INJURY PREVENTION GUIDANCE IN PEDIATRIC HEALTH SUPERVISION

意外伤害是美国儿童可预防死亡的主要原因。非致命伤害的发生率是儿童发病率高的原因。在儿科初级保健中增加对父母的伤害预防指导的范围和质量是一种有希望的策略，可以减少可预防的伤害，从而获得健康和经济效益。虽然儿科医生可以有效地激励父母预防伤害，但儿科实践中的预期指导率（由美国儿科学会推荐，用于常规健康访视时的分娩）很低。本研究的目的是检查的程度，内容和动态的伤害预防指导（IPG）之间的沟通儿科医生和照顾者作为一个双向的过程，在例行的儿童健康访问。录音通信的一个样本的儿科医生，护理人员的数据集（纵向系列产生36儿科医生，护理人员对和120次访问）转录和分析的定量和定性的方法。该研究将为未来临床干预措施的开发和设计提供信息，以加强初级儿科护理中伤害预防指导的提供，并减少儿童伤害。干预措施将适用于研究所对初级保健进行伤害预防干预的可行性研究。- 儿童期损伤，儿童保健，儿科干预-人类受试者和人类受试者：仅访谈，问卷调查或调查

Unintentional injuries are the leading cause of preventable death among U.S. children. The incidence of nonfatal injuries accounts for a high rate of child morbidity. Increasing the extent and quality of injury prevention guidance to parents in pediatric primary care is a promising strategy to obtain the health and economic benefits of reducing preventable injuries. Although pediatricians can be effective motivators of parents for injury prevention, the rates of anticipatory guidance in pediatric practice (recommended by the American Academy of Pediatrics for delivery at routine health visits) are low. The purpose of this research is to examine the extent, content, and dynamics of injury prevention guidance (IPG) communications between pediatricians and caretakers as a two- way process during routine child health visits. Audio-taped communications of a sample of pediatrician-caretaker data sets (the longitudinal series yielding 36 pediatrician-caretaker pairs and 120 visits) are transcribed and analyzed by quantitative and qualitative methods. The study will provide information for the development and design of future clinically-based interventions to enhance the delivery of injury prevention guidance in primary pediatric care and decrease childhood injuries. The interventions will be applicable to research on the feasibility of injury prevention interventions to primary care by the Institute. - childhood injury, well child care, pediatric intervention - Human Subjects & Human Subjects: Interview, Questionaires, or Surveys Only