Identifying facilitators and barriers for home injury prevention interventions for pre-school children: a systematic review of the quantitative literature

Abstract

Injuries are the leading cause of childhood death internationally; steep social gradients exist in mortality and morbidity. The majority of pre-school injuries occur in the home, but implementing research into practice for injury prevention has received little attention. This systematic review describes key facilitators and barriers when implementing injury prevention interventions. The review used articles included in a Cochrane systematic review of the effectiveness of home safety education, with or without the provision of safety equipment. Each paper was screened to ensure that children under 5 years, intervention details and process measures and/or barriers and facilitators were included. Two authors independently reviewed each paper and extracted data. Themes were identified and framework analysis used in an iterative process. Ninety-nine papers were identified, 42 excluded and 57 included in the analysis. Seven facilitators and six barriers were identified. Facilitators related to the approach used, focused messages, minimal changes, deliverer characteristics, equipment accessibility, behaviour change and including incentives. The barriers included complex interventions, cultural, socio-economic, physical and behavioural barriers and deliverer constraints. Barriers and facilitators should be addressed when implementing injury prevention interventions and studies should explicitly explore factors that help or hinder the process.

Determining factors of domestic accidents in early childhood

“…For the team that assists and prepares the guidelines on children's domestic accidents, knowledge of the cultural aspects of the group is fundamental to the assimilation and needs of the families of the children. There are gaps in knowledge sharing, transforming research into practice and how to obtain significant evidence on effective interventions for routine practice 22 . The study presents as a limitation the fact that it is not representative of accidents that do not cause hospitalization, which are influenced by determining factors that also need to be understood.…”

Facilitators and Barriers of Community-Level Quality Improvement for Maternal and Newborn Health in Tanzania

“…When evaluating similar interventions, systematic literature reviews and meta-analysis are also used to deduce facilitators and barriers of these as a whole (Ingram, Deave, Towner, Errington, Kay, & Kendrick, 2012;Nair et al, 2014;Solomons & Spross, 2011). However, as there are very few examples of community-level quality improvement, relying on secondary data from systematic reviews was not an option.…”

Accident victim of domestic child under the look of nursing theories

“…Therefore, within domestic environments, children in this age group are exposed to a wide range of risks to health and daily life, and this fact justified by its restricted physical and psychological development, as the limited ability of their caregivers mitigate risks accidents. 6 An accident is an unintentional and avoidable event, causing physical and/or emotional injuries at home or in other social scenario such as work, transit, schools, sports and leisure. the territory as a privileged space for performing actions that promote the health of children, allowed substantial progress in addressing the subject in the early years of life.¹² -13 According to Dr. Lincoln Freire, president of the Brazilian Society of Pediatrics (1998/2004), although Brazilian mortality from diarrhea, respiratory infections and immunepreventable diseases had decreased, the one generated by "external causes" had increased.…”

“…Three research were conducted in Fortaleza-CE, one in Patos- In study analyzing the most common types of accident, the biggest incident were in the transit (63.6%), followed by falls (20.3%), other causes (9%), burns (2.9% ), clinical problems (2.6%), drowning (0.8%), aggression (0.5%) and injury caused by firearms (0.5%).² 6 In these types of occurrences, boys were most assisted. Accidents characterized by "others"…”

“…The small child, ignoring these dangers, left to its own, certainly not survive at their own home. Thus, the lack of information, the carelessness and negligence of parents or caregivers are an important factor that allows the exposure of children to accidents in their own environment.³ 6 In a study, it was found that 57% of injuries occurred in their own houses and, of those, 43% in the presence of an adult or family member.³ 7 The family has been the hierarchical space of subordination, violence and intra-family neglect, causing suffering to their members, particularly women and children, who are the most vulnerable. It is important that the family take its role as primary socializing agent, as it is within the family that the child learns to live, love, tolerate frustrate, defend, fight, compete, survive and believe.…”