Promoting health and home safety for children of parents with intellectual disability: a randomized controlled trial

The feasibility of using a parenting programme for the prevention of unintentional home injuries in the under-fives: a cluster randomised controlled trial

“…Some authors reported results from the same study at different follow-up time points in separate papers and several authors reported results from the same study in more than one paper. Sixteen [70][71][72]74,[76][77][78]80,[82][83][84][85]87,89,90 (73%) included studies were RCTs, two 73,81 (9%) were non-RCTs, one 86 (5%) was a partially randomised study with two randomised intervention arms and one non-randomised control arm, two 75,88 (9%) were CBA studies and one 79 (5%) was a quasi-RCT. Four studies 73,75,81,88 used clustered allocation.…”

“…Two studies 76,87 recruited participants with a learning disability, and three studies 81,88 recruited consecutive newborns from a range of paediatric practices.…”

“…Three 82,88 evaluated paediatric practice-based multifaceted interventions, aimed at improving a range of child health outcomes, all of which included some home visits. Two studies 76,87 provided solely educational interventions in the home. None of the studies had injury prevention as a primary focus.…”

“…Seven studies 73,75,76,82,88,89 reported a range of safety outcomes such as use of socket covers and stair gates. Two studies 87,89 reported home hazards using different tools, and one study 82 reported scores from a home safety index. Ten studies [70][71][72]74,[83][84][85][86]89,90 measured the quality of the home environment using the HOME inventory.…”

Definition and Prevalence

“…An intervention utilizing selfinstructional, audiovisual childcare manuals resulted in high levels of parent satisfaction and significant improvement in parenting skills, with improvements persisting at six months (Feldman & Case, 1999;Feldman, Ducharme, & Case, 1999). A randomized trial of a 10-week home-based intervention addressing child health and safety demonstrated that parents improved in their ability to recognize dangers in the home and to implement precautions, with gains persisting at 3 months (Llewellyn, McConnell, Honey, Mayes, & Russo, 2003). A similar home-based intervention focusing on childcare skills resulted in improved family preservation outcomes for group of families at risk for child neglect (Feldman, 1998).…”