Office-Based Counseling for Unintentional Injury Prevention

Gardner, H. Garry

doi:10.1542/peds.2006-2899

Cited by 73 publications

(46 citation statements)

References 40 publications

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“…Information-based strategies, such as communitywide programs, clinic-and office-based counseling, 31,32 and others, also are needed to reduce unintentional child poisonings. Many of these types of informationbased strategies have been described elsewhere, 33 and health care providers are in a position to play an important role in communicating them.…”

Section: Discussionmentioning

confidence: 99%

Unintentional Child Poisonings Treated in United States Hospital Emergency Departments: National Estimates of Incident Cases, Population-Based Poisoning Rates, and Product Involvement

2008

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Section: Discussionmentioning

confidence: 99%

Unintentional Child Poisonings Treated in United States Hospital Emergency Departments: National Estimates of Incident Cases, Population-Based Poisoning Rates, and Product Involvement

2008

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“…Based on the suggestions by American Academy of Pediatrics Committee on Injury, Violence and Poison Prevention guidelines on toddler safety,28 we targeted four toddler safety areas: fire prevention including prevention of exposed wires, non-covered outlets and installing/checking smoking detectors, fall prevention including using stair gate and repairing dangerous balcony, unsafe handrails etc, poison control including installing child-resistant latches on medication storage/cleaning supplies cabinets or avoiding paints or other poisons, and car seat use. Local safety providers (eg, Fire Department, Maryland Kids in Safety Seats) provided material and training and collaborated on the development of a manualised safety protocol, including information and hand-outs on free/inexpensive car seats, free smoke detectors, inexpensive stair gates and locking cabinets.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2017

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Background Toddler-aged children are vulnerable to unintentional injuries, especially those in low-income families. Objective To 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. Methods 277 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. Results The 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. Conclusions A 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.

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“…A recent report from the AAP's Committee on Injury, Violence, and Poison Prevention indicates that injury-prevention counseling (including firearm safety) should be integrated into every well-child visit. However, due to time constraints, discussing all topics at every visit is not necessary but should instead be based on appropriateness such as season, child's activities, and concerns and questions raised by the parent [13]. The majority of primary care providers agree that they should address these VP issues [14][15][16][17][18][19], but are unsure how to do so in a time efficient manner.…”

Section: Introductionmentioning

confidence: 99%

Impact Of Pediatricians’ Perceived Self-Efficacy and Confidence on Violence Prevention Counseling: A National Study

Finch

Weiley

et al. 2007

Matern Child Health J

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Objective-To measure impact of pediatricians' perceived self-efficacy and confidence on current practices and attitudes regarding four violence prevention (VP) topics (gun storage, gun removal, limiting exposure to media violence, discipline techniques) during health supervision for children ages 2-11.Methods-Random sample survey of American Academy of Pediatrics Fellows (n = 486; 53% response rate) providing health supervision for children ages 2-11. Participants surveyed about VP issues regarding: (1) current counseling practices for 2-5 and 6-11 year olds; (2) amount of time spent addressing; (3) confidence in addressing; and (4) perceived self-efficacy at changing patients' behaviors. Multivariate analyses explored relationships between pediatricians' perceived self-efficacy and confidence versus VP counseling frequency.Results-VP topics were not routinely discussed during health supervision. Most pediatricians (64%) reported spending too little time addressing these topics. Although most pediatricians felt confident discussing and effective at changing behaviors regarding limiting exposure to media violence (89% vs. 50%) and discipline techniques (91% vs. 76%), they were less so for safe gun storage (54% vs. 35%) and gun removal (51% vs. 17%). Perceived self-efficacy was the mediating factor on self-reported VP counseling frequencies for all topics. Author Manuscript confident discussing than effective at changing behaviors. Since pediatricians' self-efficacy was related to counseling practices, boosting self-efficacy could ultimately improve counseling frequencies. Further research is needed to identify methods to build providers' perceived selfefficacy regarding these VP areas. Conclusions-Pediatricians HHS Public Access

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Office-Based Counseling for Unintentional Injury Prevention

Cited by 73 publications

References 40 publications

Unintentional Child Poisonings Treated in United States Hospital Emergency Departments: National Estimates of Incident Cases, Population-Based Poisoning Rates, and Product Involvement

Unintentional Child Poisonings Treated in United States Hospital Emergency Departments: National Estimates of Incident Cases, Population-Based Poisoning Rates, and Product Involvement

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

Impact Of Pediatricians’ Perceived Self-Efficacy and Confidence on Violence Prevention Counseling: A National Study

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