Prevention of Injuries Among Young Children: Tailoring a Home Supervision Intervention for Low-Income Caregivers

摘要 这项拟议的研究将修改和测试一项培训低收入者的干预措施 帮助照顾者更有效地照管年幼的孩子(3-4岁)。这项研究 将包括4个步骤。在第一步中，我们将使用之前进行的初步数据 与Head Start照顾者和家访人员组成的焦点小组对 干预。在第二步，我们将与Head Start一起进行第二轮焦点小组 护理人员和家访人员，以确定是否需要对 干预行动。如果出现以下情况，我们还将对干预措施进行额外修改 需要的。在步骤3中，我们将使用4个Head Start客户端对修改后的干预进行试点测试 并将对干预措施进行最后修改。最后，在步骤4中，我们将测试 改良干预对照料者监督和儿童伤害的影响 在低收入家庭中的使用频率。我们将从家庭中招募参与者 接受Head Start的家访服务。我们将使用随机对照 检验增加照顾者的干预效果的试验方法学 监督和减少儿童伤害。自我报告和观察数据 监督将在前测、后测和1个月的跟踪中收集。数据在 儿童伤害将在预试时收集2周，在5周的干预期间， 并通过每周对照顾者的简短电话采访进行为期4周的随访。

Summary The proposed study will modify and test an intervention to train low-income caregivers to supervise their young children (ages 3-4 years) more effectively. The study will include 4 steps. In step 1, we will use preliminary data from previously conducted focus groups with Head Start caregivers and home visitors to make modifications to the intervention. In step 2, we will conduct a second round of focus groups with Head Start caregivers and home visitors to determine if additional modifications need to be made to the intervention. We will also make additional modifications to the intervention if needed. In step 3, we will pilot test the modified intervention with 4 Head Start clients and will make final modifications to the intervention. Finally, in step 4, we will test the effects of the modified intervention on caregivers' supervision and children's injury frequency among low-income families. We will recruit participants from families receiving home visiting services from Head Start. We will use a randomized controlled trial methodology to examine the efficacy of the intervention to increase caregiver supervision and reduce and child injuries. Self-report and observational data on supervision will be collected at pretest, post-test and at a 1-month follow-up. Data on child injuries will be collected for 2 weeks at pre-test, during the 5 week intervention, and during a 4-week follow-up via brief weekly telephone interviews with caregivers.