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Published on: April 19, 2019
A randomized trial to assess the effectiveness of an infant home safety programme
1BC Injury Research & Prevention Unit, Vancouver, BC, Canada. sbabul@cw.bc.ca
Insights
This study on infant injury prevention found that while safety kits and home visits increased some parental safety behaviors, they did not reduce reported injuries in children aged 2-12 months.
Area of Science:
- Pediatric injury prevention
- Public health interventions
- Child safety research
Background:
- Infant injuries pose a significant public health concern.
- Effective interventions are needed to reduce injury risk in infants aged 2-12 months.
- Parental safety behaviors are crucial in preventing childhood injuries.
Purpose of the Study:
- To evaluate the effectiveness of a home safety kit and a home visit intervention on infant injury prevention.
- To assess the impact of these interventions on parental safety behaviors and child injury rates.
Main Methods:
- A non-blinded, randomized controlled trial involving parents of infants aged 2-12 months.
- Intervention groups received a home safety kit with educational materials; one group also received a home visit from a nurse.
- Data on safety behaviors and injuries were collected via questionnaires at 2, 6, and 12 months.
Main Results:
- Two out of 14 measured parental safety behaviors significantly increased in intervention groups.
- No significant reduction in parent-reported injuries was observed in children across intervention groups.
- Home visitation appeared to enhance the utilization of safety devices provided.
Conclusions:
- While interventions increased specific safety practices, they did not directly decrease reported infant injuries.
- Home visitation may serve as a valuable supplement to safety device distribution, improving their uptake.
- Further research is needed to develop more effective strategies for reducing infant injury rates.
Abstract:
The aim of this study was to test an intervention aimed at addressing the risk of injury in infants 2 - 12 months of age. A non-blinded, randomized controlled trial was conducted, whereby parents were randomly assigned to either a control or one of two intervention groups. Parents completed questionnaires regarding safety behaviours and injuries at the 2 (baseline), 6 and 12 month immunization visit at the community health unit. During the 2 month visit to the health unit, the two intervention groups received a home safety kit containing nine items, an instructional brochure and a risk assessment checklist. Subjects randomized to the safety kit plus home visit group also received a standardized home visit from a community health nurse. Two of the 14 parental safety behaviours showed a significant increase in use among parents in the intervention groups. Neither of the interventions was associated with a reduction in parent-reported injuries among children. It was concluded that home visitation may provide a beneficial adjunct to the provision of safety devices and may increase use by parents.
