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）：对儿童农业损伤（CAI）的认可是1980年代和1990年代的严重公共卫生问题，导致1999年发布了《北美儿童农业任务指南》（NAGCAT）。尽管在过去15年中进行了许多减少CAI影响的尝试，但在该领域的预防干预措施方面进行了严格的评估。拟议的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，将在项目期间的上半年开发，进行试点测试和适当修订，以扩大NAGCAT范围的教育材料。其次，将制定和评估两种增强符合扩展指南的策略；一种策略将仅针对父母（与Nagcat一样），另一种策略将以家庭为基础，这是该领域尚未尝试的方法。这里的基本理性是，一种基于家庭的CAI预防方法可以刺激协同的家庭动态，从而最大程度地遵守所有成年和青年家庭的扩大准则。这些策略将通过进行随机对照试验（RCT）来评估。该RCT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，可以在多大程度上符合扩展的准则？一种策略在多大程度上比另一种策略更有效？遵守扩展的准则在多大程度上可以减少CAI的风险？我们的假设是，在危害暴露的青年中，基于家庭的主要预防CAI的方法将比其他降低风险的方法更有效。拟议的研究的具体目的是：1。制定了主要预防CAI的书面准则，该指南超出了NAGCAT的范围，并解决了与农业相关的无关伤害。 2。开发和试点测试两种基于理论的策略，以增强遵守扩展的准则。 3。通过进行随机对照试验（RCT）来评估干预策略的有效性。 4。依靠PEM数据，定量评估CAI的风险和保护因素每天都在扩展的指南中存在的程度。 5。依靠PEM数据，量化参与青年的CAI风险。