Behavioral intervention to reduce risky firearm carriage among youth

IntERact: Preventing Risky Firearm Behaviors Among Urban Youth Seeking Emergency Department Care

Not applicable Interventional University of Michigan · NCT05109325

This study is testing a new program using therapy and a smartphone app to help young people aged 16-24 in high-risk areas reduce dangerous behaviors related to carrying firearms.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment400 (estimated)
Ages16 Years to 30 Years
SexAll
SponsorUniversity of Michigan Academic / other
Locations3 sites (Ann Arbor, Michigan and 2 other locations)
Trial IDNCT05109325 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of a behavioral intervention aimed at reducing risky firearm behaviors in youth aged 16-24 who have reported recent firearm carriage and own a smartphone. The intervention includes three remote therapy sessions that utilize motivational interviewing, cognitive behavioral therapy, and care management, all supported by a smartphone app. The app facilitates therapist contact, conducts daily assessments, and provides tailored content and notifications based on the user's location. Recruitment will occur in high-risk communities, specifically Flint and Saginaw, through local emergency departments.

Who should consider this trial

Good fit: Ideal candidates are youth aged 16-30 from Flint or Saginaw who have reported recent firearm carriage and own a smartphone.

Not a fit: Patients who are incarcerated or presenting with active suicide ideation, sexual assault, or child abuse will not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly reduce firearm-related injuries and deaths among high-risk youth.

How similar studies have performed: Other studies have shown promise in using behavioral interventions to address risky behaviors, but this specific approach is novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Flint or Saginaw Youth between the ages of 16 to 30 reporting past 3-month firearm carriage and ownership of a smartphone, including those seeking care for any reason at Hurley Medical Center or Covenant Medical Center Emergency Department.
* Can provide consent (age: 18-30) or youth assent and parental consent (age: 16-17) for the study.

Exclusion Criteria:

* Incarcerated (i.e., in active policy custody and not able to provide informed consent)
* Presenting to the ED for active suicide ideation or attempt, sexual assault, and/or child abuse
* Unable to provide informed consent due to mental status (e.g., alcohol intoxication, acute psychosis) or medical instability.
* Participants will be excluded if firearm carriage is exclusively for legal work (e.g., police), hunting, or target shooting.

Where this trial is running

Ann Arbor, Michigan and 2 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Firearm ViolenceFirearm CarriageInjury PreventionEmergency Department
Last reviewed 2026-06-13 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.