INCREASING PREVENTIVE ACTION FOR CHILDHOOD INJURY

加强儿童伤害预防行动

• 批准号: 6432586
• 负责人: LOIS A MAIMAN
• 金额: --
• 依托单位: EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6432586
• 关键词: behavioral /social science research tag; child (0-11); child behavior; child rearing; clinical research; disease /disorder proneness /risk; education evaluation /planning; health behavior; human subject; injury prevention

Unintentional injuries are the leading cause of preventable death among U.S. children. The incidence of nonfatal injuries accounts for a high rate of child morbidity. Increasing the extent and quality of injury prevention guidance to parents in pediatric primary care is a promising strategy to obtain the health and economic benefits of reducing preventable injuries. Although pediatricians can be effective motivators of parents for injury prevention, the rate of anticipatory guidance in pediatric practice (recommended by the American Academy of Pediatrics for delivery at routine health visits) is low. The purpose of this research is to obtain information as a foundation for an efficacy trial of an integrated system of office-based interventions in primary pediatric care to reduce unintentional injury morbidity in infants and toddlers. Current American Academy of Pediatrics Guidelines for safety practices and coordinated counseling and assessment aids will provide the elements of injury prevention guidance. This pilot research seeks to educate the feasibility of implementation and immediate impact of promising office-based methods and instruments that can be integrated with routine health supervision visits. Systems-related interventions targeting parents, primary care providers and the office will be assessed. The specific aims are to: 1. Describe the development of the research-practive partnership with the participating primary care practice(s) and clinical staff for the conduct of the research on office-based interventions in the delivery injury prevention services; 2. Determine the feasibility of implementation (reach, exposure, acceptability, cooperation and logistics) of the interventions to parents of pediatric patients, primary care providers and administrators; and 3. Determine the immediate impact of the interventions on safety knowledge, beliefs, attitudes and behaviors of parents of pediatric patients and clinical practice of primary care providers.

意外伤害是美国儿童可预防死亡的主要原因。非致命性伤害的发生率占儿童发病率的很高。在儿科初级保健中增加对父母的伤害预防指导的范围和质量是一个很有希望的战略，可以通过减少可预防的伤害来获得健康和经济利益。尽管儿科医生可以有效地激励父母预防伤害，但儿科实践中的预见性指导(由美国儿科学会推荐在常规健康访问中交付)的比率很低。这项研究的目的是获得信息，作为在初级儿科护理中以办公室为基础的综合干预系统的有效性试验的基础，以减少婴幼儿意外伤害的发病率。目前美国儿科学会的安全实践指南以及协调的咨询和评估辅助工具将提供伤害预防指导的要素。这项试点研究旨在教育有希望的基于办公室的方法和工具的实施的可行性和直接影响，这些方法和工具可以与常规的卫生监督访问相结合。将评估针对父母、初级保健提供者和办公室的系统相关干预措施。具体目标是：1.描述与参与初级保健实践(S)和临床工作人员的研究-实践伙伴关系的发展，以开展分娩伤害预防服务的办公室干预研究；2.确定对儿科患者父母、初级保健提供者和管理者实施干预措施(覆盖范围、暴露、可接受性、合作和后勤)的可行性；3.确定干预措施对儿科患者父母的安全知识、信念、态度和行为以及初级保健提供者的临床实践的直接影响。