Developing and Evaluating New Approaches to Youth Agricultural Injury Prevention

开发和评估预防青少年农业伤害的新方法

• 批准号: 7483596
• 负责人: JOHN R WILKINS
• 金额: $ 38.61万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7483596
• 关键词: Developing; Evaluating; New; Approaches; Youth

DESCRIPTION (provided by applicant): Recognition of childhood agricultural injury (CAI) as a serious public health problem grew in the 1980's and 1990's, leading to the 1999 publication of the North American Guidelines for Children's Agricultural Tasks (NAGCAT). Despite a number of attempts to reduce the impact of CAI over the past 15 years, methodologically rigorous evaluations of prevention interventions in this area are sorely lacking. The overarching goal of the proposed research is to develop and evaluate a family-based intervention designed to significantly reduce the risk of CAI. To achieve this goal, educational materials that expand the scope of the NAGCAT will be developed, pilot-tested, and appropriately revised during the first half of the project period. Second, two strategies for enhancing compliance with the expanded guidelines will be developed and evaluated; one strategy will target only parents (as is the case with the NAGCAT), and the other will be family-based, an approach not yet attempted in this area. The underlying rational here is that a family-based approach to CAI prevention can stimulate a synergistic family dynamic resulting in maximal compliance with the expanded guidelines on the part of all adult and youth householders. The strategies will be evaluated by conducting a randomized controlled trial (RCT). Results from this RCT will provide evidence-based answers to the following questions: To what extent can compliance with the expanded guidelines be maximized through theory-based intervention strategies? To what extent is one strategy more effective than another? To what extent can compliance with the expanded guidelines actually reduce the risk of CAI? Our hypothesis is that a family-based approach to primary prevention of CAI among hazard- exposed youth will be more effective than other approaches in reducing risk. Specific Aims of the proposed research are: 1. Develop written guidelines for the primary prevention of CAI that extend beyond the scope of the NAGCAT and address non-working agriculture-related injuries. 2. Develop and pilot test two theory-based strategies for enhancing compliance with the expanded guidelines. 3. Evaluate the effectiveness of the intervention strategies by conducting a randomized controlled trial (RCT). 4. Relying on the PEM data, quantitatively assess the extent to which risk and protective factors for CAI are present on a daily basis with respect to the expanded guidelines. 5. Relying on the PEM data, quantify the risk of CAI among participating youth.

描述（由申请人提供）： 20 世纪 80 年代和 1990 年代，人们越来越认识到儿童农业伤害 (CAI) 是一个严重的公共卫生问题，导致 1999 年出版了《北美儿童农业任务指南》(NAGCAT)。尽管在过去 15 年中为减少 CAI 的影响进行了多次尝试，但该领域的预防干预措施仍然缺乏方法上严格的评估。拟议研究的总体目标是开发和评估旨在显着降低 CAI 风险的家庭干预措施。为了实现这一目标，将在项目期间的前半段开发、试点测试并适当修订扩大 NAGCAT 范围的教育材料。其次，将制定和评估两项加强遵守扩展指南的策略；一种策略将仅针对父母（如 NAGCAT 的情况），另一种策略将以家庭为基础，这一方法尚未在该领域尝试过。这里的基本原理是，以家庭为基础的 CAI 预防方法可以激发协同的家庭动力，从而使所有成人和青少年住户最大限度地遵守扩展的准则。这些策略将通过随机对照试验（RCT）进行评估。该随机对照试验的结果将为以下问题提供基于证据的答案：通过基于理论的干预策略可以在多大程度上最大限度地遵守扩展指南？一种策略在多大程度上比另一种策略更有效？遵守扩展指南能在多大程度上真正降低 CAI 风险？我们的假设是，对于暴露于危险的青少年来说，以家庭为基础的 CAI 一级预防方法将比其他方法更有效地降低风险。拟议研究的具体目标是： 1. 制定 CAI 一级预防的书面指南，该指南超出了 NAGCAT 的范围，并解决了与非工作农业相关的伤害。 2. 制定并试点测试两种基于理论的策略，以加强对扩展指南的遵守。 3. 通过随机对照试验（RCT）评估干预策略的有效性。 4. 依靠 PEM 数据，根据扩展指南，每天定量评估 CAI 风险和保护因素的存在程度。 5. 依靠 PEM 数据，量化参与青少年的 CAI 风险。