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Supervising for Home Safety Program: A Randomized Controlled Trial (RCT) Testing Community-Based Group Delivery.

Barbara A Morrongiello1, Sharon Hou1, Melissa Bell1

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|October 25, 2016
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Summary

The Supervising for Home Safety (SHS) program, when delivered in groups, enhances caregivers' beliefs and practices regarding child injury prevention. This community-based approach is feasible, accepted by caregivers, and improves home safety.

Keywords:
RCTSupervising for Home Safety programinjury preventionpreschoolerssupervision

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Area of Science:

  • Public Health
  • Pediatric Safety
  • Caregiver Education

Background:

  • The individually delivered Supervising for Home Safety (SHS) program has previously shown efficacy in improving caregiver injury-related beliefs and supervision.
  • Group delivery in a community setting was assessed for program impact, feasibility, and acceptance.

Purpose of the Study:

  • To evaluate the impact of a group-delivered Supervising for Home Safety (SHS) program on caregivers' injury prevention beliefs and practices.
  • To assess the feasibility and acceptance of the SHS program when delivered in a community setting.

Main Methods:

  • A randomized controlled trial was conducted with caregivers of 2-5-year-old children.
  • Participants were randomized to either the SHS program or an attention-matched control group.
  • Program impact, feasibility, and acceptance were assessed.

Main Results:

  • Caregivers in the SHS group showed significant increases in beliefs about child vulnerability to injury, injury preventability, and self-efficacy.
  • Improvements were observed in readiness for change in supervision and watchful supervision practices.
  • High caregiver satisfaction and engagement were reported, with 95% completing at least seven of nine sessions.

Conclusions:

  • The SHS program is suitable for group delivery in community settings.
  • The program is well-received by caregivers and leads to positive changes in home safety practices.
  • Group delivery of SHS is a viable method to enhance caregiver supervision and reduce child injury risk.