Development of injury prevention materials for people with low literacy skills

Trifiletti, Lara B.; Shields, Wendy; McDonald, Eileen M.; Walker, Allan David; Gielen, Andrea Carlson

doi:10.1016/j.pec.2005.12.005

Cited by 29 publications

(24 citation statements)

References 21 publications

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“…The trial aimed to test the effectiveness of a computer kiosk that generated tailored safety reports for parents on smoke alarm use, poison storage, and child safety seat use. 41,42 The study was approved by the Johns Hopkins Committee for Human Research.…”

Section: Methodsmentioning

confidence: 99%

Neighborhood Violence and its Association with Mothers’ Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence

Johnson

Solomon²,

Shields

et al. 2009

J Urban Health

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This paper presents a cross-sectional study examining the influence of neighborhood violence on multiple aspects of mothers' health. While the influence of neighborhood violence on health is important to understand for all populations, mothers are especially important as they play a key role in protecting their children from the consequences of violence. Three hundred and ninety-two Baltimore City mothers of children 5 years and younger completed a self-administered survey that included questions about perceptions of their safety as well as their personal experiences with neighborhood violence. Separate models were run to compare the relationship between each measurement of neighborhood violence and five diverse health-related determinants and outcomes: self-reported health status, smoking, exercise, average hours of sleep a night, and sleep interruption. Controlling for mother's age, child's age, maternal education, and marital status, mothers with high exposure to neighborhood violence were twice as likely to report poorer health, smoking, never exercising, and poor sleep habits. Maternal perception of neighborhood safety was not related to any of the assessed health-related determinants and outcomes. This study emphasizes the importance of measuring exposure to neighborhood violence rather than solely assessing perceived safety. Neighborhood violence was a common experience for mothers in this urban sample, and should be considered by health professionals in trying to understand and intervene to improve the health of mothers and their children.

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Section: Methodsmentioning

confidence: 99%

Neighborhood Violence and its Association with Mothers’ Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence

Johnson

Solomon²,

Shields

et al. 2009

J Urban Health

Self Cite

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“…Global simplification of text has been positively correlated with better comprehension, but readers with low literacy levels still experience great difficulty interacting with simplified written materials [15][16][17]. Thus, reducing the readability of text is not likely to solve comprehension problems.…”

Section: Written Text and Working Memorymentioning

confidence: 99%

Working memory and the design of health materials: A cognitive factors perspective

Wilson

Wolf

2009

Patient Education and Counseling

167

102

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“…Because many of the families seen in the ED have limited literacy skills, the report was written by following established guidelines for low-literacy materials and was pilottested extensively before implementation. 29,30 Control Condition At the kiosk, the control group participants completed an assessment of the same length as for the intervention group. Items included sociodemographic characteristics and knowledge and concerns about 4 child health-related topics, namely, development, sleep, neighborhood safety, and dog bites.…”

Section: Implementation Of the Interventionmentioning

confidence: 99%

Using a Computer Kiosk to Promote Child Safety: Results of a Randomized, Controlled Trial in an Urban Pediatric Emergency Department

et al. 2007

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OBJECTIVES. The effects of a computer kiosk intervention on parents' child safety seat, smoke alarm, and poison storage knowledge and behaviors were evaluated in a pediatric emergency department serving predominantly low-income, urban families. The effects of parent anxiety and the reason for the child's emergency department visit also were examined. METHODS.A randomized, controlled trial of a Safety in Seconds program with a 2-to 4-week follow-up interview was conducted with 759 parents of young children (4 -66 months of age). The intervention group received a personalized report containing tailored, stage-based safety messages based on the precaution adoption process model. The control group received a report on other child health topics.RESULTS. The intervention group had significantly higher smoke alarm, poison storage, and total safety knowledge scores. The intervention group was more likely to report correct child safety seat use. Neither parent anxiety nor the reason for the emergency department visit was related to the safety behaviors. Virtually all (93%) intervention parents read at least some of the report; 57% read it all, and 68% discussed it with others. Lower-income intervention parents who read all of the report and discussed it with others were more likely than control parents to practice safe poison storage. Higher-income intervention parents were more likely than control parents to report correct child safety seat use.CONCLUSIONS. These results bode well for widespread applicability of computer technology to patient education in busy emergency departments and other child health care settings. Reducing financial barriers to certain safety behaviors should continue to be a high priority.www.pediatrics.org/cgi/

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Development of injury prevention materials for people with low literacy skills

Cited by 29 publications

References 21 publications

Neighborhood Violence and its Association with Mothers’ Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence

Neighborhood Violence and its Association with Mothers’ Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence

Working memory and the design of health materials: A cognitive factors perspective

Using a Computer Kiosk to Promote Child Safety: Results of a Randomized, Controlled Trial in an Urban Pediatric Emergency Department

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