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

Public Health ◽  
2006 ◽  
Vol 120 (5) ◽  
pp. 427-433 ◽  
Author(s):  
T. Timpka ◽  
P. Nilsen ◽  
K. Lindqvist
Keyword(s):  
Home Safety ◽  
Safety Promotion ◽  
The Impact ◽  
Safe Community

scholarly journals 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

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.

The Impact of Children's Temperament on How Parents Resolve Safety Disagreements During Preadolescence

2020 ◽  
Vol 45 (2) ◽  
pp. 218-228
Author(s):  
Alexa Kane ◽  
Barbara A Morrongiello
Keyword(s):  
Inhibitory Control ◽  
Risk Taking ◽  
Longitudinal Design ◽  
Child Temperament ◽  
Short Term ◽  
Parents And Children ◽  
Safety Promotion ◽  
Behavioral Attributes ◽  
The Impact ◽  
Preadolescent Youth

Abstract Objectives Parents play an important role in keeping their children safe. However, this becomes more difficult during preadolescence as children seek greater autonomy away from the direct supervision of adults. The current study focused on preadolescent youth (10–13 years) and examined parent–child disagreements about safety, with a focus on determining if child temperament attributes moderate the relation between how parents learn of these and resolve these disagreements. Methods A short-term longitudinal design was used. Parents and children retrospectively recalled safety disagreements together and then independently completed questionnaires about these. Parents then tracked disagreements over 1 month. Results The behavioral attributes of inhibitory control and risk-taking propensity both moderated the relationships between parental source of knowledge of safety disagreements and subsequent methods of resolution. Conclusion Safety-promotion messaging for parents of preadolescents may need to be tailored based on child attributes to maximize effectiveness.

scholarly journals Home Safety Evaluation Model for Older Adults With Recurrent Falls

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 265-265
Author(s):  
Willy Marcos Valencia ◽  
Kimberly Cabrera ◽  
Vincent Hsu
Keyword(s):  
Older Adults ◽  
Fear Of Falling ◽  
Evaluation Model ◽  
Safety Evaluation ◽  
Falls Prevention ◽  
Home Safety ◽  
Recurrent Falls ◽  
History Of ◽  
The Impact

Abstract Recurrent falls are a major threat in older adults. Home environment can be a hazard, but it is potentially modifiable/reversible. In Miami VA, occupational therapists conduct home safety evaluations (HSE) to ascertain the need for modifications to reduce falls risk. We reviewed the cohort of high-risk, recurrent falls patients evaluated at our Falls Prevention Clinic (FPC) between August 2017 to November 2019, to evaluate the impact of HSE. We identified 48 Veterans, age 76.5±6.9 years, of whom 15 (31.3%) reported 1-2 falls/year, 18 (37.5%) reported 3-4 falls/year, and 15 (31.3%) reported ≥5 falls/year. Twenty-eight (58.3%) were offered a HSE. Within these subjects, 74.2% reported falling at least once within their home, 43.8% had fear of falling, 5 (17.9%) had a history of substance or alcohol abuse. We observed that 29 (60.4%) would benefit from the addition of grab bars and 26 (54.2%) could benefit from toilet adjustments. Twelve (25.0%) were recommended to install bed rails. Only 15 (31.3%) Veterans agreed to all recommendations, 25 (52.1%) declined due to preference, and 8 (16.7%) declined for other reasons. Only 8 (16.7%) of these Veterans lived alone. Another factor is that 11 (22.9%) Veterans were renting and 32 (66.7%) owned their homes. Addressing and improving environmental hazards may ameliorate the risk for recurrent falls. Our next steps are to evaluate the extent of home modifications, and the long-term changes in falls/year. Further research needs to determine the long-term efficacy and cost-effectiveness of HSE, and how it can be more accessible to the community.

scholarly journals A randomised safety promotion intervention trial among low-income families with toddlers

2017 ◽  
Vol 24 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Yan Wang ◽  
Andrea C Gielen ◽  
Laurence S Magder ◽  
Erin R Hager ◽  
Maureen M Black
Keyword(s):  
Low Income ◽  
Intervention Group ◽  
Attention Control ◽  
Control Group ◽  
Home Safety ◽  
Safety Promotion ◽  
Low Income Families ◽  
Attention Control Group ◽  
Over Time

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.

scholarly journals Evaluation of a mobile safety center’s impact on pediatric home safety behaviors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leah Furman ◽  
Stephen Strotmeyer ◽  
Christine Vitale ◽  
Barbara A. Gaines
Keyword(s):  
Primary Objective ◽  
Poison Control ◽  
Safety Behaviors ◽  
Safety Education ◽  
Home Safety ◽  
Safety Practices ◽  
Pediatric Injury ◽  
Long Term Follow Up ◽  
The Impact

Abstract Background A Mobile Safety Center (MSC) provides safety resources to families to prevent pediatric injury. The primary objective of this study was to assess the impact of an MSC on home safety behaviors. Methods We conducted a prospective observational study with 50 parents and guardians recruited at community events attended by an MSC. Participants completed a pre-test assessing demographics and home safety behaviors prior to participating in the MSC’s home safety educational program. We conducted follow-up with participants 4 weeks (follow-up 1) and 6 months (follow-up 2) after their visit to the MSC to reassess home safety behaviors. We used descriptive statistics in addition to Friedman, Wilcoxon sum-rank, and Fisher’s exact testing to analyze respondent demographics and changes in home safety practices. Friedman and Wilcoxon sum-rank testing was performed only for participants who completed all surveys. Results Of our 50 participants, 29 (58%) completed follow-up 1, 30 (60%) completed follow-up 2, and 26 (52%) completed both. Participants were more likely to have a fire-escape plan at follow-up 1 than on the pre-test (p = 0.014). They were also more likely to have the Poison Control Hotline number accessible in their cellphone or near a home phone at follow-up 1 compared to the pre-test (p = 0.002) and follow-up 2 compared to the pre-test (p < 0.001). Families with at least one household member who smoked or used e-cigarettes at any point during the study (n = 16 for the total population, n = 9 for those who completed both surveys) were less likely to have more than two smoke detectors installed at home during the pre-test (p = 0.049). However, this significantly changed across timepoints (p = 0.018), and while 44.4% reported more than two detectors during the pre-test, 88.9% reported this at both follow-ups. Conclusions Home safety education through an MSC positively changed some reported safety behaviors and maintained these changes at long-term follow-up. By encouraging the adoption of better home safety practices, education at an MSC may decrease pediatric injury rates.

scholarly journals THE SAFE COMMUNITY CONCEPT – A SUCCESSFUL TOOL FOR INJURY PREVENTION AND SAFETY PROMOTION

2019 ◽  
Vol 28 (7) ◽  
pp. 41-46
Author(s):  
Birutė Strukčinskienė ◽  
Sabine Distl ◽  
Sigitas Griškonis
Keyword(s):  
Injury Prevention ◽  
Descriptive Analysis ◽  
Injury Rate ◽  
Vulnerable Groups ◽  
Leading Role ◽  
Risk Environments ◽  
Safety Promotion ◽  
Community Concept ◽  
Safe Community

Injuries remain to be one of the leading causes of de­ath and disability in any region of the world. Interna­tional Safe Community Programme is most important programme for injury prevention and safety promo­tion in community. The aim of study was to introduce the concept of Safe Community as a successful tool for injury prevention and safety promotion. For this study, the scientific literature overview, document analysis, and descriptive analysis were used. The Safe Community model is a long-term, sustaina­ble, and coordinated program, based on partnership and collaboration, covering all genders, ages, envi­ronments, and situations. Safe Community concept targets vulnerable groups and high-risk environments. Programme documents the frequency and causes of injuries, and has evaluation mechanisms. Commu­nity itself play the leading role in Safe Community. Reduced injury rate/morbidity, disability, and mor­tality from injuries, and improved quality of life, are the results of comprehensive sustainable preventive work at the community level. The subcategory Safe Schools are promising preventive programmes in­tended to enhance child safety.

Sign in / Sign up

Export Citation Format

Share Document