Prevention of Injuries Among Young Children: Tailoring a Home Supervision Intervention for Low-Income Caregivers

总结 拟议的研究将修改和测试一项干预措施，以培训低收入者， （c）让照料者更有效地监管其幼儿（3-4岁）。研究 将包括四个步骤。在步骤1中，我们将使用先前进行的初步数据， 与Head Start护理人员和家庭访客一起进行焦点小组， 干预在第二步中，我们将与Head Start进行第二轮焦点小组讨论 护理人员和家庭访客，以确定是否需要进行额外的修改， 干预。如果出现以下情况，我们还将对干预措施进行额外修改 needed.在第3步中，我们将用4个Head Start客户端对修改后的干预措施进行试点测试 并将对干预措施进行最后修改。最后，在步骤4中，我们将测试 改良式护理干预对照顾者监督和儿童伤害的影响 低收入家庭的频率。我们将从家庭中招募参与者 从Head Start获得家访服务。我们将使用随机对照 试验方法，以检查干预措施的有效性，以增加照顾者 监督和减少儿童伤害。自我报告和观察数据 将在测试前、测试后和1个月随访时收集监督信息。数据 将在预测试时收集儿童损伤2周，在5周干预期间， 在为期4周的随访期间，通过每周与护理人员进行简短的电话访谈。

Summary The proposed study will modify and test an intervention to train low-income caregivers to supervise their young children (ages 3-4 years) more effectively. The study will include 4 steps. In step 1, we will use preliminary data from previously conducted focus groups with Head Start caregivers and home visitors to make modifications to the intervention. In step 2, we will conduct a second round of focus groups with Head Start caregivers and home visitors to determine if additional modifications need to be made to the intervention. We will also make additional modifications to the intervention if needed. In step 3, we will pilot test the modified intervention with 4 Head Start clients and will make final modifications to the intervention. Finally, in step 4, we will test the effects of the modified intervention on caregivers' supervision and children's injury frequency among low-income families. We will recruit participants from families receiving home visiting services from Head Start. We will use a randomized controlled trial methodology to examine the efficacy of the intervention to increase caregiver supervision and reduce and child injuries. Self-report and observational data on supervision will be collected at pretest, post-test and at a 1-month follow-up. Data on child injuries will be collected for 2 weeks at pre-test, during the 5 week intervention, and during a 4-week follow-up via brief weekly telephone interviews with caregivers.