Developing and Evaluating New Approaches to Youth Agricultural Injury Prevention

描述（由申请人提供）：儿童农业伤害（CAI）作为一个严重的公共卫生问题的认识在20世纪80年代和90年代增长，导致1999年出版的北美儿童农业任务指南（NAGCAT）。尽管在过去15年中多次尝试减少计算机辅助教育的影响，但对该领域的预防干预措施进行的严格方法评估仍然严重缺乏。拟议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，旨在显着降低CAI的风险。为实现这一目标，将在项目期的前半期编制、试行和适当修订扩大《国家性别平等和增强权能法》范围的教材。第二，将制定和评估两项加强遵守扩大的指导方针的战略;一项战略将只针对父母（如《国家禁止酷刑和其他残忍、不人道或有辱人格的待遇或处罚公约》），另一项战略将以家庭为基础，这是一种在这一领域尚未尝试的方法。这里的基本理由是，以家庭为基础的预防CAI的方法可以刺激一种协同的家庭动力，导致所有成年人和青年户主最大限度地遵守扩大的指导方针。将通过随机对照试验（RCT）对这些策略进行评价。这项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，在多大程度上可以最大限度地遵守扩展指南？在多大程度上，一种策略比另一种策略更有效？在多大程度上可以遵守扩大的指导方针，实际上减少CAI的风险？我们的假设是，以家庭为基础的方法，在危险暴露的青年中进行CAI的初级预防，在降低风险方面比其他方法更有效。具体的研究目的是：1。制定书面指导方针，用于CAI的初级预防，超出NAGCAT的范围，并解决与农业有关的非工作伤害。2.制定和试点测试两个理论为基础的战略，以加强遵守扩大的准则。3.通过随机对照试验（RCT）评价干预策略的有效性。4.根据PEM数据，定量评估CAI的风险和保护因素在扩展指南中每天存在的程度。5.依靠PEM数据，量化参与青年中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.