have precluded active participation from some patients, especially those from communities that have been subject to long and sustained history of trauma and racism. We discuss approaches to overcoming these barriers and the importance of such efforts to further implement and evaluate hospital-based violence intervention programs in the future.

conclusionDeveloping strategies to overcome barriers to data collection and ongoing participant contact are essential to gathering robust information to understand how well violence prevention programs work and providing the best care possible for people recovering from injuries.

trial registrationClinicalTrials.gov NCT02630225 . Registered 12/15/2015.

Indexed as

FirearmRecruitmentRetentionSystem avoidance

Identifiers

PMID34304738
PMCPMC8311948
OpenAlexW3184778188

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.