Michael James Taylor
Effectiveness of systematically delivered evidence-based home safety promotion to improve child home safety practices: a controlled before-and-after study
Taylor, Michael James; Orton, Elizabeth; Patel, Tina; Timblin, Clare; Clarke, Rachel; Watson, Michael Craig; Hayes, Mike; Jones, Matthew; Coupland, Carol; Kendrick, Denise
Authors
Professor Elizabeth Orton ELIZABETH.ORTON@NOTTINGHAM.AC.UK
PROFESSOR OF PUBLIC HEALTH
Tina Patel
Clare Timblin
Rachel Clarke
Michael Craig Watson
Mike Hayes
Dr MATTHEW JONES MATTHEW.JONES3@NOTTINGHAM.AC.UK
ASSISTANT PROFESSOR IN HEALTH ECONOMICS
Professor CAROL COUPLAND carol.coupland@nottingham.ac.uk
PROFESSOR OF MEDICAL STATISTICS
Professor DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
PROFESSOR OF PRIMARY CARE RESEARCH
Abstract
Objective: Evaluate the effectiveness of systematically delivered evidence-based home safety promotion for improving child home safety practices. Design: Controlled before-and-after study. Setting: Nine electoral wards in Nottingham, UK. Participants: 361 families with children aged 2-7 months at recruitment living in four intervention wards with high health, education and social need; and 401 in five matched control wards. Intervention: Evidence-based home safety promotion delivered by health visiting teams, family mentors and children's centres including 24 monthly safety messages; home safety activity sessions; quarterly â € safety weeks'; home safety checklists. Outcomes: Primary: composite measure comprising having a working smoke alarm, storing poisons out of reach and having a stairgate. Secondary: other home safety practices; medically attended injuries. Parents completed questionnaires at 12 and 24 months after recruitment plus optional three monthly injury questionnaires. Results: At 24 months there was no significant difference between groups in the primary outcome (55.8% vs 48.8%; OR 1.58, 95% CI 0.98 to 2.55) or medically attended injury rates (incidence rate ratio 0.89, 95% CI 0.51 to 1.56), but intervention families were more likely to store poisons safely (OR 1.81, 95% CI 1.06 to 3.07), have a fire escape plan (OR 1.81, 95% CI 1.06 to 3.08), use a fireguard or have no fire (OR 3.17, 95% CI 1.63 to 6.16) and perform more safety practices (β 0.46, 95% CI 0.13 to 0.79). Conclusions: Systematic evidence-based home safety promotion in areas with substantial need increases adoption of some safety practices. Funders should consider commissioning evidence-based multicomponent child home safety interventions.
Citation
Taylor, M. J., Orton, E., Patel, T., Timblin, C., Clarke, R., Watson, M. C., Hayes, M., Jones, M., Coupland, C., & Kendrick, D. (2023). Effectiveness of systematically delivered evidence-based home safety promotion to improve child home safety practices: a controlled before-and-after study. Injury Prevention, 29(3), 227-233. https://doi.org/10.1136/ip-2022-044745
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 18, 2022 |
Online Publication Date | Jan 31, 2023 |
Publication Date | 2023-06 |
Deposit Date | Feb 6, 2023 |
Publicly Available Date | Feb 6, 2023 |
Journal | Injury Prevention |
Print ISSN | 1353-8047 |
Electronic ISSN | 1475-5785 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 29 |
Issue | 3 |
Pages | 227-233 |
DOI | https://doi.org/10.1136/ip-2022-044745 |
Keywords | Public Health, Environmental and Occupational Health |
Public URL | https://nottingham-repository.worktribe.com/output/16802104 |
Publisher URL | https://injuryprevention.bmj.com/content/29/3/227 |
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Copyright Statement
© Author(s) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/
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