Burns, Smoke Inhalation Injury
Conditions
Keywords
Cluster Randomised Controlled Trial, Community Health Services, prevention & control, Accidents, Home, Child Health Services
Brief summary
Many children have accidents, some are very serious and they are a major cause of death in children aged 1-4 years. Many accidents are preventable This study aims to find out the best way to help Children's Centres to provide home safety information about preventing fires to parents and carers of young children. 36 Children's Centres in four study centres, Nottingham, Bristol, Norwich and Newcastle will be recruited to the study. 30 families will be recruited from each Children's Centre. Children's Centres serving the most deprived populations will be eligible to take part. Families will be eligible to take part if they have attended a participating Children's Centre in the previous three months, have parents who are 16 years or older, have a child under three years old and live within the catchment area of that Children's Centre. When 30 families have been recruited that Centre will be allocated, at random, to one of three groups. Children's Centres in group one will be provided with guidance about preventing fire-related injuries (an Injury Prevention Briefing (IPB))and help and support to implement the IPB, the second group will be sent the IPB and the third group will not be provided with the IPB ('usual care'). Children's Centres will devise their own programmes of safety advice for parents based on the IPB. At recruitment and 12 months later, families and Children's Centres will complete questionnaires about fire safety practices. Children's Centres will also complete a paper-based tool about the implementation process at 12 months. Information about barriers and facilitators to implementing the IPB will be collected through interviews with Children's Centre staff. The study will run from May 2011 to March 2014.
Interventions
BEHAVIORALInjury Prevention Briefing Plus facilitation
Injury Prevention Briefing (IPB) to provide best evidence on what works to reduce house fire injuries, and activities to get the evidence into practice. This arm will receive facilitation to support the implementation of the information in the IPB
BEHAVIORALInjury Prevention Briefing
Children's centres will receive the Injury Prevention Briefing only.
Sponsors
University of Nottingham
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
There are two levels of participation, Children's Centres as participants, who will be delivering the intervention, and families as participants, who will be receiving the intervention. Children's Centres: Phase 1 Children's Centres in the four study areas (Nottingham, Newcastle, Bristol and Norwich) Phase 2 Children's Centres in more disadvantaged areas (defined as those who have more than 50% of under 5 year-old children in their Centre catchment area who live in one of the 30% most disadvantaged Super Output Areas). Families Any family who has attended the participating Children's Centre in the previous three months, who have a child under three years old, and lives within the catchment area of that Children's Centres.
Exclusion criteria
Children's Centres: Phase 2 Children's Centres that are not in more disadvantaged areas as defined above and phase 3 or subsequent wave Children's Centres. Families Families who attend a participating Children's Centre who do not have any children under the age of 3 years Any parent who is under-16 years of age.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Families With a Fire Escape Plan (Ascertained From Self-completion Questionnaire). | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| The Number of Childrens Centres Providing Information and Advice on Smoke Alarms | 1 year |
| The Number of Children's Centres Providing Information and Advice on How to Make a Fire Escape Plan | 1 year |
| The Number of Children's Centres Providing Information and Advice on the Causes of House Fires | 1 year |
| The Number of Children's Centres Providing Information and Advice on Child Behaviour and Fire Prevention | 1 year |
| The Number of Children's Centres Providing Information and Advice on Bedtime Routines to Prevent Fires | 1 year |
Countries
United Kingdom
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Injury Prevention Briefing and Facilitation Children's Centres will be given an Injury Prevention Briefing which offers guidance on best evidence on reducing fire related injuries in the home, a three hour staff training session and facilitation by the research team to support implementation of the IPB. | 373 |
| Injury Prevention Briefing and Facilitation Children's Centres will be given an Injury Prevention Briefing which offers guidance on best evidence on reducing fire related injuries in the home, a three hour staff training session and facilitation by the research team to support implementation of the IPB. | 12 |
| Injury Prevention Briefing Only An Injury Prevention Briefing (IPB) , which offers guidance on best evidence on reducing fire related injuries in the home, will be posted to Children's centres. | 369 |
| Injury Prevention Briefing Only An Injury Prevention Briefing (IPB) , which offers guidance on best evidence on reducing fire related injuries in the home, will be posted to Children's centres. | 12 |
| Usual Care Children's centres undertake usual fire prevention activity. | 370 |
| Usual Care Children's centres undertake usual fire prevention activity. | 12 |
| Total | 1,148 |
Baseline characteristics
| Characteristic | Injury Prevention Briefing and Facilitation | Injury Prevention Briefing Only | Usual Care | Total | — |
|---|---|---|---|---|---|
| Age, Customized Maternal age 20 years or younger | 20 Participants | 17 Participants | 17 Participants | 54 Participants | — |
| Family have a plan for escaping from a house fire | 149 Participants | 153 Participants | 159 Participants | 461 Participants | — |
| Lead agency for Children's centre Local Authority | 9 Children's centres | 7 Children's centres | 10 Children's centres | 26 Children's centres | — |
| Lead agency for Children's centre NHS | 2 Children's centres | 0 Children's centres | 0 Children's centres | 2 Children's centres | — |
| Lead agency for Children's centre Voluntary sector | 1 Children's centres | 5 Children's centres | 2 Children's centres | 8 Children's centres | — |
| Ofsted score for overall effectiveness of Children's centre Good/satisfactory | 7 Children's centres | 10 Children's centres | 9 Children's centres | 26 Children's centres | — |
| Ofsted score for overall effectiveness of Children's centre Outstanding | 4 Children's centres | 2 Children's centres | 3 Children's centres | 9 Children's centres | — |
| Race/Ethnicity, Customized Family ethnicity White Bristish Ethnicity: Other ethnic group | 13 Participants | 28 Participants | 13 Participants | 54 Participants | — |
| Race/Ethnicity, Customized Family ethnicity White Bristish Ethnicity: White British | 348 Participants | 323 Participants | 337 Participants | 1008 Participants | — |
| Region of Enrollment United Kingdom | 373 participants | 369 participants | 370 participants | 1112 participants | — |
| Sex/Gender, Customized Sex | — | — | — | — | — participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 373 | 0 / 369 | 0 / 370 |
| serious Total, serious adverse events | 0 / 373 | 0 / 369 | 0 / 370 |
Outcome results
Primary
Number of Families With a Fire Escape Plan (Ascertained From Self-completion Questionnaire).
Time frame: 1 year
Population: Data on this outcome was missing for 5 participants in the Injury Prevention Briefing and Facilitation arm, 9 in the Injury Prevention Briefing only arm and 4 in the Usual Care arm.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Injury Prevention Briefing and Facilitation | Number of Families With a Fire Escape Plan (Ascertained From Self-completion Questionnaire). | 120 Participants |
| Injury Prevention Briefing Only | Number of Families With a Fire Escape Plan (Ascertained From Self-completion Questionnaire). | 108 Participants |
| Usual Care | Number of Families With a Fire Escape Plan (Ascertained From Self-completion Questionnaire). | 119 Participants |
Secondary
The Number of Children's Centres Providing Information and Advice on Bedtime Routines to Prevent Fires
Time frame: 1 year
Population: Analysis at level of Children's centres. Data on this outcome was missing for one Children's centre in the Injury Prevention Briefing and Facilitation arm and one Children's centre in the Usual Care arm.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| Injury Prevention Briefing and Facilitation | The Number of Children's Centres Providing Information and Advice on Bedtime Routines to Prevent Fires | 11 Children's centres |
| Injury Prevention Briefing Only | The Number of Children's Centres Providing Information and Advice on Bedtime Routines to Prevent Fires | 8 Children's centres |
| Usual Care | The Number of Children's Centres Providing Information and Advice on Bedtime Routines to Prevent Fires | 5 Children's centres |
Secondary
The Number of Children's Centres Providing Information and Advice on Child Behaviour and Fire Prevention
Time frame: 1 year
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| Injury Prevention Briefing and Facilitation | The Number of Children's Centres Providing Information and Advice on Child Behaviour and Fire Prevention | 12 Children's centres |
| Injury Prevention Briefing Only | The Number of Children's Centres Providing Information and Advice on Child Behaviour and Fire Prevention | 11 Children's centres |
| Usual Care | The Number of Children's Centres Providing Information and Advice on Child Behaviour and Fire Prevention | 8 Children's centres |
Secondary
The Number of Children's Centres Providing Information and Advice on How to Make a Fire Escape Plan
Time frame: 1 year
Population: Analysis at level of Children's centres. Data on this outcome was missing for one Children's centre in the Usual Care arm.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| Injury Prevention Briefing and Facilitation | The Number of Children's Centres Providing Information and Advice on How to Make a Fire Escape Plan | 12 Children's centres |
| Injury Prevention Briefing Only | The Number of Children's Centres Providing Information and Advice on How to Make a Fire Escape Plan | 9 Children's centres |
| Usual Care | The Number of Children's Centres Providing Information and Advice on How to Make a Fire Escape Plan | 8 Children's centres |
Secondary
The Number of Childrens Centres Providing Information and Advice on Smoke Alarms
Time frame: 1 year
Population: Analysis based at level of Children's centres. Data on this outcome was missing for one Children's centre in the Injury Prevention Briefing only arm.
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| Injury Prevention Briefing and Facilitation | The Number of Childrens Centres Providing Information and Advice on Smoke Alarms | 11 Children's centres |
| Injury Prevention Briefing Only | The Number of Childrens Centres Providing Information and Advice on Smoke Alarms | 11 Children's centres |
| Usual Care | The Number of Childrens Centres Providing Information and Advice on Smoke Alarms | 11 Children's centres |
Secondary
The Number of Children's Centres Providing Information and Advice on the Causes of House Fires
Time frame: 1 year
Population: Analysis at level of Children's centres
| Arm | Measure | Value (COUNT_OF_UNITS) |
|---|---|---|
| Injury Prevention Briefing and Facilitation | The Number of Children's Centres Providing Information and Advice on the Causes of House Fires | 12 Children's centres |
| Injury Prevention Briefing Only | The Number of Children's Centres Providing Information and Advice on the Causes of House Fires | 12 Children's centres |
| Usual Care | The Number of Children's Centres Providing Information and Advice on the Causes of House Fires | 11 Children's centres |