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Parental perceptions of barriers and facilitators to preventing child unintentional injuries within the home: a qualitative study

Ablewhite, Joanne; Peel, Isabel; McDaid, Lisa; Hawkins, Adrian; Goodenough, Trudy; Deave, Toity; Stewart, Jane; Kendrick, Denise

Authors

Isabel Peel

Lisa McDaid

Adrian Hawkins

Trudy Goodenough

Toity Deave

Jane Stewart

DENISE KENDRICK denise.kendrick@nottingham.ac.uk
Professor of Primary Care Research



Abstract

Background

Childhood unintentional injury represents an important global health problem. Most of these injuries occur at home, and many are preventable. The main aim of this study was to identify key facilitators and barriers for parents in keeping their children safe from unintentional injury within their homes. A further aim was to develop an understanding of parents’ perceptions of what might help them to implement injury prevention activities.

Methods

Semi-structured interviews were conducted with sixty-four parents with a child aged less than five years at parent’s homes. Interview data was transcribed verbatim, and thematic analysis was undertaken. This was a Multi-centre qualitative study conducted in four study centres in England (Nottingham, Bristol, Norwich and Newcastle).

Results

Barriers to injury prevention included parents’ not anticipating injury risks nor the consequences of some risk-taking behaviours, a perception that some injuries were an inevitable part of child development, interrupted supervision due to distractions, maternal fatigue and the presence of older siblings, difficulties in adapting homes, unreliability and cost of safety equipment and provision of safety information later than needed in relation to child age and development. Facilitators for injury prevention included parental supervision and teaching children about injury risks. This included parents’ allowing children to learn about injury risks through controlled risk taking, using “safety rules” and supervising children to ensure that safety rules were adhered to. Adapting the home by installing safety equipment or removing hazards were also key facilitators. Some parents felt that learning about injury events through other parents’ experiences may help parents anticipate injury risks.

Conclusions

There are a range of barriers to, and facilitators for parents undertaking injury prevention that would be addressable during the design of home safety interventions. Addressing these in future studies may increase the effectiveness of interventions.

Journal Article Type Article
Publication Date Mar 24, 2015
Journal BMC Public Health
Electronic ISSN 1471-2458
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 15
Issue 280
APA6 Citation Ablewhite, J., Peel, I., McDaid, L., Hawkins, A., Goodenough, T., Deave, T., …Kendrick, D. (2015). Parental perceptions of barriers and facilitators to preventing child unintentional injuries within the home: a qualitative study. BMC Public Health, 15(280), doi:10.1186/s12889-015-1547-2
DOI https://doi.org/10.1186/s12889-015-1547-2
Keywords Child injury prevention; Qualitative; Child safety; Implications for injury prevention interventions
Publisher URL http://www.biomedcentral.com/1471-2458/15/280
Related Public URLs http://creativecommons.org/licenses/by/4.0/
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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Ablewhite BMC Public Health 2015 (Parental Perceptions).pdf (412 Kb)
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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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