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Drowning prevention counselling by paediatricians to educate caregivers on water safety
Shabana Yusuf1, Jennifer L Jones1, Elizabeth A Camp1
1Department of Pediatrics, Division of Pediatrics Emergency Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, United States.
Insights
Pediatricians improved drowning prevention counseling for children aged 0-10. This water safety program increased caregiver knowledge, reducing child drowning risks in Texas.
Area of Science:
- Public Health
- Pediatrics
- Injury Prevention
Background:
- Drowning is a leading cause of unintentional injury death for children aged 1-4 in the USA.
- Texas experiences a disproportionately high rate of pediatric drowning incidents.
Purpose of the Study:
- To enhance drowning prevention counseling during pediatric well-child visits for children aged 0-10.
- To implement and evaluate a water safety education program for healthcare providers.
Main Methods:
- A water safety counseling program was developed and implemented for pediatricians.
- Physicians and caregivers were surveyed pre- and post-intervention regarding drowning prevention strategies and knowledge.
- Data collected included physician counseling rates and caregiver-reported learning of new safety information.
Main Results:
- Physician discussion of drowning prevention improved significantly (3.5 to 4 on Likert scale, P=0.002).
- Counseling frequency in primary care increased from 54% to 70%.
- Caregiver acquisition of new water safety information rose from 68.8% to 80.6% (P<0.001).
Conclusions:
- The water safety education program successfully increased drowning prevention counseling during well-child visits.
- The program proved effective in enhancing caregiver knowledge of water safety measures.
- Pediatricians possessed adequate drowning prevention knowledge, and the counseling strategy facilitated knowledge transfer to families.
Aim:
Drowning is the leading cause of unintentional injury death for children 1-4 years of age in the USA. Texas, a southeastern state, is disproportionately burdened by paediatric drowning. The aim of this project was to increase drowning prevention counselling provided during well-child visits to families with children aged 0-10 years.
Methods:
We developed and implemented a water safety counselling programme for paediatricians to impart to families during well child, urgent care and ED visits for 0-10 year age group. Physicians completed and self-reported demographic, pre- and post-intervention, counselling rate and project evaluation surveys, while caregivers completed post-intervention surveys only. Both physicians and caregivers were surveyed on evidence-based drowning prevention strategies (four-sided fencing of pools, touch supervision, life jackets and swim/cardio-pulmonary resuscitation classes).
Results:
Thirty-three physicians and 1934 caregivers participated in the project. Physicians demonstrated statistically significant improvement in discussing drowning prevention with patients (3.5 vs. 4 on Likert scale; P = 0.002) in 2018 versus 2019. The counselling frequency in primary care settings increased from 54% to 70% from year 1 to 2. 100% of physicians correctly identified the best drowning prevention strategy and 80.6% of caregivers reported learning new water safety information in 2019 versus 68.8% in 2018 (P value < 0.001).
Conclusions:
This water safety education programme demonstrated increased drowning prevention counselling during well-child visits. The counselling was effective as demonstrated by increased caregiver acquisition of new water safety information. Paediatricians had adequate drowning prevention knowledge; an efficient counselling strategy helped them impart this knowledge to their patients.
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