
Exploring Equity Barriers Before a Firearm Safety Trial
When evaluating the success or failure of efforts to implement evidence-based interventions, ensuring that implementation is equitable across populations is important. The need to attend to equity has been widely accepted but little guidance has been offered with regard to how to do so within the context of implementation trials. Before launching a hybrid effectiveness-implementation trial focused on firearm safety promotion in pediatric primary care, an interdisciplinary research team including investigators from University of Pennsylvania, Northwestern University, Henry Ford Health, and Kaiser Permanente Colorado developed a unique five-step engagement process to prospectively ground the trial in an equity lens.