A randomised safety promotion intervention trial among low-income families with toddlers.
A randomised safety promotion intervention trial among low-income families with toddlers.
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DOI：
10.1136/injuryprev-2016-042178
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Black MM
中科院分区：
文献类型：
--
作者：
Wang Y;Gielen AC;Magder LS;Hager ER;Black MM
幼儿年龄段的儿童容易受到意外伤害，特别是低收入家庭的儿童。探讨以社会认知理论为基础的干预措施对减少低收入幼儿家庭家庭安全问题的有效性。277名低收入母亲-幼儿二人组被随机分为安全促进干预组（n=91）或注意力控制组（n=186）。安全促进干预组的母亲通过健康教育、目标设定和社会支持，接受了八次小组提供的安全干预，目标是防火、防跌倒、中毒控制和使用汽车座椅。数据收集者观察了参与者的家庭，并在研究登记（基线）、基线后6个月和12个月完成了家庭安全问题的九项清单。总分相加，分数高表示问题多。线性混合模型比较了干预组和对照组之间家庭安全问题随时间的变化。意向治疗分析表明，在12个月随访时，安全性促进干预组比注意力控制组显著减少了安全性问题（随时间变化的组间差异（β=−0.54，95%CI −0.05至−1.03，p=0.035），在6个月随访时无显著差异）。基于SCT原则的安全促进干预有可能促进幼儿的家庭安全环境。未来的研究应检查其他策略，以确定更好的渗透/依从性是否可以产生更临床重要的改善家庭安全实践。
Toddler-aged children are vulnerable to unintentional injuries, especially those in low-income families. To examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers. 277 low-income mother–toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants’ homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups. The intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time (β=−0.54, 95% CI −0.05 to −1.03, p=0.035), with no significant differences at the 6-month follow-up. A safety promotion intervention built on principles of SCT has the potential to promote toddlers’ home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices.
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DOI：
10.1002/ebch.1911
发表时间：
2013-05-01
期刊：
Evidence-based child health : a Cochrane review journal
影响因子：
--
作者：
Kendrick, Denise;Young, Ben;Coupland, Carol
通讯作者：
Coupland, Carol
影响因子：
1.9
作者：
Tse J;Nansel TR;Weaver NL;Williams J;Botello-Harbaum M
通讯作者：
Botello-Harbaum M
影响因子：
8
作者：
Posner, JC;Hawkins, LA;Durbin, DR
通讯作者：
Durbin, DR
影响因子：
2.4
作者：
Nansel, Tonja R.;Weaver, Nancy L.;Kreuter, Matthew W.
通讯作者：
Kreuter, Matthew W.
影响因子：
2.4
作者：
Beirens, T. M. J.;Brug, J.;Raat, H.
通讯作者：
Raat, H.