Safety Skills Training for Parents of Preschool Children

描述(申请人提供)：伤害是美国儿童死亡和残疾的主要原因。大多数伤害都可以通过父母实施有效的儿童安全措施来预防。该项目将制作一个通过互联网/内联网提供的交互式多媒体(IMM)节目，向2至5岁儿童的父母传授预防伤害的技能。该计划是虎鲸安全套件的一部分，将根据儿童年龄(2-3岁和4-5岁)和家庭环境量身定做，适合家庭、工作场所、医疗办公室和社区机构设置。 第一阶段项目为2-3岁儿童的父母开发了一个基于互联网/内联网浏览器的程序，涵盖了美国儿科协会倡导的三个内容领域(汽车乘客安全、摔倒和烧伤)。第一阶段原型评估比较了两种干预措施：原型IMM干预和来自美国儿科学会医生提供的伤害预防计划的基于文本的材料。第二阶段开发将扩展内容，以包括：(A)两个年龄段(即2-3岁和4-5岁)，(B)涵盖其余六个内容领域(中毒、枪支、自行车和轮式运动安全、街道、水和消防安全)的额外单元，(C)确定安全托儿环境的提示，以及(D)总结关键内容和计划用途的书面材料。该计划将以理性行动理论、健康信念模式和社会学习理论为理论基础。最终产品将以互联网/内联网、CD-ROM和消费者DVD格式发布，并在全国随机临床试验中进行评估。

DESCRIPTION (provided by applicant): Injuries are the leading cause of death and disability in children in America. Most injuries can be prevented by parents implementing effective child safety practices. This project will produce an interactive multimedia (IMM) program delivered via Internet/Intranet that teaches injury prevention skills to parents of children aged 2 through 5 years. Designed to be a segment of the ORCAS Safety Suite, the program will be tailored to child age (2-3 and 4-5 years) and the home environment, and will be suitable for home, worksite, medical office, and community agency settings. The Phase I project developed an Internet/Intranet browser-based program for parents of children aged 2-3 years old, covering three content areas advocated by the American Association of Pediatrics (automobile passenger safety, falls, and burns). The Phase I prototype evaluation compared two interventions: the prototype IMM intervention and text-based materials from the American Academy of Pediatrics physician- delivered injury prevention program. Phase II development will expand content to include: (a) both age ranges (i.e., 2-3 and 4-5 years), (b) additional units covering the remaining six content areas (poisoning, firearms, bike and wheeled sport safety, street, water, and fire safety), (c) tips for determining safe childcare environments, and (d) written materials that summarize key content and program use. The program will be theoretically grounded in the Theory of Reasoned Action, Health Belief Model and Social Learning Theory. The final product will be in Internet/Intranet, CD-ROM, and consumer DVD formats and evaluated in a national randomized clinical trial.