Evaluating a Website to Teach Children Safety with Dogs: A Randomized Controlled Trial.
Evaluating a Website to Teach Children Safety with Dogs: A Randomized Controlled Trial.
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DOI：
10.3390/ijerph13121198
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发表时间：
2016-12-02
影响因子：
--
通讯作者：
Severson J
中科院分区：
文献类型：
--
作者：
Schwebel DC;Li P;McClure LA;Severson J
狗咬伤是对儿童健康的重大威胁。理论驱动的干预措施，可扩展的广泛传播是稀疏的。开发了一个网站，通过增加知识，提高相关领域的认知技能，以及增加对咬伤脆弱性的认识，来教导儿童狗的安全。进行了一项随机对照试验，69名4-5岁的儿童被随机分配使用狗安全网站或对照运输安全网站约3周。狗的安全知识和行为加上技能的评估在三个相关的认知结构（冲动控制，注意细节，和观点采择）进行基线和以下网站使用。狗安全网站结合了互动游戏，教学视频，包括推荐，激励奖励系统，并向家长发送有关儿童课程的信息。我们的研究结果表明，大约三分之二的干预样本不坚持在家里使用网站，因此进行了意向治疗和符合协议的分析。意向治疗分析大多数结果为零。按方案分析表明，与对照组相比，干预后遵守干预方案的儿童在对狗的安全行为的知识和认识方面得分更高。与对照组相比，坚持的儿童在干预后注意细节的认知技能得分也有所提高。我们的结论是，幼儿不成熟的认知可能导致狗咬伤。网站上的互动式电子保健培训显示出向儿童传授相关认知和安全技能以减少风险的潜力。遵守网站使用是一项挑战，一些相关的认知技能（例如，注意细节）可能比其他人（例如，脉冲控制）。
Dog bites represent a significant threat to child health. Theory-driven interventions scalable for broad dissemination are sparse. A website was developed to teach children dog safety via increased knowledge, improved cognitive skills in relevant domains, and increased perception of vulnerability to bites. A randomized controlled trial was conducted with 69 children aged 4–5 randomly assigned to use the dog safety website or a control transportation safety website for ~3 weeks. Assessment of dog safety knowledge and behavior plus skill in three relevant cognitive constructs (impulse control, noticing details, and perspective-taking) was conducted both at baseline and following website use. The dog safety website incorporated interactive games, instructional videos including testimonials, a motivational rewards system, and messaging to parents concerning child lessons. Our results showed that about two-thirds of the intervention sample was not adherent to website use at home, so both intent-to-treat and per-protocol analyses were conducted. Intent-to-treat analyses yielded mostly null results. Per-protocol analyses suggested children compliant to the intervention protocol scored higher on knowledge and recognition of safe behavior with dogs following the intervention compared to the control group. Adherent children also had improved scores post-intervention on the cognitive skill of noticing details compared to the control group. We concluded that young children’s immature cognition can lead to dog bites. Interactive eHealth training on websites shows potential to teach children relevant cognitive and safety skills to reduce risk. Compliance to website use is a challenge, and some relevant cognitive skills (e.g., noticing details) may be more amenable to computer-based training than others (e.g., impulse control).
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影响因子：
3.6
作者：
Kaye, Alison E.;Belz, Jessica M.;Kirschner, Richard E.
通讯作者：
Kirschner, Richard E.
影响因子：
4.2
作者：
Hinyard, Leslie J.;Kreuter, Matthew W.
通讯作者：
Kreuter, Matthew W.
谈论他人有利于中国学龄前儿童的心理理论
影响因子：
4
作者：
Lu, Huijing;Su, Yanjie;Wang, Qi
通讯作者：
Wang, Qi
影响因子：
2.3
作者：
Glang, A;Noell, J;Swartz, L
通讯作者：
Swartz, L
影响因子：
1.4
作者：
Hon, Kam-lun Ellis;Fu, Chun-cheung Antony;Ng, Pak-cheung
通讯作者：
Ng, Pak-cheung