Safety Promotion Trial for Toddlers

描述（由申请人提供）：意外伤害是儿童死亡的主要原因。美国儿科学会伤害、暴力和中毒预防委员会制定了指导方针，以促进幼儿的安全，包括防止烧伤、跌倒、中毒、溺水和促进交通安全。然而，对幼儿的安全宣传知之甚少。拟议中的调查利用了一个独特的机会。在一项针对幼儿照顾者预防肥胖的随机试验中，我们基于TTM和社会学习理论的原则，以目标设定为重点，采用积极策略来促进自我效能和决策平衡，开发并实施了一个安全促进干预作为注意控制组。本研究的目的是对幼儿安全促进干预对幼儿环境安全和幼儿照顾者变化阶段的影响进行二次分析。这项研究有两个具体目的。首先是评估安全干预对幼儿安全（环境安全和母亲变化阶段）的促进作用。第二个目的是确定干预效果的中介和调节因素。这个项目的总体目标是确定有效的策略来促进幼儿的安全。基于R03的研究结果，R01申请将提出在实地条件下对幼儿进行改进的安全促进干预的有效性试验。

DESCRIPTION (provided by applicant): Unintentional injuries are the leading cause of death among children. The American Academy of Pediatrics Council on Injury, Violence and Poison Prevention has established guidelines to promote safety among young children, including preventing burns, falls, poison ingestion, drowning, and promoting traffic safety. However, little is known about safety promotion among toddlers. The proposed investigation takes advantage of a unique opportunity. In a randomized trial of obesity prevention among caregivers of toddlers, we developed and implemented a safety promotion intervention as an attention control group, based on the principles of the TTM and social learning theory and focused on goal setting, using active strategies to promote self- efficacy and decisional balance. The purpose of this proposed project is to conduct secondary analyses of the effect of the toddler safety promotion intervention on toddler environmental safety and the stage of change among caregivers of toddlers. This study has two specific aims. The first is to assess the effect of the safety intervention on promoting safety (environmental safety and maternal stage of change) among toddlers. The second aim is to identify the mediating and moderating factors for the intervention effect. The overall goal of this project is to identify effective strategies to promoe safety among toddlers. Based on the findings of this R03, an R01 application will propose the development of an effectiveness trial of an improved safety promotion intervention among toddlers under field conditions.