Yan Wang1,2, Andrea C Gielen3, Laurence S Magder2, Erin R Hager1,2, Maureen M Black1,4. 1. Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA. 2. Department of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA. 3. The Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. 4. RTI International, Research Triangle Park, North Carolina, USA.
Abstract
BACKGROUND:Toddler-aged children are vulnerable to unintentional injuries, especially those in low-income families. OBJECTIVE: To examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers. METHODS:277 low-income mother-toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants' homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups. RESULTS: The intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time β=-0.54, 95% CI -0.05 to -1.03, p=0.035), with no significant differences at the 6-month follow-up. CONCLUSIONS: A safety promotion intervention built on principles of SCT has the potential to promote toddlers' home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices. TRIAL REGISTRATION NUMBER: NCT02615158; post-results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
RCT Entities:
BACKGROUND: Toddler-aged children are vulnerable to unintentional injuries, especially those in low-income families. OBJECTIVE: To examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers. METHODS: 277 low-income mother-toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants' homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups. RESULTS: The intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time β=-0.54, 95% CI -0.05 to -1.03, p=0.035), with no significant differences at the 6-month follow-up. CONCLUSIONS: A safety promotion intervention built on principles of SCT has the potential to promote toddlers' home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices. TRIAL REGISTRATION NUMBER: NCT02615158; post-results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Authors: John C LeBlanc; I Barry Pless; W James King; Harry Bawden; Anne-Claude Bernard-Bonnin; Terry Klassen; Milton Tenenbein Journal: CMAJ Date: 2006-09-22 Impact factor: 8.262
Authors: Andrea Carlson Gielen; Eileen M McDonald; Modena E H Wilson; Wei-Ting Hwang; Janet R Serwint; John S Andrews; Mei-Cheng Wang Journal: Arch Pediatr Adolesc Med Date: 2002-01
Authors: Denise Kendrick; Ben Young; Amanda J Mason-Jones; Nohaid Ilyas; Felix A Achana; Nicola J Cooper; Stephanie J Hubbard; Alex J Sutton; Sherie Smith; Persephone Wynn; Caroline Mulvaney; Michael C Watson; Carol Coupland Journal: Evid Based Child Health Date: 2013-05
Authors: Samar Al-Hajj; Ediriweera Desapriya; Colleen Pawliuk; Len Garis; Ian Pike Journal: Int J Environ Res Public Health Date: 2022-04-29 Impact factor: 4.614
Authors: Maureen M Black; Erin R Hager; Yan Wang; Kristen M Hurley; Laura W Latta; Margo Candelaria; Laura E Caulfield Journal: Matern Child Nutr Date: 2020-09-04 Impact factor: 3.092
Authors: Angela C B Trude; Maureen M Black; Pamela J Surkan; Kristen M Hurley; Yan Wang Journal: Matern Child Nutr Date: 2020-03-08 Impact factor: 3.092