Evidence map›Paper›PMID 36550590›Full record

ArticleJournal of the American Geriatrics Society2023

Older adults and planning for firearm safety: A qualitative study of healthcare providers.

Laura C Prater, Joseph A Simonetti, Christopher E Knoepke, Evan R Polzer, Kathryn A Nearing, Teresa Lee, Marian E Betz

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 6 institutions in 1 country.

Laura C PraterDepartment of Psychiatry & Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, USA.ORCID 0000-0003-2414-5063
Joseph A SimonettiRocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide, Prevention, Veterans Health Administration, Aurora, Colorado, USA.
Christopher E KnoepkeDivision of Cardiology, Department of Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Evan R PolzerDepartment of Emergency Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-6161-2903
Kathryn A NearingDivision of Geriatrics and Multidisciplinary Center on Aging, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Teresa LeeDepartment of Neurology, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Marian E BetzDepartment of Emergency Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Denver VA Medical Center · USOutcomes Research Consortium · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Washington · USVeterans Health Administration · US

Funding

Decision Making Among Older Adults: the AUTO studyR01AG059613 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2019 to 2023
$3.7M
NIA NIH HHS R01 AG059613
6 · The paper itself

Abstract

PURPOSE/

backgroundFirearm injury, particularly self-directed, is a major source of preventable morbidity and mortality among older adults. Older adults are at elevated risk of serious illness, cognitive impairment, and depression-all known risk factors for suicide and/or unintentional injury. Healthcare providers are often the first to identify these conditions and, although they commonly deliver safety guidance to such patients, little is known about how they approach firearm safety conversations with older adults.

methodsWe conducted semi-structured interviews with healthcare providers who care for older adults (November 2020-May 2021). We used inductive and deductive thematic analyses to develop themes. We present themes and representative quotes from our analysis.

resultsWe interviewed 13 healthcare providers who regularly care for older adult firearm owners. Emergent themes were: circumstances that prompt firearm safety conversations; strategies for addressing firearm safety in routine and acute circumstances; barriers to addressing firearm safety; and available or desired resources.

conclusionPlanning for firearm safety should occur "early and often" as part of a longitudinal relationship with older adult patients. Age-related safety issues such as driving are regularly addressed with older adult patients, likely because there are standard processes and established pathways. Establishing processes and provider/ patient resources would help improve provider efficacy to address firearm safety and relinquishment for older adult firearm owners. Integrating firearm safety conversations into routine encounters (e.g., Medicare Annual Wellness Visit, problem-focused visits) templates could be a promising initial step but resources for follow-up to the firearm screening must be available to both provider and patient.

Indexed as

Automobile DrivingFirearmsWounds, GunshotAgedHealth PersonnelHumansMedicareUnited Statesdementiafirearm safetyhealth counselingsafety assessmentsuicide prevention

Identifiers

PMID36550590
PMCPMC10089957
OpenAlexW4312112812

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.