Translating an Evidence-Based Injury Prevention Program for Implementation in a Home Visitation Setting

Area of Science:

• Public Health
• Pediatric Injury Prevention
• Health Services Research

Background:

• Childhood injuries are a significant public health concern.
• The Safe N' Sound (SNS) program offers tailored injury prevention information to parents.
• Home visitation programs serve high-need families, presenting an opportunity to integrate injury prevention.

Purpose of the Study:

• To identify barriers and facilitators to translating and implementing the SNS program within a home visitation organization.
• To understand nurse home visitor (NHV) perspectives on program implementation.

Main Methods:

• Semistructured interviews were conducted with nurse home visitors (NHVs).
• Interviews explored perceptions of program implementation, intervention characteristics, and individual NHV factors.
• Qualitative data analysis was used to identify themes related to barriers and facilitators.

Main Results:

• Program utility for systematic injury prevention and mission alignment facilitated implementation.
• Barriers included concerns about client burden, missed educational opportunities, and delayed reports.
• Successful implementation depends on the interaction between intervention characteristics and organizational/individual factors.

Conclusions:

• Customizing the SNS program's implementation to the specific capacity and needs of home visitation organizations is crucial.
• Addressing identified barriers can enhance the effectiveness of childhood injury prevention programs in vulnerable populations.
• Successful translation requires careful consideration of both intervention design and the context of delivery.