Reach of a kiosk-based pediatric injury prevention program

Translational Behavioral Medicine

Buskirk

Jupka³

et al. 2018

Self Cite

Most childhood injuries can be prevented with the correct use of safety devices and appropriate supervision. Children's hospitals are well positioned to promote these behaviors with evidence-based programming; however, barriers exist to adopting such programs. The purpose of this study was to describe organizational and administrative factors related to the adoption of an efficacious injury prevention (IP) program by children's hospitals in the USA. IP specialists at 232 U.S. children's hospitals were invited to complete a baseline survey, and then offered Safe N' Sound (SNS), an efficacious computer IP program targeting parents of young children. Following this promotion period, specialists were surveyed again to assess their level of SNS adoption. Organizational and administrative factors associated with SNS adoption were identified using conditional random forest models (n = 93). Random forests identified a set of six predictors with potential utility for classifying hospitals as having SNS adoption activity or not; the final pruned classification tree indicated that four of these were best able to differentiate hospitals with and without adoption activity-having a medical director, having other hospital units that provided IP programming, the number of requests the IP unit received within the past year, and the belief of administrative leaders in their responsibility to develop programming all influence decisions. Hospitals without a medical director were most likely to demonstrate adoption activity. Medical directors, or other organizational leaders, can facilitate the adoption process for evidence-based intervention, but may need to be engaged intentionally when disseminating new products, tools, or approaches.

Section: Discussionmentioning

confidence: 99%

Organizational factors related to the adoption of an injury prevention program by U.S. children’s hospitals

Translational Behavioral Medicine

Buskirk

Jupka³

et al. 2018

Self Cite

“…Size ranged from 2 to 10 providers. Detailed study methods and demographic characteristics of the participating clinics are described elsewhere (Weaver et al, 2011). The study, which took place from July 2006 to April 2008, was approved by the institutional review board of the Carolinas Medical Center; informed consent was obtained from participants.…”

Section: Methodsmentioning

confidence: 99%

“…The overall reach of SNS—the percentage of eligible patients who completed the program—was 7.6% (Weaver et al, 2011). Although this represents a large number of parents who received information with demonstrated efficacy, it is nonetheless lower than optimal.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Tailored Kiosk-Based Injury Prevention Program in Pediatric Primary Care

Tse

Nansel

Health Promotion Practice

et al. 2013

Self Cite

This study identified behavioral and organizational barriers and facilitators related to the implementation of a clinic-based pediatric injury prevention program. Safe N′ Sound (SNS), an evidence-based tailored injury prevention program designed for pediatric primary care, was implemented in five pediatric clinics in North Carolina. Office managers participated in structured interviews; health care providers participated in focus groups. Waiting room observations were conducted in participating clinics. Qualitative data captured perceptions of program implementation, including experience in integrating the program into clinical practice, usage by parents and providers, and recommendations for improving implementation. Reported facilitators of program use included usefulness and likeability of customized materials by parents and physicians and alignment with clinic priorities for injury prevention. Barriers included perceived staff burden despite the program’s low staff requirements. Consequently, practices experienced difficulty integrating the program into the waiting room environment and within existing staff roles. Recommendations included formalizing staff roles in implementation. Waiting room observations supported greater technology maintenance and staff involvement. Findings suggest a dynamic relationship between program implementation and the adopting organization. In addition to considering characteristics of the intervention, environment, and personnel in intervention development, implementation may require customization to the organization’s capacity.

“…Findings regarding the extent of program use by parents and providers in this translation study have been published previously. 18 This study was approved by the institutional review board of the Carolinas Medical Center in Charlotte, North Carolina.…”

Section: Methodsmentioning

confidence: 99%

Safe N' Sound

Williams

Nansel

Family &Amp; Community Health

et al. 2012

Self Cite

Safe N’ Sound is a computer-based tool that prioritizes key injury risks for toddlers and infants and provides tailored feedback. The program was implemented in 5 pediatric sites. Caregiver risk behaviors were analyzed and compared with corresponding national and state morbidity and mortality data. The priority risks identified were generally consistent with the incidence of injury. Frequencies of several risk behaviors varied across sites and differences were observed across ages. Use of a prioritization scheme may facilitate risk behavior counseling and reasonably result in a decrease in injury mortality or morbidity.