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Developing a focused scald-prevention program
Kathleen M Cagle1, James W Davis, William Dominic
1Department of Surgery, University Medical Center, Fresno, California 93702, USA.
Insights
Scald burns are a major concern for young children. This study developed a targeted prevention program for a high-risk community, using formative evaluation to improve child safety.
Area of Science:
- Pediatric burn prevention
- Public health interventions
- Formative research methods
Background:
- Scald burns represent a significant proportion of pediatric burn injuries.
- Identifying high-risk populations is crucial for effective prevention strategies.
- Previous research indicates a need for targeted interventions in specific communities.
Purpose of the Study:
- To design a pilot scald-prevention program using formative evaluation.
- To identify and characterize a high-risk population for scald injuries in young children.
- To develop community-tailored educational and practical interventions.
Main Methods:
- Utilized burn registry and U.S. Census data to define a high-risk population.
- Conducted focus groups with parents in a statistically significant high-incidence zip code.
- Employed a pre/post test and home risk assessment survey to measure program impact.
Main Results:
- Identified a specific zip code with a statistically significant high incidence of pediatric scalds (23 per 100,000).
- Cooking and food preparation were implicated in 84% of scald injuries among children under 6.
- Focus groups provided essential insights into parental knowledge, practices, and attitudes.
Conclusions:
- Formative evaluation, combining registry data, census information, and community feedback, is effective for designing targeted public health programs.
- A community-based, multi-component intervention including workshops and home visits can address scald injury prevention.
- The developed program shows promise for reducing scald injuries in high-risk pediatric populations.
Abstract:
Scalds account for a high percentage of burn injuries in young children. The purpose of this project was to use a formative evaluation process to design a pilot scald-prevention program for a high-risk population. The burn registry and U.S. Census were used to define a high-risk population. A total of 53 children younger than age 6 were admitted to a local burn center with scalds during a 4-year period. Cooking or food accounted for 84% of these injuries. A total of 21% of the patients resided in one zip code, representing an incidence rate of 23 per 100,000, which was statistically significant. Focus group meetings were conducted with parents in this zip code. They were queried about scald injury knowledge, prevention practices, and attitudes toward interventions. A prevention program was designed based on the findings. Workshops are conducted with high-risk groups in the zip code. Attendees consent to a home visit where prevention practices are assessed and taught. A pre/post test and home risk assessment survey is used to measure change. The Burn Registry, U.S. Census, and focus groups were complimentary formative evaluation measures that assisted in developing a targeted scald prevention project.
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