Utilizing the pediatric emergency department to deliver tailored safety messages: Results of a randomized controlled trial
Published Date:May 2013
Source:Pediatr Emerg Care. 29(5):628-634.
Child Restraint Systems
Child Safety Seats
Emergency Service, Hospital
Health Knowledge, Attitudes, Practice
Interviews As Topic
Patient Education As Topic
Precaution Adoption Process Model
Predictive Value Of Tests
Randomized Controlled Trial
Risk Reduction Behavior
Validity Of Self-report
Funding:5R01HD042777-03/HD/NICHD NIH HHS/United States
5R49CE001507/CE/NCIPC CDC HHS/United States
R01 HD059216/HD/NICHD NIH HHS/United States
To evaluate the impact of a computer kiosk intervention on parents’ self-reported safety knowledge and observed child safety seat, smoke alarm use and safe poison storage. To compare self-reported vs. observed behaviors.
PATIENTS AND METHODS
A randomized controlled trial with n=720 parents of young children (4mos–5yrs) was conducted in the pediatric emergency department (PED) of a level 1 pediatric trauma center. Enrolled parents received tailored safety information (intervention) or generic information (control) from a computer kiosk after completing a safety assessment. Parents were telephoned 4–6 months after the intervention to assess self-reported safety knowledge and behaviors; in-home observations were made one week after the phone interview for a subset of n=100 randomly selected participants. Positive and negative predictive values (PPVs and NPVs) were compared between the intervention and control groups.
The intervention group had significantly higher smoke alarm (82% vs. 78%) and poison storage (83% vs. 78%) knowledge scores. The intervention group was more likely to report correct child safety seat use (OR=1.36; 95% CI=1.05, 1.77 p=.02). Observed safety behaviors were lower than self-reported use for both groups. No differences were found between groups for PPVs or NPVs.
These results add to the limited literature on the impact of computer tailoring home safety information. Knowledge gains were evident four months post intervention. Discrepancies between observed and self-reported behavior are concerning, as the quality of a tailored intervention depends on the accuracy of participant self-reporting. Improved measures should be developed to encourage accurate reporting of safety behaviors.
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