Kate Beckett
Implementing an Injury Prevention Briefing to aid delivery of key fire safety messages in UK children’s centres: qualitative study nested within a multi-centre randomised controlled trial
Beckett, Kate; Goodenough, Trudy; Deave, Toity; Jaeckle, Sally; McDaid, Lisa; Benford, Penny; Hayes, Mike; Towner, Elizabeth; Kendrick, Denise
Authors
Trudy Goodenough
Toity Deave
Sally Jaeckle
Lisa McDaid
Penny Benford
Mike Hayes
Elizabeth Towner
DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research
Abstract
Background
To improve the translation of public health evidence into practice, there is a need to increase practitioner involvement in initiative development, to place greater emphasis on contextual knowledge, and to address intervention processes and outcomes. Evidence that demonstrates the need to reduce childhood fire-related injuries is compelling but its translation into practice is inconsistent and limited. With this knowledge the Keeping Children Safe programme developed an "Injury Prevention Briefing (IPB)" using a 7 step process to combine scientific evidence with practitioner contextual knowledge. The IPB was designed specifically for children’s centres (CCs) to support delivery of key fire safety messages to parents. This paper reports the findings of a nested qualitative study within a clustered randomised controlled trial of the IPB, in which staff described their experiences of IPB implementation to aid understanding of why or how the intervention worked.
Methods
Interviews were conducted with key staff at 24 CCs participating in the two intervention arms: 1) IPB supplemented by initial training and regular facilitation; 2) IPB sent by post with no facilitation. Framework Analysis was applied to these interview data to explore intervention adherence including; exposure or dose; quality of delivery; participant responsiveness; programme differentiation; and staff experience of IPB implementation. This included barriers, facilitators and suggested improvements.
Results
83% of CCs regarded the IPB as a simple, accessible tool which raised awareness, and stimulated discussion and behaviour change. 15 CCs suggested minor modifications to format and content. Four levels of implementation were identified according to content, frequency, duration and coverage. Most CCs (75%) achieved ‘extended’ or ‘essential’ IPB implementation. Three universal factors affected all CCs: organisational change and resourcing; working with hard to engage groups; additional demands of participating in a research study. Six specific factors were associated with the implementation level achieved: staff engagement and training; staff continuity; adaptability and flexibility; other agency support; conflicting priorities; facilitation. CCs achieving high implementation levels increased from 58% (no facilitation) to 92% with facilitation.
Conclusion
Incorporating service provider perspectives and scientific evidence into health education initiatives enhances potential for successful implementation, particularly when supplemented by ongoing training and facilitation.
Citation
Beckett, K., Goodenough, T., Deave, T., Jaeckle, S., McDaid, L., Benford, P., …Kendrick, D. (2014). Implementing an Injury Prevention Briefing to aid delivery of key fire safety messages in UK children’s centres: qualitative study nested within a multi-centre randomised controlled trial. BMC Public Health, 14(1256), https://doi.org/10.1186/1471-2458-14-1256
Journal Article Type | Article |
---|---|
Publication Date | Dec 10, 2014 |
Deposit Date | Oct 23, 2015 |
Publicly Available Date | Oct 23, 2015 |
Journal | BMC Public Health |
Electronic ISSN | 1471-2458 |
Publisher | Springer Verlag |
Peer Reviewed | Peer Reviewed |
Volume | 14 |
Issue | 1256 |
DOI | https://doi.org/10.1186/1471-2458-14-1256 |
Keywords | Fire safety; Injury prevention; Children’s centre; Context; Intervention; Implementation; Facilitation |
Public URL | https://nottingham-repository.worktribe.com/output/741075 |
Publisher URL | http://www.biomedcentral.com/1471-2458/14/1256 |
Related Public URLs | http://creativecommons.org/licenses/by/4.0/ |
Files
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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