INCREASING PREVENTIVE ACTION FOR CHILDHOOD INJURY

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，用于常规健康检查时的分娩）很低。本研究的目的是确定在初级儿科护理中进行基于办公室的综合干预系统的有效性试验的可行性，以减少婴幼儿的意外伤害发病率。这些干预措施将基于美国儿科学会现行的安全实践指南和协调的咨询和评估辅助工具，将包括对供应商和办公室系统层面的干预措施，目标将是三个方面：供应商，办公室系统和父母。具体目标是：1）制定和执行初步干预措施; 2）对干预措施进行试点测试，以确定a）可接受性、合作水平和后勤考虑因素，以及B）即时影响; 3）对研究-初级保健伙伴关系进行过程评估，以确定在疗效试验中实施的可行性。在儿科初级保健中增加对父母的伤害预防预期指导的范围和质量是一种有希望的策略，可以获得改善儿童健康和降低医疗费用的双重好处。- 儿童伤害预防，儿童保健，基于儿科诊所的干预-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 rate of anticipatory guidance in pediatric practice (recommended by the American Academy of Pediatrics for delivery at routine health visits) is low. The purpose of this research is to determine the feasibility of conducting an efficacy trial of an integrated system of office-based interventions in primary pediatric care to reduce unintentional injury morbidity in infants and toddlers. The interventions, which will be based on current American Academy of Pediatrics Guidelines for safety practices and coordinated counseling and assessment aids, will include interventions on the provide and office-system levels and the targets will be threefold, providers, office systems, and parents. The specific aims are to: 1) develop and execute preliminary interventions; 2) pilot test the interventions for a) acceptability, level of cooperation, and logistical considerations, and b) immediate impact; and 3) conduct a process evaluation of the research-primary care partnership for feasible implementation in an efficacy trial. Increasing the extent and quality of injury prevention anticipatory guidance to parents in pediatric primary care is a promising strategy to obtain the twofold benefits of improved childhood health and reduced costs of medical care. - childhood injury prevention, well child care, pediatric-office based intervention - Human Subjects & Human Subjects: Interview, Questionaires, or Surveys Only