Developing and Evaluating New Approaches to Youth Agricultural Injury Prevention

描述（由申请人提供）：20世纪80年代和90年代，越来越多的人认识到儿童农业伤害（CAI）是一个严重的公共卫生问题，导致1999年出版了《北美儿童农业任务指南》（NAGCAT）。尽管在过去的15年里进行了一些减少CAI影响的尝试，但在这一领域对预防干预措施的方法上严格的评估非常缺乏。本研究的总体目标是开发和评估一种以家庭为基础的干预措施，旨在显著降低CAI的风险。为了实现这一目标，将在项目的前半期开发、试点测试和适当修订扩大NAGCAT范围的教育材料。第二，将制定和评价加强遵守扩大的准则的两项战略；一种策略将只针对父母（就像NAGCAT的情况一样），另一种策略将以家庭为基础，这是一种尚未在该领域尝试的方法。这里的基本理由是，以家庭为基础的CAI预防方法可以激发家庭的协同动力，从而最大限度地遵守所有成人和青年户主扩大的指导方针。这些策略将通过随机对照试验（RCT）进行评估。该随机对照试验的结果将为以下问题提供基于证据的答案：通过基于理论的干预策略，扩大指南的依从性在多大程度上可以最大化？一种策略在多大程度上比另一种策略更有效？在多大程度上遵守扩展后的指南实际上可以降低CAI的风险？我们的假设是，在暴露于危险的青少年中，以家庭为基础的初级预防CAI的方法在降低风险方面比其他方法更有效。本课题的具体研究目的是：1。制定初级预防CAI的书面指导方针，将其扩展到《NAGCAT》的范围之外，并处理与非工作农业相关的伤害。2. 制定和试点测试两项基于理论的战略，以加强对扩大的指导方针的遵守。3. 通过随机对照试验（RCT）评估干预策略的有效性。4. 依靠PEM数据，根据扩展的指导方针，定量地评估CAI的风险和保护因素在日常基础上存在的程度。5. 根据PEM数据，量化参与青少年CAI的风险。

DESCRIPTION (provided by applicant): Recognition of childhood agricultural injury (CAI) as a serious public health problem grew in the 1980's and 1990's, leading to the 1999 publication of the North American Guidelines for Children's Agricultural Tasks (NAGCAT). Despite a number of attempts to reduce the impact of CAI over the past 15 years, methodologically rigorous evaluations of prevention interventions in this area are sorely lacking. The overarching goal of the proposed research is to develop and evaluate a family-based intervention designed to significantly reduce the risk of CAI. To achieve this goal, educational materials that expand the scope of the NAGCAT will be developed, pilot-tested, and appropriately revised during the first half of the project period. Second, two strategies for enhancing compliance with the expanded guidelines will be developed and evaluated; one strategy will target only parents (as is the case with the NAGCAT), and the other will be family-based, an approach not yet attempted in this area. The underlying rational here is that a family-based approach to CAI prevention can stimulate a synergistic family dynamic resulting in maximal compliance with the expanded guidelines on the part of all adult and youth householders. The strategies will be evaluated by conducting a randomized controlled trial (RCT). Results from this RCT will provide evidence-based answers to the following questions: To what extent can compliance with the expanded guidelines be maximized through theory-based intervention strategies? To what extent is one strategy more effective than another? To what extent can compliance with the expanded guidelines actually reduce the risk of CAI? Our hypothesis is that a family-based approach to primary prevention of CAI among hazard- exposed youth will be more effective than other approaches in reducing risk. Specific Aims of the proposed research are: 1. Develop written guidelines for the primary prevention of CAI that extend beyond the scope of the NAGCAT and address non-working agriculture-related injuries. 2. Develop and pilot test two theory-based strategies for enhancing compliance with the expanded guidelines. 3. Evaluate the effectiveness of the intervention strategies by conducting a randomized controlled trial (RCT). 4. Relying on the PEM data, quantitatively assess the extent to which risk and protective factors for CAI are present on a daily basis with respect to the expanded guidelines. 5. Relying on the PEM data, quantify the risk of CAI among participating youth.