预防伤害计划以减少幼儿伤害:一个集群随机试验
Eliana M Perrin1, Asheley C Skinner2, Lee M Sanders3
1Department of Pediatrics, Johns Hopkins University Schools of Medicine and Nursing, Baltimore, Maryland.
Pediatrics
|April 1, 2024
概括
在一项涉及低收入家庭的试验中,伤害预防计划 (TIPP) 显著减少了儿童伤害. 该计划推用于例行儿科护理,以提高儿童的安全性.
科学领域:
- 预防儿童伤害的预防.
- 公共卫生干预措施 公共卫生干预措施
- 儿童安全研究儿童安全研究
背景情况:
- 美国儿科学会于1983年制定了伤害预防计划 (TIPP).
- TIPP的目标是帮助儿科医生预防儿童的无意伤害.
- 在这项研究之前,TIPP的有效性没有得到正式评估.
研究的目的:
- 评估伤害预防计划 (TIPP) 对报告的伤害的影响.
- 评估TIPP在儿童生命的前两年中的有效性.
主要方法:
- 在四个学术医疗中心进行了分层,集群随机试验.
- 两个中心在2-24个月的儿童的健康检查 (WCC) 中实施了TIPP查和咨询.
- 父母报告的伤害数据在WCC收集并使用比例概率逻辑回归分析.
主要成果:
- 总共有781个亲婴二合体被纳入分析.
- 与控制站点相比,实施TIPP的站点显示,报告受伤的调整后几率显著降低.
- 受伤率的降低从4个月后的23%到12个月后的73%不等.
结论:
- 伤害预防计划 (TIPP) 导致家长报告的伤害显著减少.
- 该研究支持TIPP在常规健康儿童护理中的实施.
- 这些发现对主要是低收入,西班牙裔和非西班牙裔黑人家庭尤为重要.
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