Tailoring a Child Injury Prevention Program for Low-Income U.S. Families.
Tailoring a Child Injury Prevention Program for Low-Income U.S. Families.
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DOI：
10.1037/cpp0000421
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发表时间：
2022-09
影响因子：
1.1
通讯作者：
Arbour, Emilie
中科院分区：
文献类型：
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作者：
Damashek, Amy;Morrongiello, Barbara;Diaz, Felicia;Prokos, Sophia;Arbour, Emilie
意外伤害是美国儿童死亡的主要原因，而幼儿（1-4岁）的风险尤其大。家庭安全监督（SHS）是加拿大的一项干预措施，已被证明可以通过增加照顾者的监督来减少儿童受伤的风险。鉴于低收入儿童受伤的风险最大，本研究描述了修改SHS计划的过程，以适应美国学龄前儿童的低收入家庭的文化。完成了两轮焦点小组;第一轮焦点小组的反馈用于在第二轮之前修改方案材料。护理人员从原始材料和修改后的材料中收集了重要的信息，包括伤害可能很快发生以及护理人员可以预防伤害的想法。对干预措施的修改包括增加视频中代表的家庭的多样性，以及纳入美国的伤害统计数据。两轮焦点小组的护理人员指出，该计划的信息是相关的和现实的，这些材料在提高他们对儿童受伤风险的认识方面是有影响的。我们成功地修改了SHS计划，使其适合低收入美国家庭，同时保留了核心计划信息。
Unintentional injuries are the leading cause of death for children in the United States (U.S.), and young children ages (1–4) are particularly at risk. Supervising for Home Safety (SHS) is a Canadian intervention that has been shown to reduce children’s injury risk by increasing caregiver supervision. Given that low-income children are at greatest risk for injury, this study describes a process of modifying the SHS program to be culturally appropriate for low-income families of U.S. preschool children. Two rounds of focus groups were completed; feedback from the first round of focus groups was used to modify program materials prior to the second round. Caregivers gleaned important take-away messages from both the original and modified materials, including the idea that injuries can happen quickly and that caregivers can prevent injuries. Modifications to the intervention included increased diversity in the families represented in the videos as well as inclusion of U.S. injury statistics. Caregivers in both rounds of focus groups noted that the program messages were relatable and realistic and that the materials were impactful in increasing their awareness of children’s injury risk. We were able to successfully modify the SHS program to be appropriate for low-income U.S. families while preserving the core program messages.