Evidence map›Paper›PMID 37791738›Full record

ArticleClinical gerontologist

Provider Perspectives on Addressing Firearm Safety with Older Adults in Primary Care.

Rachel Ross, Laura C Prater, Allison Cole, Ayah Mustafa, Kiet Pham, Monica Zigman Suchsland, Amy Gallagher, Ali Rowhani-Rahbar, Elizabeth A Phelan

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
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

9 authors at 1 institution in 1 country.

Rachel RossDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.
Laura C PraterFirearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.
Allison ColeDepartment of Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Ayah MustafaDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.
Kiet PhamSchool of Psychology, University of Washington, Seattle, Washington, USA.
Monica Zigman SuchslandDepartment of Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Amy GallagherDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.
Ali Rowhani-RahbarFirearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.
Elizabeth A PhelanSchool of Medicine, Division of Gerontology and Geriatric Medicine, School of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA.
University of Washington · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Shared Decision-Making for Firearm Safety among Older Adults with early changes associated with Alzheimer’s Disease/Alzheimer’s Disease-Related Dementias (AD/ADRD)R21AG076362 · NIA · UNIVERSITY OF WASHINGTON · PI PHELAN, ELIZABETH ANNE, PRATER, LAURA C. · 2021 to 2021
$425k
NCATS NIH HHS UL1 TR002319NIA NIH HHS R21 AG076362
6 · The paper itself

Abstract

objectivesChronic conditions, including mild cognitive impairment and depression, place older adults at high risk of firearm suicide. Approximately 40% of older adults have access to a firearm, and many do not store their firearms safely. However, firearm counseling occurs infrequently in clinical settings. Using by the Ottawa Decision Support Framework (ODSF) to conceptualize the decisional support needed by patients and their providers to facilitate firearm counseling, we explore provider perspectives on desired resources for addressing firearm safety with older adult patients.

methodsFrom March - August 2022, we conducted 21 semi-structured interviews with primary care providers caring for older adults. We report deductive concepts as well as emergent themes.

resultsMajor themes were identified from the three components of the ODSF; decisional needs, decision support and decisional outcomes. Themes included: provider self-efficacy to conduct firearm counseling, clinical workflow considerations, stories for change, patient diagnosis implications, and caregiver involvement.

conclusionsThere is a need for decision aids in the clinical setting that facilitate firearm counseling and promotes shared decision-making about firearm storage. CLINICAL IMPLICATIONS: Implementing a decision aid in the clinical setting can improve provider self-efficacy to conduct firearm counseling and help reduce risk factors associated with firearm-related harm among older adults.

Indexed as

FirearmsPrimary Health CareAgedAttitude of Health PersonnelCounselingFemaleHealth PersonnelHumansMaleMiddle AgedQualitative ResearchSafetySuicide PreventionFirearm safetyolder adultsprimary care

Identifiers

PMID37791738
PMCPMC10991080
OpenAlexW4387326081

What OpenQuestion holds

Textmetadata
LicenceTDM
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.