Unintentional injuries Injury, Occupational Diseases, Poisoning
Conditions
Interventions
Systematic evidence-based home safety promotion will be provided as part of routine care in the Small Steps Big Changes (SSBC) programme being provided in four electoral wards in Nottingham city. The
Sponsors
University of Nottingham
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Parent participants 1.1. Parents of children residing in the 4 SSBC wards and the 5 control wards 1.2. Parents must be aged 18 years or over 1.3. Children must be 2 to 7 months old when study invites are sent 1.4. Children must be living in their usual place of residence (i.e. not in temporary accommodation such as a refuge or foster care) 1.5. Parents must return a completed baseline questionnaire 1.6. Eligibility criteria for parent interviews 1.6.1. Parents taking part in the CBA 1.6.2. Able to provide written informed consent or verbal informed consent over the telephone to take part in the interview 1.6.3. Parents must have had either a 9-12 month review or a 2-2.5 year Healthy Child Programme review (hereafter referred to as child health review). 1.7. Observations of 9-12 month and 2-2.5 year child health reviews: 1.7.1. Parents taking part in the CBA 1.7.2. Able to provide written informed consent to have their child’s review observed 1.7.3. Parents whose child’s review is undertaken in English 1.8. Economic evaluation 1.8.1. Parents taking part in the CBA 1.8.2. Able to provide written informed consent to extract data from their child’s medical records 2. Service provider participants: Interviews: 2.1. Service providers (health visiting teams, family mentors and early years staff (e.g. children’s centre managers and staff)) in SSBC and control wards who provide written informed consent or verbal informed consent over the telephone for interviews. 2.2. For the interviews with providers who conduct 9-12 month or 2-2.5 year child health reviews the provider must have experience of conducting 9-12 month or 2-2.5 year child health reviews since the start of the SSBC programme. Observations: 2.3. Service providers (e.g. health visiting teams) in SSBC and control wards who provide written informed consent for observations of 9-12 month or 2-2.5 year child health reviews
Exclusion criteria
Exclusion criteria: Parents: 1.1. Not residing in SSBC or control wards 1.2. Aged under 18 years 1.3. Children not aged 2-7 months old when study invites sent 1.4. Not returning completed baseline home safety questionnaire 1.5. Not providing written informed consent or verbal informed consent over the telephone for interviews, written informed consent for observations of child health reviews or for extraction of data from medical records 1.6 Parents whose child’s review is not undertaken in English Service providers: 2. Service providers not providing written informed consent or verbal informed consent over the telephone for interviews or written informed consent for observations of 9-12 month or 2-2.5 year child health reviews
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure Presence in the home of fitted and working smoke alarm, a safety gate on stairs (where applicable), and poisons stored out of reach at 12 and 24 months post recruitment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Medically attended child home injury rates - at 12 and 24 months post recruitment 2. Other home safety practices (other than those encompassed in the primary outcome measure) at 12 and 24 months post recruitment 3. Home safety promotion provided at 12 and 24 months post recruitment and during qualitative observations of 9-12 month and 2-2.5 year reviews between baseline and 24 months 4. Parental knowledge of child development and injury risk at 12 and 24 months post recruitment 5. Parental self-efficacy to prevent injuries to their children at 12 and 24 months post recruitment 6. Acceptability of, and satisfaction with, home safety promotion amongst parents qualitatively assessed during interviews between baseline-24 months 7. Acceptability of, and satisfaction with, home safety promotion amongst providers qualitatively assessed during interviews between baseline-24 months 8. Barriers and facilitators to changing home safety behaviours amongst parents qualitatively assessed during interviews between baseline-24 months 9. Barriers and facilitators to implementing home safety promotion amongst providers qualitatively assessed during interviews between baseline-24 months 10. Cost-effectiveness of home safety promotion using primary outcome data (a) and cost data collected between 12 and 24 months | — |
Countries
England, United Kingdom
Contacts
Public ContactElizabeth Orton
Outcome results
None listed