There is much potential for computer-based programmes to be used for injury-prevention behaviour change. The reviewed studies provide evidence that computer-based communication is effective in conveying information and influencing how participants think about an injury topic and adopt safety behaviours.

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Objectives To demonstrate the feasibility of partnering fire department personnel and home visiting nurses to increase the number of low-income homes protected by smoke alarms. Methods During a regularly scheduled home visit, nurses at the Nurse-Family Partnership of Maricopa County (NFP) informed their clients about an opportunity to have smoke alarms installed in their homes for free. For interested families, nurses sent a referral to the Phoenix Fire Department (PFD), scheduled an appointment, and accompanied the PFD volunteers during the installation. During the appointment, PFD personnel installed alarms and provided safety education. Clients completed a follow-up survey 1-3 months after the installation visit. In-depth interviews were completed with key informants from NFP and PFD to solicit feedback on the program. Results Fifty-two smoke alarm installation visits were completed. Before the fire department arrived, 55% of homes had no working smoke alarm. Almost all (94%) homes received at least one new smoke alarm, and every home had at least one working smoke alarm at the end of the fire department visit. At follow-up, all homes maintained at least one working smoke alarm. Members from both organizations were enthusiastic about, and supportive of the project. NFP nurses appreciated the skill and knowledge of the firefighters; PFD representatives noted that the nurses' relationships with clients made it easier for them to gain access to families who are often described as "hard-to-reach". Conclusions Partnering home visiting nurses and fire departments can be successful to increase the number of vulnerable homes with smoke alarms.

PurposeAlthough child safety seats are known to reduce the risk of death from motor vehicle crashes, use among children 4–7 years old remains low and misuse is widespread. The aim of this prospective randomised trial was to test the efficacy of a smartphone app, Safety In Seconds 2.0, which delivered theory-based tailored education about child safety seats to parents in Little Rock, Arkansas and Baltimore, MarylandMethodsParents of children aged 4–7 visiting the paediatric emergency room in the two participating sites (regardless of the reason for the visit) were recruited. Study participants downloaded the Safety In Seconds app onto their smartphone and were randomised to the intervention (car seat) or control (fire safety) group. Both groups completed a 10 min assessment about their safety knowledge and behaviours and received tailored feedback relevant to their study group. The app contained a portal with educational links and sent monthly push notification reminders for parents to interact with the app. Parents completed follow-up assessments at 3 months and 6 months.ResultsA total of n=1129 parents were enrolled, and 742 (66%) completed the 6 month follow-up survey. At follow-up relative to the CG, IG parents were more likely to report using the correct child safety seat for their child’s age and size (OR=1.8; p<0.01) and were more likely to have had their child’s safety seat inspected by a car seat technician (OR=1.4; p<0.05).Conclusions/SignificanceSmartphone applications hold potential for changing behaviours that are known to improve child passenger safety.

BackgroundThe current opioid epidemic in the US highlights the need to develop innovative and effective approaches to communicate with patients about options for pain management and the risks of opioid pain relievers (OPRs). The aim of this study is to pilot test an m-health program, My Healthy Choices, with patients visiting the emergency department (ED) for effect on pain-management decision making. The program pairs theory-based education with a patient decision aid to describe what opioid and non-opioid pain medications are, assess the patient’s personal and environmental risk factors for taking opioids, and produce a tailored report that patients are encouraged to share with their provider.MethodsA total of 144 patients presenting to EDs in Baltimore, Maryland and Morgantown, West Virginia with a pain-related chief complaint are being enrolled. Prior to seeing the provider participants are randomised to either the My Healthy Choices program (IG) or a time-matched health risk assessment (CG). All participants complete a baseline assessment following triage, a post-test at discharge, and a six-week follow up survey. Primary outcome measures are the patient’s preference for an opioid or non-opioid, satisfaction with their decision-making, and their knowledge of risks and benefits. Secondary outcomes include medication use, storage, and disposal practices.ResultsTo date, n=87 patients have been enrolled and 26 have completed follow-up. On average, patients are 35 years old (±13.5), female (55%), black (49%), with at least a high school diploma (96%). Preliminary analyses suggest that compared to the CG, IG patients have greater reduction in decisional conflict (21.6 vs 8.0; p<0.05). Additional analyses for the full study sample and from the follow-up survey on knowledge, satisfaction and medication use, storage, and disposal will be presented.Conclusions/SignificanceM-health interventions hold promise for assessing and informing ED patients about the risks and benefits of pain management options.