TEACHING KIDS SAFETY ON THE FARM: WHAT WORKS

在农场上教孩子们安全：什么工作研究将 确定北美积极传播的影响 《儿童农业任务指导方针》， 儿童农业伤害率。制定这些准则是为了 协助父母为子女选择适合其年龄的农活， 除了通过提高认识来促进儿童的农场安全外，简单地说， 行为改变和增加成人监督。 使用基于人群的设计， 该研究所的健康普查'99，900个有儿童居民的农场家庭或 雇用儿童将被随机分配到NAGCAT干预组或 对照组纽约农业医学与健康中心 外展教育工作者将访问每个干预农场家庭， 查看NAGCAT指南并将其副本留给父母或成人 雇主两个月后，父母或成年雇主将收到NAGCAT 知识、态度和行为意向调查（NAGCAT KAB）和意愿 开始为期两年的伤害监测。电话监控将在 对干预和对照农场每两个月进行一次。七 将包括纽约州北方阿巴拉契亚地区的县 本研究 培训干预有效性模型（TIER）将用于组织 大量的修改，干预或混杂变量， 影响因变量，即NAGCAT KAB的变化和 儿童农业伤害可能归因于独立 变量，在家接受NAGCAT培训。1999年健康普查将提供 关于大量修改变量的信息，但登记调查 以收集更多有关农场的资料。解析 技术将包括比较干预措施之间的伤害率， 对照组采用方差分析和泊松回归模型。探索性 巢式病例对照研究将比较父母的NAGCAT KAB评分， 成年雇主在受伤儿童（案例）和非受伤儿童之间的比例 （对照组），以确定NAGCAT KAB是否与 受伤状态。

The Teaching Kids Safety on the Farm: What Works Study will determine the impact of the active dissemination of the North American Guidelines for Children's Agricultural Tasks (NAGCAT) to farm families on the rates of childhood agricultural injury. These guidelines were developed to assist parents in selecting age- appropriate farm tasks for their children as well as promoting farm safety for children through increased awareness, simple behavioral changes and increased adult supervision. Using a population-based design made possible by the Bassett Research Institute's Health Census '99, 900 farm households with child residents or employing children will be randomized to a NAGCAT intervention group or to a control group. New York Center for Agricultural Medicine and Health (NYCAMH) outreach educators will visit each intervention farm household to explain, review and leave a copy of the NAGCAT guidelines with the parent or adult employer. Two months later, parents or adult employers will receive a NAGCAT knowledge, attitudes and behavioral intention survey (NAGCAT KAB) and will begin a two year period of injury surveillance. Telephone surveillance will be conducted every two months for both intervention and control farms. Seven counties in the northern Appalachia region of New York State will be included in this study. The Training Intervention Effectiveness Model (TIER) will be used to organize the large number of modifying, intervening or confounding variables that may affect the dependent variables, i.e. change in NAGCAT KAB and incidence of childhood agricultural injury potentially attributable to the independent variables, receipt of NAGCAT training at home. Health Census '99 will provide information on a large number of modifying variables, but an enrollment survey will be conducted to collect more farm specific information. Analytic techniques will include comparison of the injury rates between the intervention and control groups using ANOVA and Poisson regression models. An exploratory nested case control study will compare the NAGCAT KAB score of the parent or adult employer between injured children (cases) and non-injured children (controls) in the intervention group to ascertain if NAGCAT KAB is associated with injury status.