The importance of a preclinical trial: a selected injury intervention program for pediatric trauma centers.
The importance of a preclinical trial: a selected injury intervention program for pediatric trauma centers.
复制标题
临床前试验的重要性:儿科创伤中心选定的损伤干预计划。
DOI:
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发表时间:
2008
期刊:
影响因子:
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通讯作者:
R. Maio
中科院分区:
文献类型:
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作者:
P. Ehrlich;A. Drongowski;S. Swisher;R. Maio
BACKGROUND
Trauma centers are an ideal site to conduct screening and intervention programs that target risk taking behaviors. We hypothesized that a parent/child-centered intervention is a feasible method of injury prevention for a level one pediatric trauma center.
METHODS
The study was conducted in children aged 7 years to 17 years at two level one pediatric trauma centers. The high-risk behaviors targeted were (i) not always using a seat belt, (ii) not always using a bicycle helmet, or (iii) placing children under 12 in the front seat of the car. Those patients who had a positive screening test underwent a brief intervention. Experimental end points included accrual rates, acceptability of protocol by patients and medical staff, knowledge retention.
RESULTS
Eighty-eight of the 101 families approached participated. The mean age was 13.3 +/- 2.8 years. The time to consent and screen was 2.7 +/- 0.2 minutes and 9.5 +/- 0.54 minutes. Fifty-three of 88 (60%) children had a positive screening test to one or more of the high risk behaviors. It took 11.5 +/- 1.2 minutes for intervention. Ninety-two percent of healthcare professionals felt that program fit into the trauma center routine. Forty-nine of the 53 families who had a positive screen were successfully contacted 3 months after the intervention. Ninety-seven percent of the follow-up group remembered talking about how seat belts and helmets save lives and about placing children in the back seat of a car. Seventy-nine percent of the families found the information helpful, 53% felt they learned something from the intervention.
CONCLUSIONS
Screening and brief intervention is a well-accepted and operationally practical injury prevention intervention. Further controlled injury intervention trials are justified.
影响因子:
5.9
作者:
Marlatt,GA;Baer,JS;Kivlahan,DR;Dimeff,LA;Larimer,ME;Quigley,LA;Somers,JM;Williams,E
通讯作者:
Williams,E
影响因子:
8
作者:
Stevens,MargueriteM;Olson,ArdisL;Gaffney,CeceliaA;Tosteson,TorD;Mott,LeilaA;Starr,Pamela
通讯作者:
Starr,Pamela