Behavior
Conditions
Keywords
child safety, injury, computer, prevention, internet
Brief summary
As the leading cause of death and disability in children in America, unintentional injuries are a critical public health issue. Most injuries can be prevented by parents implementing effective child safety practices. This project produced an interactive multimedia (IMM) program delivered via Internet/Intranet that taught injury prevention skills to parents of children aged 2 through 5 years, with the ultimate goal of reducing mortality and disability from unintentional injury in this population.
Detailed description
This project produced a comprehensive, interactive multimedia (IMM) program called Family Safety 123 to teach childhood injury prevention skills to parents of children 2 to 5 years of age. The program contained 40 high-quality video clips, each 2 to 5 minutes in length, depicting injury prevention strategies in 13 content areas: supervision, preventing airway obstructions, poison awareness, preventing burns, preventing falls, firearm safety, motor vehicle safety, pedestrian awareness, sports, playgrounds, water safety, bike safety, and other safety concerns. Each content area contained 1 to 6 videos comprised of short video presentations, modeling vignettes demonstrating desired behaviors, supportive testimonials, and suggestions for modifications to home and recreational environments. Family Safety 123 video content is derived from The Injury Prevention Program (TIPP) sheets developed by the American Academy of Pediatrics, which recognizes injury prevention as a primary topic for parents.
Interventions
BEHAVIORALFamily Safety 123
Theoretically-based injury prevention videos for families
BEHAVIORALAAP TIPP sheets
American Academy of Pediatrics The Injury Prevent Program materials converted to web-based materials.
Sponsors
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Oregon Center for Applied Science, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Parents of children aged 2-5 potentially were as young as 18 years old. Parents or legal guardians could potentially be as old as 65 or older.
Exclusion criteria
* Only English-speaking participants were accepted because the program was developed only for English speakers. All English-speaking parents of children aged 2-5 years old who wished to participate were included. Online Survey: parents under 18 years of age were excluded because we were unable to obtain parental consent online.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Behavioral measure: Change from baseline in identification of correct/incorrect child car safety seat and booster seat situations and bicycle helmet placement situations. | 30 days and 60 days | Parents viewed child car seat and booster seat situations and were asked whether 9 car safety seat and 7 booster seat items were correct or incorrect. Parents also viewed 2 bicycle helmet situations and were asked to identify if these were correct or incorrect. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in attitudes and beliefs about injury prevention strategies | 30 days and 60 days | An injury prevention attitudes & beliefs scale was created across all content areas (e.g., It is never ok to use a second hand car seat even if you know the car seat has never been involved in a crash.). Thirty-four items assessed attitudes & beliefs for parents of younger children and 33-items for parents of older children (alpha = .85 for both younger and older children). All items were assessed using a 5-point Likert scale with 1 = strongly disagree to 5 = strongly agree. |
| Change in self-efficacy for engaging in injury prevention strategies | 30 days and 60 days | An injury prevention self-efficacy scale was created from 36 items across all content areas for the parents of younger children and 35 items for parents of older (e.g., I am confident that I know the safest way to store guns and ammunition) (alpha = .77 for younger children and .89 for older children.) All items were assessed using a 5-point Likert scale with 1 = strongly disagree to 5 = strongly agree. |
| Change in car safety knowledge of injury prevention | 30 days and 60 days | Three items were used to assess knowledge of car safety injury prevention (e.g., Your child should use a forward-facing safety seat until…) with the response coded as either 0 = incorrect or 1 = correct. |
| Change in car safety attitudes & beliefs of injury prevention | 30 days and 60 days | Two items were used to assess attitudes and beliefs towards car safety injury prevention (e.g., It is never ok to use a second car seat even if you know the car seat has never been involved in a crash). Both items were assessed with a 5-point Likert scale with 1 = strongly disagree and 5 = strongly agree. Both of the attitudes & beliefs items for the car safety attitudes content area were discarded because the wording proved confusing to participants. |
| Change in knowledge of injury prevention strategies | 30 days and 60 days | An injury prevention knowledge scale was created across all content areas. The injury prevention knowledge scale contained 41 items (e.g., The best way to lessen the possibility of a young child choking …) for parents of younger children and 44-items for parents of older children. The injury prevention knowledge scale represents the percent of items correctly endorsed. |
| Change in wheeled sports knowledge of injury prevention | 30 days and 60 days | Two items were used to assess knowledge of wheeled sports injury prevention (e.g., A child carrier bike seat should…) with the response coded as either 0 = incorrect or 1 = correct. |
| Change in wheeled sports attitudes & beliefs of injury prevention | 30 days and 60 days | Four items were used to assess attitudes & beliefs towards wheeled sports safety injury prevention (e.g., It is extremely important for my child to wear a helmet whenever riding his or her bike). Items were assessed with a 5-point Likert scale with 1 = strongly disagree and 5 = strongly agree. |
| Change in wheeled sports self-efficacy in performing injury prevention skills | 30 days and 60 days | Three items were used to assess self-efficacy in performing wheeled sports injury prevention skills (e.g., How confident are you that you know how to correctly check the fit of your child's helmet?). Items were assessed with a 5-point Likert scale with 1 = not at all confident and 5 = extremely confident. |
| Change in car safety self-efficacy in performing injury prevention skills | 30 days and 60 days | Four items were used to assess self-efficacy in performing car safety injury prevention skills (e.g., How confident are you that you know when to transition your child into a booster seat?). Items were assessed with a 5-point Likert scale with 1 = not at all confident and 5 = extremely confident. |
Countries
United States
Outcome results
None listed