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Updated: Apr 15, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Home fire safety education for parents of newborns
Carlee Lehna1, Erin Fahey2, Erika G Janes3
1University of Louisville School of Nursing, 555 S. Floyd St., Louisville, KY 40202, United States; University of Louisville School of Medicine, Abell Administration Building, 323 E. Chestnut St., Louisville, KY 40202, United States.
Insights
A DVD effectively increased parents' home fire safety (HFS) knowledge, nearly doubling it immediately after viewing. Knowledge retention remained significant at two weeks, highlighting DVDs as a valuable tool for infant burn prevention.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Unintentional burns are a significant risk for infants, increasing with age and mobility.
- Infants' inability to avoid hazards necessitates parental/adult supervision for burn prevention.
- Treating burns in young children incurs substantial lifelong costs.
Purpose of the Study:
- To evaluate changes in home fire safety (HFS) knowledge and practices among parents of newborns and expecting parents.
- To assess the effectiveness of a DVD-based educational intervention on HFS knowledge.
- To measure the retention of HFS knowledge and the adoption of HFS practices.
Main Methods:
- 103 parents' HFS knowledge was assessed at baseline, immediately after a HFS DVD (recall), and at 2-week follow-up (retention).
- The United States Fire Administration (USFA)/Federal Emergency Management Agency (FEMA) Home Safety Checklist was used to evaluate HFS practices.
- Demographic data including ethnicity, marital status, and parental experience were collected.
Main Results:
- HFS knowledge significantly increased from baseline (45±12%) to recall (87±17%), p<0.0001.
- Knowledge retention at 2 weeks was 75±18%, indicating a sustained increase from baseline.
- For a subsample (n=22), 71±11% of advocated HFS practices were followed.
Conclusions:
- DVDs are an effective educational tool for enhancing parents' HFS knowledge.
- This intervention addresses infant burn prevention by improving parental knowledge and practices.
- Short, inexpensive DVDs offer a practical solution for increasing home fire safety awareness.
Abstract:
In children under 1 year of age, the proportion of unintentional burns increases with infant age and mobility. Infants are not able to avoid burns and are dependent on parental or adult help. Treatment of burns in young children is expensive in terms of the life-long costs. The purpose of this study was to examine changes in home fire safety (HFS) knowledge and practices over time for parents of newborn children and expecting parents. HFS knowledge of 103 parents was assessed at baseline, immediately after watching a DVD on HFS (recall), and at 2-week follow-up (retention). In addition, the United States Fire Administration (USFA)/Federal Emergency Management Agency (FEMA) Home Safety Checklist which examines HFS practices in the homes was administered. Seventy percent of the participants were Caucasian, 65% were married, and 81% were first-time parents. HFS knowledge increased significantly from baseline to recall (45±12% vs. 87±17% correct responses, p<0.0001), but declined to 75±18% correct at retention. That is, an individual's baseline scores nearly doubled at recall (42±11% change in baseline score), but only increased by 67% at retention (30±15% change in baseline score). For a subsample of parents who completed the USFA Checklist (n=22), the mean percentage of advocated practices followed was 71±11% (range: 40-89%). Using DVDs was an effective educational modality for increasing HFS knowledge. This addressed an important problem of decreasing burns in infants through increasing parent knowledge and HFS practices using a short, inexpensive DVD.
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