[Evaluation of intervention program for risk behaviors of unintentional injury among school age children]

Li Li1, Xianyin Jiang2, Zhe Chen3

  • 1Department of Social Medicine and Health Management, Xiangya Public Health School, Central South University, Changsha 410078; Department of Nursing, Xiangya Hospital, Central South University, Changsha 410008, China.

Insights

This study developed an intervention protocol to reduce children's unintentional injury risk behaviors. The protocol effectively lowered injury risk scores and decreased the frequency of injuries in young children.

Area of Science:

  • Pediatric safety
  • Behavioral science
  • Public health interventions

Background:

  • Unintentional injuries are a significant concern for child safety.
  • Understanding risk behaviors and influencing factors is crucial for prevention.
  • Existing interventions may not adequately address cognitive and social learning aspects.

Purpose of the Study:

  • To develop and evaluate the feasibility of an intervention protocol targeting children's unintentional injury risk behaviors.
  • To modify children's attribution of unintentional injuries and information transmission regarding risk consequences.
  • To assess the protocol's effectiveness in reducing injury risk behaviors and incidents.

Main Methods:

  • Theoretical analysis of influential factors, cognitive development, and social learning theory informed protocol development.
  • A community-based randomized controlled trial was conducted in a primary school.
  • Intervention involved weekly sessions for 5 consecutive weeks, with data collected pre-intervention and at 3 and 6 months post-intervention.

Main Results:

  • The intervention group showed significantly lower unintentional injury risk behavior scores at 3 and 6 months post-intervention compared to baseline and the control group (P=0.001).
  • Minor unintentional injuries decreased from 119 to 56 in the intervention group at 6 months (P<0.001), with fewer children experiencing multiple injuries.
  • Reductions in slight or more serious unintentional injuries were also observed in the intervention group (P=0.030).

Conclusions:

  • The developed intervention protocol effectively reduces children's unintentional injury risk behaviors.
  • Modifying injury attribution and negative information transmission is a viable strategy for injury prevention.
  • The protocol demonstrated feasibility and effectiveness in a primary school setting.
Abstract

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