Rethinking the public health model for injury prevention

Mitchell, Robert J.; Ryder, Tayhla

doi:10.1136/injuryprev-2019-043455

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…These efforts can increase the success of injury prevention programming at a local level by reducing the duplication of efforts and by increasing practitioner capacity. Leeman et al (2017), Hanson et al (2012) as well as Mitchell and Ryder (2020) describe the need to readdress the public health approach to prevention to include reviewing the necessary inputs to local practice to create effective and sustainable prevention programming [7,33,34]. Hanson et al (2012) describes this need, specific to injury prevention across three main gaps: the research to practice gap; the efficacy to effectiveness gap; and the injury prevention to safety promotion gap.…”

Section: Discussionmentioning

confidence: 99%

How can we support best practice? A situational assessment of injury prevention practice in public health

et al. 2020

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Background: To effectively impact the significant population burden of injury, we completed a situational assessment of injury prevention practice within a provincial public health system to identify system-wide priorities for capacity-building to advance injury prevention in public health. Methods: A descriptive qualitative study was used to collect data on the current practice, challenges and needs of support for injury prevention. Data was collected through semi-structured interviews (n = 20) and focus groups (n = 19). Participants included a cross-section of injury prevention practitioners and leadership from public health units reflecting different population sizes and geographic characteristics, in addition to public health researchers and experts from academia, public health and not-for-profit organizations. Thematic analysis was used to code all of the data by one reviewer, followed by a second independent reviewer who coded a random selection of interview notes. Major codes and sub codes were identified and final themes were decided through iterations of coding comparisons and categorization. Once data were analysed, we confirmed the findings with the field, in addition to participating in a prioritization exercise to surface the top three needs for support. Results: Major themes that were identified from the data included: current public health practice challenges; capacity and resource constraints, and; injury as a low priority area. Overall, injury prevention is a broad, complex topic that competes with other areas of public health. Best practices are challenged by system-wide factors related to resources, direction, coordination, collaboration, and emerging injury public health issues. Injury is a reportedly under prioritized and under resourced public health area of practice. Practitioners believe that increasing access to data and evidence, and improving collaboration and networking is required to promote best practice. Conclusions: The results of this study suggest that there are several system level needs to support best practice in public health injury prevention in Ontario including reducing research to practice gaps and supporting opportunities for collaboration. Our research contributes to the literature of the complexity of public health practice, and presents several mechanisms of support to increase capacity at a system level to improve injury prevention practice, and eventually lessen the population burden of injury.

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Section: Discussionmentioning

confidence: 99%

How can we support best practice? A situational assessment of injury prevention practice in public health

et al. 2020

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“…These efforts can increase the success of injury prevention programming at a local level by reducing the duplication of efforts and by Ryder (2020) describe the need to readdress the public health approach to prevention to include reviewing the necessary inputs to local practice to create effective and sustainable prevention programming. (7,33,34) Hanson et al (2012) describes this need, specific to injury prevention across three main gaps: the research to practice gap; the efficacy to effectiveness gap; and the injury prevention to safety promotion gap. Our results will be used to inform a plan of action to address the needs expressed by practitioners, using our prioritized results, in addition to leveraging existing work across the province.…”

Section: Impact and Conclusionmentioning

confidence: 99%

How can we support best practice? A situational assessment of injury prevention practice in public health.

Richmond

Carsley

Prowse

et al. 2020

Preprint

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Background:To effectively impact the significant population burden of injury, we completed a situational assessment of injury prevention practice within a provincial public health system to identify system-wide priorities for capacity-building to advance injury prevention in public health. Methods: A descriptive qualitative study was used to collect data on the current practice, challenges and needs of support for injury prevention. Data was collected through semi-structured interviews (n=20) and focus groups (n=19). Participants included a cross-section of injury prevention practitioners and leadership from public health units reflecting different population sizes and geographic characteristics, in addition to public health researchers and experts from academia, public health and not-for-profit organizations. Thematic analysis was used to code all of the data by one reviewer, followed by a second independent reviewer who coded a random selection of interview notes. Major codes and sub codes were identified and final themes were decided through iterations of coding comparisons and categorization. Once data were analysed, we confirmed the findings with the field, in addition to participating in a prioritization exercise to surface the top three needs for support. Results: Major themes that were identified from the data included: current public health practice challenges; capacity and resource constraints, and; injury as a low priority area. Overall, injury prevention is a broad, complex topic that competes with other areas of public health. Best practices are challenged by system-wide factors related to resources, direction, coordination, collaboration, and emerging injury public health issues. Injury is a reportedly under prioritized and under resourced public health area of practice. Practitioners believe that increasing access to data and evidence, and improving collaboration and networking is required to promote best practice. Conclusions: The results of this study suggest that there are several system level needs to support best practice in public health injury prevention in Ontario including reducing research to practice gaps and supporting opportunities for collaboration. Our research contributes to the literature of the complexity of public health practice, and presents several mechanisms of support to increase capacity at a system level to improve injury prevention practice, and eventually lessen the population burden of injury.

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“…These efforts have gained further momentum as the control of non-intentional injuries is increasingly considered one of the essential prerequisites to achieve the UN sustainable development goals (SDGs) by 2030 [8]. The UN's SDG agenda has pushed many governments to prioritize and control injuries and occupational and recreational injuries using systems-level injury prevention strategies involving policy-makers, industry, and enforcement agencies [9][10][11][12][13][14][15]. It is therefore important to set up plans to observe and control QB injuries using well-designed prevention strategies and interventional programs [16].…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with quadbike crashes: a systematic review

et al. 2022

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Background Quadbikes or all-terrain vehicles are known for their propensity for crashes resulting in injury, disability, and death. The control of these needless losses resulting from quadbike crashes has become an essential contributor to sustainable development goals. Understanding the risk factors for such injuries is essential for developing preventive policies and strategies. The aim of this review was to identify the risk factors associated with quadbike crashes at multiple levels through a systematic review of a wide range of study designs. Methods The study incorporated a mixed-method systematic review approach and followed the PRISMA 2020 guidelines for reporting systematic reviews, including a peer reviewed protocol. This systematic review included observational studies investigating the risk factors associated with quadbike crashes, injuries, or deaths. Seven electronic databases were searched from inception to October 2021. Studies were screened and extracted by three researchers. Quality appraisal was conducted using the Mixed Methods Appraisal Tool (MMAT). Due to extensive heterogeneity, meta-analysis was not conducted. All the risk factors have been presented in a narrative synthesis for discussion following the guidelines for Synthesis without Meta-analysis (SWiM). Results Thirty-nine studies combining an aggregate of 65,170 participants were included in this systematic review. The results indicate that modifiable risk factors, such as the increasing age of driving initiation, reducing substance use, and the use of organized riding parks, could reduce quadbike injuries. Riding practices such as avoiding passengers, avoiding nighttime riding, and using helmets could significantly reduce crashes and injuries among riders. Vehicle modifications such as increasing the wheelbase and limiting engine displacement could also help reduce crash incidence. Traditional interventional methods, such as legislation and training, had a weak influence on reducing quadbike injuries. Conclusion Multiple risk factors are associated with quadbike injuries, with most of them modifiable. Strengthening policies and awareness to minimize risk factors would help in reducing accidents associated with quadbikes. PROSPERO registration number CRD42020170245

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Rethinking the public health model for injury prevention

Cited by 6 publications

References 24 publications

How can we support best practice? A situational assessment of injury prevention practice in public health

How can we support best practice? A situational assessment of injury prevention practice in public health

How can we support best practice? A situational assessment of injury prevention practice in public health.

Risk factors associated with quadbike crashes: a systematic review

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