Multimedia First Aid Program for Families

描述(由申请人提供)：项目摘要/摘要：意外伤害是14岁以下儿童和婴儿的主要死亡原因。这些死亡中的许多是可以预防的，不仅可以通过安装安全门和有效使用汽车座椅等预防行为，而且还可以通过及时有效的紧急急救技术，直到高级护理到达。虽然美国红十字会等项目为家庭提供讲师指导的课程，以获得这些技能，但许多动机积极的父母、监护人和其他照顾者无法参加这些课程，因为难以获得和安排托儿和交通工具。因此，许多家庭没有急救技能，或者依靠民间补救措施或电视进行急救指导。此外，急救技能的保持率很低，如果需要这些技能，频繁的技能审查对于优化绩效至关重要。为了接触到这些服务不足的人群并促进技能的保留，需要制定方案，允许家庭按照自己的时间表学习技能，并在需要时审查相关材料。该项目建议为家庭创建一个多媒体急救培训方案，可通过因特网/内联网、CD-ROM或DVD-ROM格式观看。该计划将涵盖儿科生命支持(解除异物呼吸道阻塞、抢救呼吸和心肺复苏)、控制出血和休克、处理烧伤和其他急救紧急情况等基本知识。这项计划将对家庭进行紧急反应技术方面的培训，这些技术可能会拯救生命，并降低儿童受伤后果的严重性。在第一阶段，将为1岁以下婴儿的家庭开发一个基于互联网的原型程序。该计划将涵盖美国心脏协会提出的基本生命支持(BLS)技能：(A)异物呼吸道缓解，(B)抢救呼吸，(C)CPR。第一阶段计划的有效性将在一项随机对照试验中进行测试，对象是90名1岁以下儿童的父母。受试者将被随机分配接受以下培训干预之一：IMM计划、面对面培训或书面材料。在第二阶段，该计划将扩大到包括3个年龄段(即1岁以下、1-8岁和9-12岁)，并涵盖CPR和急救技能。一项随机试验将评估扩大的第二阶段计划的疗效。项目简介：意外伤害是14岁以下儿童死亡的主要原因。虽然可以采取预防措施保护儿童免受伤害，但在发生事故时仍然需要适当的急救技能。该项目旨在为更多的人提供简单而准确的急救培训，以便在发生事故时，家庭可以潜在地减少受伤的程度，甚至保护他们的孩子免受死亡。

DESCRIPTION (provided by applicant): Project Summary/Abstract: Unintentional injuries are the leading cause of death for children and infants under 14 years of age. Many of these deaths are preventable not only by prevention behaviors such as installing safety gates and using car seats effectively but also by administering prompt and effective emergency first aid techniques until advanced care arrives. While programs such as the American Red Cross offer instructor-led courses for families to obtain these skills, many motivated parents, guardians and other caregivers are unable to attend these classes due to difficulties in obtaining and scheduling childcare and transportation. Thus, many families have no first aid skills or rely on folk remedies or television to provide first aid instruction. Additionally, retention of first aid skills is poor and frequent skill reviews are essential to optimizing performance should these skills be needed. In order to reach this underserved population and boost retention of skills, programs are needed that allow families to learn skills on their own schedules, and review pertinent materials when needed. This project proposes to create a multimedia first aid training program for families that can be viewed in Internet/Intranet, CD-ROM or DVD-ROM formats. The program would cover such basics as pediatric life support (relief of foreign body airway obstruction, rescue breathing and CPR), controlling bleeding and shock, managing burns and other first aid emergencies. This program would train families in emergency response techniques that could potentially save lives and reduce the severity of outcome of childhood injuries. In Phase I, a prototype Internet-based program will be developed for families of children of infants under 1-year old. The program will cover Basic Life Support (BLS) skills as set forth by the American Heart Association: (a) foreign body airway relief, (b) rescue breathing, and (c) CPR. The efficacy of the Phase I program will be tested in a randomized controlled trial with 90 parents of children less than 1-year old. Subjects will be randomly assigned to receive one of the following training interventions: IMM program, in-person training, or written materials. In Phase II, the program will be expanded to include 3 age groups (i.e., less than 1, 1-8 years, and 9-12 years) and cover both CPR and first aid skills. A randomized trial will evaluate the efficacy of the expanded Phase II program. Project Narrative: Unintentional injuries are the leading cause of death for children under 14 years of age. While preventive steps can be taken to safeguard children from injury, there is a remaining need for appropriate first aid skills when an accident occurs. This project is an attempt to make simple and accurate first aid training available to a broad range of people, so that if an accident occurs, families can potentially reduce the extent of an injury or even protect their children from death.