Effects of improved access to safety counseling, products, and home visits on parents' safty practices - Results of a randomized trial

被引:95
作者
Gielen, AC
McDonald, EM
Wilson, MEH
Hwang, WT
Serwint, JR
Andrews, JS
Wang, MC
机构
[1] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Ctr Injury Res & Policy, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD 21205 USA
[3] Johns Hopkins Univ, Dept Biostat, Baltimore, MD 21205 USA
[4] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21205 USA
来源
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE | 2002年 / 156卷 / 01期
关键词
D O I
10.1001/archpedi.156.1.33
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To present the results of an intervention trial to enhance parents' home-safety practices through pediatric safety counseling, home visits, and an on-site children's safety center where parents receive personalized education and can purchase reduced-cost products. Design: Pediatricians were randomized to a standard- or an enhanced-intervention group. Parents of their patients were enrolled when the patient was 6 months or younger and observed until 12 to 18 months of age. Setting: A hospital-based pediatric resident continuity clinic that serves families living in low-income, inner-city neighborhoods. Participants: First- and second-year pediatric residents and their patient-parent dyads. Interventions: Parents in the standard-intervention group received safety counseling and referral to the children's safety center from their pediatrician. Parents in the enhanced-intervention group received the standard services plus a home-safety visit by a community health worker. Outcomes: Home observers assessed the following safety practices: reduction of hot-water temperature, poison storage, and presence of smoke alarms, safety gates for stairs, and ipecac syrup. Results: The prevalence of safety practices ranged from 11% of parents who stored poisons safely to 82% who had a working smoke alarm. No significant differences in safety practices were found between study groups. However, families who visited the children's safety center compared with those who did not had a significantly greater number of safety practices (34% vs 17% had 3). Conclusions: Home visiting was not effective in improving parents' safety practices. Counseling coupled with convenient access to reduced-cost products appears to be an effective strategy for promoting children's home safety.
引用
收藏
页码:33 / 40
页数:8
相关论文
共 19 条
  • [1] *AC PED, 1994, INJ PREV PROGR TIPP
  • [2] Baker S.B., 1992, The injury fact book
  • [3] BIELEN AC, 1996, HLTH BEHAV HLTH ED T, P359
  • [4] CLAMP M, 1998, BRIT MED J, V316, P1575
  • [5] Pediatric injury prevention counseling priorities
    Cohen, LR
    Runyan, CW
    Downs, SM
    Bowling, JM
    [J]. PEDIATRICS, 1997, 99 (05) : 704 - 710
  • [6] Ehiri J E, 1995, Health Bull (Edinb), V53, P20
  • [7] ERDMANN TC, 1991, PEDIATRICS, V88, P572
  • [8] IN-HOME INJURY PREVENTION PRACTICES FOR INFANTS AND TODDLERS - THE ROLE OF PARENTAL BELIEFS, BARRIERS, AND HOUSING QUALITY
    GIELEN, AC
    WILSON, MEH
    FADEN, RR
    WISSOW, L
    HARVILCHUCK, JD
    [J]. HEALTH EDUCATION QUARTERLY, 1995, 22 (01): : 85 - 95
  • [9] Randomized trial of enhanced anticipatory guidance for injury prevention
    Gielen, AC
    Wilson, MEH
    McDonald, EM
    Serwint, JR
    Andrews, JS
    Hwang, WT
    Wang, MC
    [J]. ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2001, 155 (01): : 42 - 49
  • [10] GROSSMAN DC, 1992, PEDIATR CLIN N AM, V39, P471