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Preventing unintentional pediatric injuries: a tailored intervention for parents and providers

Tonja R Nansel1, Nancy L Weaver, Heather A Jacobsen

  • 1Division of Epidemiology, Statistics.revention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA. nanselt@mail.nih.gov

Health Education Research
|October 2, 2007
PubMed

Insights

Tailored injury prevention information significantly increased parent adoption of safety practices compared to generic advice. This approach proved most effective for less educated parents and complex behaviors.

Area of Science:

  • Pediatric injury prevention
  • Behavioral science
  • Public health communication

Background:

  • Childhood injuries remain a significant public health concern.
  • Effective strategies are needed to promote parental adoption of safety practices.
  • Generic injury prevention advice may have limited impact on behavior change.

Purpose of the Study:

  • To evaluate the efficacy of tailored injury prevention information (T-IPI) for parents.
  • To assess the impact of concurrent T-IPI for parents and providers.
  • To promote parent adoption of pediatric injury prevention behaviors.

Main Methods:

  • Parents of children aged 4 and younger were randomized during well-child visits.
  • Intervention groups received generic information, T-IPI, or T-IPI with provider summary.
  • Follow-up assessments were conducted via telephone after 1 month.

Main Results:

  • Parents receiving T-IPI (alone or with provider summary) were more likely to adopt new safety practices (49% and 45% vs. 32%).
  • Tailored information showed greater effects among less educated parents.
  • Tailored information facilitated reporting of more complex behavior changes.

Conclusions:

  • Individually tailored pediatric injury prevention information is an effective method for anticipatory guidance.
  • Tailoring may be particularly useful for complex behaviors and communication with less educated parents.
  • Provider feedback did not significantly enhance parent-provider communication or safety practice adoption.

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