Varying Effect of a Randomized Toddler Home Safety Promotion Intervention Trial by Initial Home Safety Problems

BackgroundToddler-aged children are vulnerable to unintentional injuries, especially those in low-income families.ObjectiveTo examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers.Methods277 low-income mother–toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants' homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups.ResultsThe intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time β=−0.54, 95% CI −0.05 to −1.03, p=0.035), with no significant differences at the 6-month follow-up.ConclusionsA safety promotion intervention built on principles of SCT has the potential to promote toddlers' home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices.Trial registration numberNCT02615158; post-results.

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Rationales for home safety promotion in the Iranian primary healthcare system: results from a pilot study

Public Health ◽

10.1016/j.puhe.2005.03.003 ◽

2006 ◽

Vol 120 (1) ◽

pp. 58-64 ◽

Cited By ~ 6

Author(s):

R. Mohammadi ◽

R. Ekman ◽

L. Svanström ◽

M.M. Gooya

Keyword(s):

Pilot Study ◽

Healthcare System ◽

Primary Healthcare ◽

Home Safety ◽

Safety Promotion

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Evaluation of the effectiveness, implementation and cost-effectiveness of the Stay One Step Ahead home safety promotion intervention for pre-school children: a study protocol

Injury Prevention ◽

10.1136/injuryprev-2020-043877 ◽

2020 ◽

Vol 26 (6) ◽

pp. 573-580

Author(s):

Elizabeth Orton ◽

Michael Craig Watson ◽

Mike Hayes ◽

Tina Patel ◽

Matthew Jones ◽

...

Keyword(s):

At Risk ◽

Cost Effectiveness ◽

Family Support ◽

Injury Risk ◽

Cost Savings ◽

Cost Effective ◽

Home Safety ◽

Safety Promotion ◽

One Step ◽

The Impact

BackgroundUnintentional injuries in children under the age of 5 years commonly occur in the home and disproportionately affect those living in disadvantaged circumstances. Targeted home safety promotion should be offered to families most at risk but there is a paucity of standardised evidence-based resources available for use across family-support practitioners.ObjectiveTo assess the effectiveness, implementation and cost-effectiveness of a 2-year home safety programme (Stay One Step Ahead) developed by parents, practitioners and researchers, and delivered by a range of family support providers in inner-city localities, compared with usual care in matched control localities.MethodsParents of children aged 0 to 7 months will be recruited to a controlled before and after observational study. The primary outcome is home safety assessed by the proportion of families with a fitted and working smoke alarm, safety gate on stairs (where applicable) and poisons stored out of reach, assessed using parent-administered questionnaires at baseline, 12 and 24 months.Secondary outcomes include: the impact on other parent-reported safety behaviours, medically-attended injuries, self-efficacy for home safety and knowledge of child development and injury risk using questionnaires and emergency department attendance data; implementation (reach, acceptability, barriers, facilitators) of home safety promotion assessed through interviews and observations; and cost-effectiveness using medically-attended injury costs ascertained from healthcare records.ConclusionIf shown to be effective and cost-effective this study will provide a practical resource to underpin national guidance. The study could inform public health prevention strategies to reduce home injury in children most at risk, while delivering cost savings to health and care services.Trial registration numberISRCTN31210493; Pre result.

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The impact of home safety promotion on different social strata in a WHO safe community

Public Health ◽

10.1016/j.puhe.2005.12.002 ◽

2006 ◽

Vol 120 (5) ◽

pp. 427-433 ◽

Cited By ~ 5

Author(s):

T. Timpka ◽

P. Nilsen ◽

K. Lindqvist

Keyword(s):

Home Safety ◽

Safety Promotion ◽

The Impact ◽

Safe Community

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Antifungal treatment in sarcoidosis—A pilot intervention trial

Yearbook of Pulmonary Disease ◽

10.1016/s8756-3452(08)70637-6 ◽

2008 ◽

Vol 2008 ◽

pp. 178-179

Author(s):

K.L. Lewis

Keyword(s):

Antifungal Treatment ◽

Intervention Trial ◽

Pilot Intervention

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Rice Fortified with Iron Given Weekly Increases Hemoglobin Levels and Reduces Anemia in Infants: a Community Intervention Trial

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000145 ◽

2013 ◽

Vol 83 (1) ◽

pp. 59-66 ◽

Cited By ~ 4

Author(s):

Francisco Plácido Nogueira Arcanjo ◽

Paulo Roberto Santos ◽

Álvaro Jorge Madeiro Leite ◽

Francisco Sulivan Bastos Mota ◽

Sérgio Duarte Segall

Keyword(s):

Community Intervention ◽

Capillary Blood ◽

Number Needed To Treat ◽

Intervention Trial ◽

Day Care Centers ◽

Control Center ◽

Ferric Pyrophosphate ◽

Child Day Care ◽

Child Day Care Centers ◽

The Impact

More than two billion people suffer from anemia worldwide, and it is estimated that more than 50 % of cases are caused by iron deficiency. In this community intervention trial, we evaluated infants aged 10 to 23 months of age (n = 171) from two public child day-care centers. Intervention lasted 18 weeks. The 50-g individual portion (uncooked) of fortified rice provided 56.4 mg of elemental iron as ferric pyrophosphate. Capillary blood samples to test for anemia were taken at baseline and at endpoint. The objective of this study was to evaluate the impact of rice fortified with iron (Ultrarice®) on hemoglobin and anemia prevalence compared with standard household rice. For the fortified rice center, baseline mean hemoglobin was 113.7 ± 9.2 g/L, and at endpoint 119.5 ± 7.7 g/L, p < 0.0001; for the standard rice center, baseline mean hemoglobin value was 113.5 ± 40.7 g/L, and at endpoint 113.6 ± 21.0, p = 0.99. Anemia prevalence for the fortified rice center was 27.8 % (20/72) at baseline, and 11.1 % (8/72) at endpoint, p = 0.012; for the control center, 47.1 % (33/70) were anemic at baseline, and 37.1 % (26/70) at the end of the study, p = 0.23. The Number Needed to Treat (NNT) was 4. In this intervention, rice fortified with iron given weekly was effective in increasing hemoglobin levels and reducing anemia in infants.

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