Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Be SMART secure firearm storage counseling for hospitalized caregivers

Official title: BeSMART Secure Storage Counseling in the Inpatient Setting

Run by Vanderbilt University Medical Center · NCT06485141 · Data updated 2026-11-12

This program will test whether a short Be SMART video and handout help caregivers of hospitalized children store firearms more safely at home.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment400 (estimated)
SponsorVanderbilt University Medical Center
Academic / other
Locations2 sites (Aurora, Colorado and 1 other locations)
StatusRecruiting
StartedSeptember 20, 2025
Main results expectedSeptember 30, 2026
Study endsDecember 30, 2026
Registry record updatedMay 11, 2026
Trial IDNCT06485141 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Caregivers (English- or Spanish-speaking) of children aged 0–17 hospitalized on a pediatric hospital medicine service who can provide informed consent and have email and telephone access are ideal candidates.

Probably not a fit

Caregivers of children admitted for firearm injury or with a recent firearm injury, those with a primary psychiatric admission or surgical co-management, non-English/Spanish speakers, or those without email/phone access are excluded and unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, controlled trial enrolling 300 caregivers (150 per arm) at two pediatric hospitals to compare the Be SMART secure-storage intervention to a control education intervention about medication storage. After informed consent and a baseline survey, participants are randomized 1:1 and the intervention is delivered on a tablet with a postcard-sized handout; follow-up assessments are conducted using email and telephone. Enrollment is monitored to ensure at least one-third of participants are gun owners, with enrollment pauses for non-gun owners to maintain that distribution. The trial focuses on caregivers of children admitted to hospital medicine services and excludes caregivers of children admitted for firearm injuries or primary psychiatric diagnoses.

Why it matters

Potential benefit: If successful, this approach could increase safe firearm storage in homes and help reduce unintentional shootings and youth self-harm related to unsecured guns.

How similar studies have gone: Outpatient secure-storage counseling has previously increased safe storage practices, but applying the Be SMART program in the inpatient setting is a relatively novel adaptation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria (must meet ALL):

1. Provision of signed and dated informed consent form
2. Caregiver of child hospitalized on a pediatric hospital medicine service aged 0-17
3. English or Spanish speaking caregiver
4. Access to necessary resources for participating in a technology-based intervention follow-up assessments (e-mail and telephone)

Exclusion Criteria:

1. Caregivers of children admitted for firearm injury
2. Caregivers of children with a firearm injury within the last 3 months
3. Caregivers of children admitted with a primary psychiatric diagnosis including suicidal ideation, self-harm, homicidal ideation, aggression, or intentional ingestion
4. Caregivers of children who are admitted to a surgical co-management team

Non-gun owners will be excluded intermittently throughout the enrollment period based on proportion of gun owners enrolled. For every 30 study participants enrolled, 10 must be gun owners. Non-gun owner enrollment will be paused until 10 gun owners are enrolled and this cycle will repeat for every 30 participants enrolled at each study site.

Where it's running

  • Children's Hospital Colorado
    Aurora, Colorado, United States
    Recruiting
  • Monroe Carell Jr Children's Hospital at Vanderbilt
    Nashville, Tennessee, United States
    Recruiting

Study contacts

  • Principal investigator: Kelsey Gastineau, MD, MPH — Vanderbilt University Medical Center
  • Study coordinator: Kelsey Gastineau, MD, MPH
  • Email: kelsey.gastineau@vumc.org
  • Phone: 615-936-7276

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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    Recruiting Phase 1 Shenyang Sunshine Pharmaceutical Co., LTD. · Shanghai, Shanghai Municipality · NCT07058779

  • Counseling intervention to improve firearm storage for those with PTSD

    This study is testing a counseling program to see if it can help people with PTSD store their firearms more safely to reduce the risk of suicide.

    Recruiting University of Colorado, Denver · Aurora, Colorado · NCT06876740

  • Store Safely: Firearm safety program for rural families

    This project will test a firearm safety program to help families with children who live in Michigan's Upper Peninsula store guns more safely.

    Recruiting University of Michigan · Ann Arbor, Michigan and 1 other locations · NCT06719713

  • Evaluation of a hospital violence intervention program

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.