Injury Prevention Guidance in Pediatric Health Supervision

意外伤害是导致 在美国，1至4岁儿童。多 儿童伤害的发病率和死亡率是由安全隐患引起的 in home home environment环境.虽然儿科医生可以 父母预防伤害的有效激励因素， 损伤预防预见性指导在儿科实践中应用 （美国儿科学会推荐 在每次计划的例行健康检查中）的比例很低。这样做的目的 研究是进行可行性研究，以确定a） 儿科门诊的可接受性和直接影响 家庭干预措施（包括同伴教育， 组织和系统组成部分） 儿科实践的预防和证明，以及B） 系统支持和供应商的组织承诺 参与（临床医生和扩展人员）目标实践。A前- 将采用准实验设计进行初步试验 干预的可接受性和影响。组织招聘 支持和提供者参与将包括目标人群 参与初级儿科护理实践， 潜在功效试验

Unintentional injuries are the leading cause of preventable death among U.S., children ages 1 to 4 years. Much childhoodinjury morbidity and mortality is caused by safety hazards inthe home environment. Although pediatricians can be effectivemotivators of parents for injury prevetion, the rates of injuryprevention anticipatory guidance in pediatric pactice (recommendedby the American Academy of Pediatrics for delivery at each scheduled routine health visit) are low. The purpose of this researchis to conduct a feasibility study to determine a) acceptabilityand immediate impact of pediatric office-based preliminaryinterventions (including companion educational, organizationand systems components) for childhood injury prevention indemonstration pediatric practices, and b) organizational commitment of systems support and provider participation(clinician and extended staff) in target practices. A Pre- orquasi-experimental design will be used for pilot tests of primary intervention acceptability and impact. Recruitmentfor organizational support and provider participation willinclude a population of target participating primary pediatriccare practices sufficient for a potential efficacy trial.