Studying injury prevention: practices, problems, and pitfalls in implementation
| Autor: | Ellen R. Wald, Shilpa Sangvai, D. Kathleen Colborn, Lynne Cipriani |
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| Rok vydání: | 2007 |
| Předmět: |
Counseling
Firearms Poison control 030209 endocrinology & metabolism Pilot Projects Health Promotion Suicide prevention Occupational safety and health Fires law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Injury prevention medicine Humans 030212 general & internal medicine Prospective Studies Chronic care business.industry Medical record Infant Equipment Human factors and ergonomics Infant medicine.disease Accidents Home Child Preschool Pediatrics Perinatology and Child Health Feasibility Studies Wounds and Injuries Medical emergency Health Services Research business |
| Zdroj: | Clinical pediatrics. 46(3) |
| ISSN: | 0009-9228 |
| Popis: | This prospective, randomized, controlled trial was conducted to determine feasibility and effectiveness of a chronic care model approach to injury prevention compared with standard anticipatory guidance. Enrolled caregivers of children aged 0 to 5 years received focused counseling from a physician and health assistant, educational handouts, phone follow-up, and access to free safety devices and automobile restraint evaluations. Only 35.1% of eligible parents participated. Home visits were completed at 6 months to observe safety practices. Injuries were gleaned from parent report and medical record review. Safety practices were evaluated in 27 households. Chart review showed no significant difference in the number of medically attended injuries between groups ( P = 0.6). The impact of the chronic care model on injury prevention in primary care could not be determined with certainty. Evaluating effectiveness of injury prevention strategies on actual safety practices with direct observation is challenging. |
| Databáze: | OpenAIRE |
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