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Translation of an evidence-based tailored childhood injury prevention program

Nancy L Weaver1, Janice Williams, Heather A Jacobsen

  • 1Department of Community Health, School of Public Health, Saint Louis University, 3545 Lafayette Avenue, St Louis, MO 63104, USA. weavernl@slu.edu

Insights

This study adapted the Safe n' Sound computer program to reduce childhood injuries for use in general clinics. The evidence-based approach provides tailored safety information to parents and healthcare providers.

Area of Science:

  • Pediatric injury prevention
  • Public health informatics
  • Health services research

Background:

  • Unintentional childhood injuries are a leading cause of death for children over one year old in the US.
  • The Safe n' Sound program is an evidence-based, computer-delivered intervention designed to mitigate these risks.
  • Existing efficacy-tested versions require adaptation for broader clinical implementation.

Purpose of the Study:

  • To translate the Safe n' Sound program into a stand-alone application suitable for general clinic environments.
  • To enhance accessibility and reach for parents and healthcare providers regarding childhood injury prevention.
  • To evaluate the feasibility and success factors of implementing a digital health tool in a clinical setting.

Main Methods:

  • Conducted an organizational assessment to understand clinic staff needs and implementation feasibility.
  • Modified the program by reducing length, prioritizing key risk areas (burns, falls, poisoning, drowning, suffocation, choking, car safety), and updating content.
  • Repackaged the application to minimize cost and space requirements, and developed supporting promotional and instructional materials.

Main Results:

  • Successful translation of the Safe n' Sound program into a clinic-ready, stand-alone application.
  • Implementation facilitated by strong collaborative partnerships, the program's relative advantage over traditional methods, its adaptable design, and clinic staff support.
  • Identified key factors contributing to successful program adoption and dissemination in a general clinical setting.

Conclusions:

  • The adapted Safe n' Sound program offers a viable, scalable solution for childhood injury prevention in general clinics.
  • Digital health interventions can be effectively translated and implemented with careful planning and stakeholder engagement.
  • Further work should address identified challenges and explore long-term impact and sustainability.

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