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Tailoring a Child Injury Prevention Program for Low-Income U.S. Families
Amy Damashek1, Barbara Morrongiello2, Felicia Diaz1
1Western Michigan University, Kalamazoo, MI.
Insights
Childhood injuries are a major concern, especially for young children. The Supervising for Home Safety (SHS) program was adapted to be culturally relevant for low-income U.S. families, enhancing child injury prevention efforts.
Area of Science:
- Public Health
- Pediatric Safety
- Health Intervention Research
Background:
- Unintentional injuries are the leading cause of death for U.S. children aged 1-4.
- Low-income children face the highest risk of injury.
- Caregiver supervision is a key factor in preventing childhood injuries.
Purpose of the Study:
- To adapt the Canadian Supervising for Home Safety (SHS) program for cultural appropriateness.
- To ensure the modified SHS program effectively targets low-income U.S. families with preschool children.
- To maintain the core injury prevention messages of the SHS program during adaptation.
Main Methods:
- Two rounds of focus groups were conducted with caregivers.
- Feedback from the first round informed modifications to program materials.
- Program materials were revised based on caregiver input and U.S. injury statistics.
Main Results:
- Caregivers found both original and modified materials impactful and relatable.
- Key messages about rapid injury occurrence and caregiver prevention were reinforced.
- Modifications included diverse family representation and U.S. injury data.
Conclusions:
- The SHS program was successfully modified for cultural relevance to low-income U.S. families.
- The adapted program maintains its core injury prevention messaging.
- The modified intervention is poised to increase awareness and reduce injury risk in the target population.
Objective:
Unintentional injuries are the leading cause of death for children in the United States (U.S.), and young children ages (1-4) are particularly at risk. Supervising for Home Safety (SHS) is a Canadian intervention that has been shown to reduce children's injury risk by increasing caregiver supervision. Given that low-income children are at greatest risk for injury, this study describes a process of modifying the SHS program to be culturally appropriate for low-income families of U.S. preschool children.
Methods:
Two rounds of focus groups were completed; feedback from the first round of focus groups was used to modify program materials prior to the second round.
Results:
Caregivers gleaned important take-away messages from both the original and modified materials, including the idea that injuries can happen quickly and that caregivers can prevent injuries. Modifications to the intervention included increased diversity in the families represented in the videos as well as inclusion of U.S. injury statistics. Caregivers in both rounds of focus groups noted that the program messages were relatable and realistic and that the materials were impactful in increasing their awareness of children's injury risk.
Conclusion:
We were able to successfully modify the SHS program to be appropriate for low-income U.S. families while preserving the core program messages.
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