Safety Promotion Trial for Toddlers

描述（由申请人提供）：意外伤害是儿童死亡的主要原因。美国儿科学会伤害、暴力和中毒预防理事会制定了指导方针，以促进幼儿的安全，包括防止烧伤、福尔斯、中毒、溺水和促进交通安全。然而，对幼儿安全宣传知之甚少。 拟议的调查利用了一个独特的机会。在一项幼儿照顾者肥胖预防的随机试验中，我们开发并实施了一项安全促进干预措施，作为注意力控制组，基于TTM和社会学习理论的原则，专注于目标设定，使用积极策略来促进自我效能和决策平衡。本项目的目的是对幼儿安全促进干预措施对幼儿环境安全的影响以及幼儿照顾者的变化阶段进行二次分析。这项研究有两个具体目标。首先是评估安全干预措施对促进幼儿安全（环境安全和母亲的变化阶段）的影响。第二个目的是确定干预效果的中介和调节因素。 该项目的总体目标是确定有效的策略，以促进幼儿的安全。根据本R03的研究结果，R01申请将建议在田间条件下开发幼儿中改进安全促进干预的有效性试验。

DESCRIPTION (provided by applicant): Unintentional injuries are the leading cause of death among children. The American Academy of Pediatrics Council on Injury, Violence and Poison Prevention has established guidelines to promote safety among young children, including preventing burns, falls, poison ingestion, drowning, and promoting traffic safety. However, little is known about safety promotion among toddlers. The proposed investigation takes advantage of a unique opportunity. In a randomized trial of obesity prevention among caregivers of toddlers, we developed and implemented a safety promotion intervention as an attention control group, based on the principles of the TTM and social learning theory and focused on goal setting, using active strategies to promote self- efficacy and decisional balance. The purpose of this proposed project is to conduct secondary analyses of the effect of the toddler safety promotion intervention on toddler environmental safety and the stage of change among caregivers of toddlers. This study has two specific aims. The first is to assess the effect of the safety intervention on promoting safety (environmental safety and maternal stage of change) among toddlers. The second aim is to identify the mediating and moderating factors for the intervention effect. The overall goal of this project is to identify effective strategies to promoe safety among toddlers. Based on the findings of this R03, an R01 application will propose the development of an effectiveness trial of an improved safety promotion intervention among toddlers under field conditions.