Exploring Infant Fall Events Using Online Parenting Discussion Forums

Cooray, Nipuna; Sun, Si; Adams, Susan; Keay, Lisa; Nassar, Natasha; Brown, Julie

doi:10.21203/rs.3.rs-87492/v1

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Among the type of injuries, fall is a very common injury this was also studied by Cooray et al in his studies using online discussion forums. 17 Falls are common between the ages of 4-12 months, mainly because of the increasing ability of infants to roll, creep, stand and climb. Falls were the most common type of accident.…”

Section: Discussionmentioning

confidence: 99%

Domestic injuries among infancy: a prospective descriptive study

Gupta¹,

Gupta

Bhadwal³

et al. 2021

Int J Contemp Pediatr

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Background: Injuries in the form of accidents are a major cause of morbidity and mortality in children. The objective of this study was to determine the prevalence of different types and modes injuries among the infants.Methods:A prospective study data from two hundred infants who visited the pediatric OPD in a private pediatric clinic following injury was recorded. A pre-structured questionnaire was provided to the parents. Health education was imparted to the parents regarding prevention of such injuries.Results: Among 200 infants under study, most of the infants were between 8-12 months. Fall being the most common type of injury and it was mostly due to walkers. The most common site of injury was the forehead.Conclusions:Structural modifications are required to be made in the home along with parent education by pediatrician, by doing this most of the injuries can be prevented.

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Section: Discussionmentioning

confidence: 99%

Domestic injuries among infancy: a prospective descriptive study

Gupta¹,

Gupta

Bhadwal³

et al. 2021

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

Toward a Behavior Theory–Informed and User-Centered Mobile App for Parents to Prevent Infant Falls: Development and Usability Study

Cooray¹,

Sun²,

Ho³

et al. 2021

JMIR Pediatr Parent

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Background Falls account for approximately 50% of infant injury hospitalizations, and caretaker behavior is central to preventing infant falls. Behavior theory–informed interventions for injury prevention have been suggested, but to date, few have been reported. The potential of using smartphones for injury prevention intervention delivery is also underexploited. Objective This study aims to develop a behavior theory– and evidence-based as well as user-centered digital intervention as a mobile app for parents to prevent infant falls following agile development practices. Methods Infant falls while feeding was selected as the fall mechanism to demonstrate the approach being taken to develop this intervention. In phase 1, the Behaviour Change Wheel was used as a theoretical framework supported by a literature review to define intervention components that were then implemented as a mobile app. In phase 2, after the person-based approach, user testing through think-aloud interviews and comprehension assessments were used to refine the content and implementation of the intervention. Results The target behaviors identified in phase 1 were adequate rest for the newborn’s mother and safe feeding practices defined as prepare, position, and place. From behavioral determinants and the Behaviour Change Wheel, the behavior change functions selected to achieve these target behaviors were psychological capability, social opportunity, and reflective motivation. The selected behavior change techniques aligned with these functions were providing information on health consequences, using a credible source, instruction on performing each behavior, and social support. The defined intervention was implemented in a draft Android app. In phase 2, 4 rounds of user testing were required to achieve the predefined target comprehension level. The results from the think-aloud interviews were used to refine the intervention content and app features. Overall, the results from phase 2 revealed that users found the information provided to be helpful. Features such as self-tracking and inclusion of the social and environmental aspects of falls prevention were liked by the participants. Important feedback for the successful implementation of the digital intervention was also obtained from the user testing. Conclusions To our knowledge, this is the first study to apply the Behaviour Change Wheel to develop a digital intervention for child injury prevention. This study provides a detailed example of evidence-based development of a behavior theory–informed mobile intervention for injury prevention refined using the person-based approach.

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Toward a Behavior Theory–Informed and User-Centered Mobile App for Parents to Prevent Infant Falls: Development and Usability Study (Preprint)

Cooray¹,

Sun²,

Ho³

et al. 2021

Preprint

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BACKGROUND Falls account for ~50% of infant injury hospitalisations and caretaker behaviour is central to preventing infant falls. Behaviour theory informed interventions for injury prevention have been suggested, but to date few have been reported. The potential of using smartphones for injury prevention intervention delivery is also under exploited. OBJECTIVE This study aims to develop a behaviour theory, evidence and user centered digital intervention as a mobile app for parents to prevent infant falls following agile development practices. METHODS Infant falls while feeding was selected as the fall mechanism to demonstrate the approach being taken to develop this intervention. In Phase 1, the Behaviour Change Wheel was used as a theoretical framework supported by a literature review to define intervention components which were then implemented as a mobile application. In phase 2 following the person-based approach, user testing via think aloud interviews and comprehension assessments were used to refine content and implementation of the intervention. RESULTS Target behaviours identified in Phase 1 were adequate rest for the newborns mother and safe feeding practices defined as Prepare, Position and Place. From behavioural determinants and the Behaviour Change Wheel, behavior change functions selected to achieve these target behaviours were psychological capability, social opportunity and reflective motivation. Selected Behaviour Change Techniques aligned with these functions were providing information on health consequence, using a credible source, instruction on performing each behaviour and social support. The defined intervention was implemented in a draft Android application. In phase 2, four rounds of user testing were required to achieve the pre-defined target comprehension level. Results from think aloud interviews id were used to refine intervention content and application features. Overall, results from Phase 2 revealed users found the information provided helpful. Features such as self -racking and inclusion of social and environmental aspects of falls prevention were liked by the participants. Important feedback for successful implementation of the digital intervention was also obtained from the user -testing. CONCLUSIONS To our knowledge, this is the first study to apply the Behaviour Change Wheel to develop a digital intervention for child injury prevention. This work provides a detailed example of evidence-based development of a behaviour theory informed mobile intervention for injury prevention refined using the person-based approach.

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Exploring Infant Fall Events Using Online Parenting Discussion Forums

Cited by 3 publications

References 20 publications

Domestic injuries among infancy: a prospective descriptive study

Domestic injuries among infancy: a prospective descriptive study

Toward a Behavior Theory–Informed and User-Centered Mobile App for Parents to Prevent Infant Falls: Development and Usability Study

Toward a Behavior Theory–Informed and User-Centered Mobile App for Parents to Prevent Infant Falls: Development and Usability Study (Preprint)

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