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Exploring the Potential of a Behavior Theory-Informed Digital Intervention for Infant Fall Prevention: Mixed Methods
Nipuna Cooray1, Catherine Ho1, Amy Bestman1
1The George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales Sydney, Barangaroo, Australia.
JMIR Pediatrics and Parenting
|January 3, 2024
Summary
A new digital intervention shows promise in preventing infant falls by influencing caregiver behavior. The app was well-received by parents, especially new ones, and offers insights for future improvements in fall prevention strategies.
Area of Science:
- Pediatric injury prevention
- Digital health interventions
- Behavioral science in public health
Background:
- Falls are the leading cause of hospitalization for infants under one year old.
- Existing prevention strategies lack targeted interventions for this age group.
- Digital behavior change interventions (DBCIs) offer a potential avenue for caregiver behavior modification.
Purpose of the Study:
- To evaluate a user-centered, behavior theory-informed digital intervention for infant fall prevention.
- To assess the intervention's impact on behavioral drivers related to infant fall risk.
- To examine user experience, acceptability, and engagement with the DBCI.
Main Methods:
- A pre-post longitudinal study involving 62 parents of infants under one year old.
- Participants used the digital intervention for three months.
- Data collected included fall risk reduction potential, behavioral drivers, user acceptability, and engagement, supplemented by qualitative interviews.
Main Results:
- A statistically significant increase in the potential to reduce infant falls was observed post-intervention, with a greater effect noted in new parents.
- Parents confirmed the intervention effectively targeted key behavioral drivers for fall prevention.
- The digital intervention demonstrated high user acceptability and positive engagement.
Conclusions:
- The developed digital intervention shows potential for reducing infant falls, particularly benefiting new parents.
- The DBCI positively influenced parental behaviors crucial for infant fall prevention.
- High acceptability and user feedback provide a foundation for refining the intervention.
Keywords:
acceptabilityaccidental fallaccidental fallsaccidentsappbehaviorchild injurychildrendevelopmentdigital behavior change interventionsdigital interventionfall preventionfall riskfallsinfancyinfantinfant behaviorinfant fallinjuryinternetlongitudinal designmaternal, paternalmixed methodsmixed methods longitudinal studymobile appmobile phoneparentparentsuser experienceusers
