Office-Based Counseling for Unintentional Injury Prevention

Author(s):  
Iin Suryatmana ◽  
Agus Setiawan

Unintentional injury in children is a global problem that often occurs in all countries in the world. Various prevention efforts need to be done by all relevant stakeholders to reduce the number of unintentional injuries in children. The purpose of this study was to identify the effect of interventions on the prevention of unintentional injuries on children under 5 years (toddlers). A literature study with descriptive analysis was used in this study. Articles were obtained through an online database search on the ScienceDirect, Wiley, Sage, ProQuest, Google scholar databases published from 2015 to 2020. This study identified 48 articles and 9 articles met the inclusion criteria. The results of the study identified that in general all articles (n = 7) showed a positive effect on injury prevention in children, 1 article did not clearly illustrate its effect on prevention of child injury, 1 article had no effect on prevention of child injury. Future studies need to consider various risk factors that influence the effectiveness of an intervention in order to get positive results. Keywords: injury prevention; toddlers; unintentional child injury ABSTRAK Cedera yang tidak disengaja pada anak merupakan masalah global yang bayak terjadi di seluruh negara di dunia. Berbagai upaya pencegahan perlu dilakukan oleh semua stakeholder terkait untuk menekan angka kejadian cedera yang tidak disengaja pada anak. Tujuan studi ini adalah megidentifikasi pengaruh intervensi terhadap pencegahan cedera yang tidak disengaja pada anak di bawah 5 tahun (balita). Metode studi literatur dengan analisis deskriptif digunakan dalam studi ini. Artikel diperoleh melalui penelusuran online database ScienceDirect, Wiley, Sage, ProQuest, Google scholar yang terbit dari 2015 hingga 2020. Studi ini mengidentifikasi 48 artikel serta 9 artikel memenuhi kriteria inklusi. Hasil studi mengidentfikasi bahwa secara umum semua artikel (n=7) menunjukkan dampak positif terhadap pencegahan cedera pada anak, 1 artikel tidak tergambar jelas pengaruhnya terhadap pencegahan cedera anak, 1 artikel tidak berpengaruh terhadap pencegahan cedera anak. Penelitian selanjutnya perlu mempertimbangakan berbagai faktor risiko yang mempengaruhi efektifitas suatu intervensi agar mendapatkan hasil yang positif. Kata kunci: balita; cedera yang tidak disengaja pada anak; pencegahan cedera


2018 ◽  
Vol 78 (3) ◽  
pp. 266-272 ◽  
Author(s):  
Michael J Mello ◽  
Zoe Gilbard ◽  
Dina Burstein ◽  
Janette Baird ◽  
Mark R Zonfrillo ◽  
...  

Objective: Unintentional injury is the leading cause of death for infants and young children in the USA, and the children of young mothers are at an even higher risk. Mobile health (mHealth) interventions have been successful in promoting behaviour change for many health conditions. This study assessed interest in mSafety, a text and video messaging mHealth intervention targeting injury prevention knowledge, behaviour and self-efficacy in young mothers. Design: Interviews with young mothers were conducted using a semi-structured interview guide. Setting: Interviews took place at a health clinic for teenage mothers and their children and at a local public charter high school which serves pregnant teenagers and young mothers. Method: A trained research assistant conducted semi-structured interviews with 20 young mothers (ages 15–20). Participants were asked both closed and open-ended questions to elicit opinions about their willingness to utilise mSafety. Results: The results of the interviews were positive. Participants were most interested in learning about the prevention of falls and poisonings, as well as safe sleep. Many emphasised that the language of the messages should be simple and that videos could be included to demonstrate methods of injury prevention. Most interviewees were willing to participate in a ‘virtual home safety visit’ in which participants text home photos to an expert to evaluate home safety practices. Conclusion: The concept of an mHealth intervention that would provide young mothers with the tools to prevent injuries among their children received positive feedback.


2020 ◽  
pp. injuryprev-2020-043759 ◽  
Author(s):  
Amy Zosel ◽  
Sara Kohlbeck ◽  
Christopher S Davis ◽  
Linda Meurer ◽  
Stephen Hargarten

IntroductionInjury is a major public health issue in the USA. In 2017, unintentional injury was the leading cause of death for ages 1 through 44. Unfortunately, there is evidence that the sciences of injury prevention and control may not fully and widely integrated into medical school curriculum. This paper describes a novel injury prevention and control summer programme that was implemented in 2002 and is ongoing.MethodsThe main component of the Series includes at least seven injury-related lectures and discussions designed to provoke students’ interest and understanding of injury as a biopsychosocial disease. These lectures are organised in a seminar fashion and are 2–4 hours in duration. Kirkpatrick’s four-part model guides evaluation specific to our four programme objectives. Trainee satisfaction with the programme, knowledge and outcome (specific to career goals) is evaluated using several mixed-methods tools.ResultsA total of 318 students have participated in the Series. Evaluation findings show an increase in knowledge of injury-related concepts as well as an increase in interest in pursuing injury-related research topics in the future.ImplicationsThe Series is a novel and innovative programme that provides training in injury and injury prevention and control-related topics to medical students, as well as undergraduate, graduate and pharmacy students. We hope that by increasing students’ knowledge and understanding of injury prevention and control we are contributing to a physician workforce that understands the importance of a public health approach to injury prevention, that implements public health principles in practice and that advocates for policies and practices that positively impact injury prevention and control to help make our communities healthier and safer.


2020 ◽  
pp. injuryprev-2020-043850 ◽  
Author(s):  
Tracey Ma ◽  
Amy E Peden ◽  
Margaret Peden ◽  
Adnan A Hyder ◽  
Jagnoor Jagnoor ◽  
...  

Globally, unintentional injuries contribute significantly to disability and death. Prevention efforts have traditionally focused on individual injury mechanisms and their specific risk factors, which has resulted in slow progress in reducing the burden. The Sustainable Development Goals (SDGs) represent a global agenda for promoting human prosperity while respecting planetary boundaries. While injury prevention is currently only recognised in the SDG agenda via two road safety targets, the relevance of the SDGs for injury prevention is much broader. In this State of the Art Review, we illustrate how unintentional injury prevention efforts can be advanced substantially within a broad range of SDG goals and advocate for the integration of safety considerations across all sectors and stakeholders. This review uncovers injury prevention opportunities within broader global priorities such as urbanisation, population shifts, water safeguarding and corporate social responsibility. We demonstrate the relevance of injury prevention efforts to the SDG agenda beyond the health goal (SDG 3) and the two specific road safety targets (SDG 3.6 and SDG 11.2), highlighting 13 additional SDGs of relevance. We argue that all involved in injury prevention are at a critical juncture where we can continue with the status quo and expect to see more of the same, or mobilise the global community in an ‘Injury Prevention in All Policies’ approach.


2021 ◽  
Author(s):  
Jieyi He ◽  
Wanhui Wang ◽  
Peishan Ning ◽  
Peixia Cheng ◽  
Jie Li ◽  
...  

Abstract BackgroundCompared to urban children, children living in rural areas of most countries, including China, are at higher risk of suffering unintentional injuries. Most proven injury prevention interventions, however, are rarely implemented in rural China due to lack of resources. Mobile health interventions are low-cost and easy-to-implement, facilitating implementing injury prevention in resource-limited areas (e.g., rural areas). This study is designed to examine the effectiveness of an app-based intervention for unintentional injury prevention among rural preschoolers in China. MethodsA single-blind, 18-month, parallel-group cluster randomized controlled trial with 1:1 allocation ratio will be implemented in 2 rural areas of China (Yang County, Shaanxi Province, and Shicheng County, Jiangxi Province). In total, at least 3508 rural caregivers of preschoolers aged 3-6 years old who own a smartphone will be recruited from 24 preschools. Clusters will be randomized at the preschool level and allocated to the control group (receiving routine school-based education plus app-based parenting education excluding unintentional injury prevention) or the intervention group (receiving routine school-based education plus app-based parenting education including unintentional injury prevention). External support strategies will be adopted by local partners to minimize user fatigue, non-compliance, and attrition. Data collection will be conducted at baseline and then every 3 months during the 18-month follow-up time period. Intention-to-treat (ITT) data analysis will be implemented. Missing values will be imputed by using the Expectation Maximization algorithm (EM). Generalized estimation equations (GEE) will test the overall effectiveness of the app-based intervention. A per-protocol (PP) sensitivity analysis will be conducted to test the robustness of results. Subgroup analyses will follow the strategies for primary analyses.ResultsThe primary outcome measure is the incidence rate of unintentional injury among preschoolers during the study period. Secondary outcome measures comprise longitudinal changes in caregiver’s attitudes, caregiver-reported supervision behaviors, and caregiver-assessed home environment safety surrounding child unintentional injury prevention in the last week using a standardized audit instrument.ConclusionThe app-based intervention is expected to be feasible and effective over the 18-month intervention period. If the app is demonstrated effective as hypothesized, we will initiate processes to generalize and popularize it broadly to rural child caregivers across China. Trial registrationChiCTR2000037606, registered on August 29, 2020.


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