Safety Promotion Trial for Toddlers

描述(申请人提供)：意外伤害是导致儿童死亡的主要原因。美国儿科学会伤害、暴力和毒物预防委员会制定了促进幼儿安全的指导方针，包括防止烧伤、跌倒、服毒、溺水和促进交通安全。然而，人们对幼儿的安全宣传知之甚少。拟议中的调查利用了一个独特的机会。在幼儿照顾者中预防肥胖的随机试验中，我们根据TTM和社会学习理论的原理，以目标设定为重点，制定并实施了安全促进干预措施，作为注意控制组，使用积极的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的。第一个是评估安全干预对促进幼儿安全(环境安全和母体变化阶段)的效果。第二个目的是确定影响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来促进幼儿的安全。基于R03的结果，R01的应用程序将建议开发一项在现场条件下对幼儿进行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.