Assessing school‐based intervention strategies to foster the prevention of choking injuries in children: The results of the CHOP (CHOking Prevention) trial

Autor: Solidea Baldas, Corrado Lanera, Dario Gregori, Danila Azzolina, G. Messi, Giulia Lorenzoni
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Sociology and Political Science
school
Certification
NO
03 medical and health sciences
0302 clinical medicine
children
Surveys and Questionnaires
Intervention (counseling)
Injury prevention
Health care
medicine
Humans
030212 general & internal medicine
Child
Preschool
School based intervention
Schools
children
choking prevention
CHOP
community intervention trial
foreign body
public health
school
business.industry
030503 health policy & services
Health Policy
Public health
public health
choking prevention
Public Health
Environmental and Occupational Health
CHOP
community intervention trial
foreign body
Child
Preschool
Airway Obstruction
medicine.disease
Family medicine
Educational interventions
0305 other medical science
Choking
business
Social Sciences (miscellaneous)
Zdroj: Health & Social Care in the Community. 29:1858-1867
ISSN: 1365-2524
0966-0410
Popis: There are few public health programs aimed at reducing choking injuries, even though choking is one of the leading causes of death among unintentional injuries in young children. We present the results from the CHOP (CHOking Prevention) project community intervention trial, which aimed to compare three different school-based intervention strategies for food choking prevention. The trial enrolled 41 educational facilities, which were randomized to one of three different intervention strategies to inform about prevention of food choking, or to serve as the control group. In strategy A, education was delivered directly to families, whereas in strategy B, education was delivered first to teachers and by them to families, and in strategy C, education was delivered only to healthcare coordinators in each school and by them to teachers and families. All educational interventions were delivered in the schools by experts and certified trainers. The participants were asked about sociodemographic information and completed questionnaires (pre-, post- and follow-up of intervention). Information from the postintervention and follow-up questionnaires was synthesized into four indicators to evaluate the effectiveness of each intervention strategy. Of the 1,426 participants, 298 were involved in strategy A, 474 in strategy B, 491 in strategy C and 163 in the control group. At postintervention, the scores of the indicators in each strategy significantly outperformed those of the control group, with adjusted p 0.05. At follow-up, the distribution of the indicator scores of each strategy was found to be not significantly different compared to those of the control group (p 0.05). The results of this study suggest that a sustainable school-based public health intervention mediated by teachers is effective as direct training for families in improving knowledge about food choking injury prevention. Nevertheless, further improvements could be made to increase long-term information retention.
Databáze: OpenAIRE
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