The Impact of Behavioral Risk Assessments and Tailored Health Information on Pediatric Injury

Brixey, Suzanne N.; Weaver, Nancy L.; Guse, Clare E.; Zimmermann, H. A.; Williams, Janice; Corden, Timothy E.; Gorelick, Marc H.

doi:10.1177/0009922814549544

Cited by 9 publications

(4 citation statements)

References 15 publications

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“…Primary care kiosks most frequently dealt with multiple conditions (7/134, 5.2%) [ 76 - 82 ], followed by cardiovascular disease (2/134, 1.5%) [ 83 , 84 ], general health and well-being (2/134, 1.5%) [ 85 , 86 ], hypertension (2/134, 1.5%) [ 87 , 88 ], and pediatric injuries (2/134, 1.5%) [ 89 , 90 ]. The community kiosks were for multiple conditions (8/134, 6%) and general health and well-being (2/134, 1.5%).…”

Section: Resultsmentioning

confidence: 99%

The Role of Health Kiosks: Scoping Review

Maramba¹,

Jones²,

Austin³

et al. 2022

JMIR Med Inform

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Background Health kiosks are publicly accessible computing devices that provide access to services, including health information provision, clinical measurement collection, patient self–check-in, telemonitoring, and teleconsultation. Although the increase in internet access and ownership of smart personal devices could make kiosks redundant, recent reports have predicted that the market will continue to grow. Objective We seek to clarify the current and future roles of health kiosks by investigating the settings, roles, and clinical domains in which kiosks are used; whether usability evaluations of health kiosks are being reported, and if so, what methods are being used; and what the barriers and facilitators are for the deployment of kiosks. Methods We conducted a scoping review using a bibliographic search of Google Scholar, PubMed, and Web of Science databases for studies and other publications between January 2009 and June 2020. Eligible papers described the implementation as primary studies, systematic reviews, or news and feature articles. Additional reports were obtained by manual searching and querying the key informants. For each article, we abstracted settings, purposes, health domains, whether the kiosk was opportunistic or integrated with a clinical pathway, and whether the kiosk included usability testing. We then summarized the data in frequency tables. Results A total of 141 articles were included, of which 134 (95%) were primary studies, and 7 (5%) were reviews. Approximately 47% (63/134) of the primary studies described kiosks in secondary care settings. Other settings included community (32/134, 23.9%), primary care (24/134, 17.9%), and pharmacies (8/134, 6%). The most common roles of the health kiosks were providing health information (47/134, 35.1%), taking clinical measurements (28/134, 20.9%), screening (17/134, 12.7%), telehealth (11/134, 8.2%), and patient registration (8/134, 6.0%). The 5 most frequent health domains were multiple conditions (33/134, 24.6%), HIV (10/134, 7.5%), hypertension (10/134, 7.5%), pediatric injuries (7/134, 5.2%), health and well-being (6/134, 4.5%), and drug monitoring (6/134, 4.5%). Kiosks were integrated into the clinical pathway in 70.1% (94/134) of studies, opportunistic kiosks accounted for 23.9% (32/134) of studies, and in 6% (8/134) of studies, kiosks were used in both. Usability evaluations of kiosks were reported in 20.1% (27/134) of papers. Barriers (e.g., use of expensive proprietary software) and enablers (e.g., handling of on-demand consultations) of deploying health kiosks were identified. Conclusions Health kiosks still play a vital role in the health care system, including collecting clinical measurements and providing access to web-based health services and information to those with little or no digital literacy skills and others without personal internet access. We identified research gaps, such as training needs for teleconsultations and scant reporting on usability evaluation methods.

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Section: Resultsmentioning

confidence: 99%

The Role of Health Kiosks: Scoping Review

Maramba¹,

Jones²,

Austin³

et al. 2022

JMIR Med Inform

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“…A fifteen minute educational intervention is a bit long considering possible embedment of messages during clinical encounters, grandparent classes, and other venues; however, even 5-minutes of education regarding poisoning prevention may be effective, and further study of a potentially further shortened intervention is warranted [14] . Studies have demonstrated that brief poisoning prevention videos and use of a computer based kiosk on injury prevention while families wait for medical care effectively improve knowledge and could serve as a model for future study of this “Up & Away” educational intervention [22] , [34] , [35] . Targeting adults who are filling prescriptions for medicines that may be lethal in small doses may also be efficacious, as pharmacists infrequently advise older adults about poisoning prevention [36] .…”

Section: Discussionmentioning

confidence: 99%

A Brief Educational Intervention Improves Medication Safety Knowledge in Grandparents of Young Children

Agarwal

Williams

Tavoulareas³

et al. 2015

AIMS Public Health

Self Cite

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Background and ObjectivesIncreasing grandparent-grandchild interactions have not been targeted as a potential contributing factor to the recent surge in pediatric poisonings. We hypothesized that in grandparents with a young grandchild, a single educational intervention based on the PROTECT “Up & Away” campaign will improve safe medication knowledge and storage at follow-up from baseline.MethodsThis prospective cohort study validated the educational intervention and survey via cognitive debriefing followed by evaluation of the educational intervention in increasing safe medication storage. Participants had to read and speak English and have annual contact with one grandchild ≤ 5-years-old. Participants were recruited from a convenience sample of employees in a regional healthcare system. They completed a pre-intervention survey querying baseline demographics, poisoning prevention knowledge, and medication storage, followed by the educational intervention and post-intervention survey. Participants completed a delayed post-intervention survey 50–90 days later assessing medication storage and poisoning prevention knowledge. Storage sites were classified as safe or unsafe a priori; a panel classified handwritten responses.Results120 participants were enrolled; 95 (79%) completed the delayed post-intervention survey. Participants were predominantly female (93%) and white (76%); 50% had a clinical degree. Participants averaged 1.9 grandchildren. Initially, 23% of participants reported safe medication storage; this improved to 48% after the intervention (OR 6.4; 95% CI = 2.5–21.0). 78% of participants made at least one improvement in their medication storage after the intervention even if they did not meet all criteria for safe storage. Participants also demonstrated retention of poisoning prevention knowledge.ConclusionsThis brief educational intervention improved safe medication storage and poisoning prevention knowledge in grandparents of young children; further evaluation of this intervention is warranted.

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“…This component examines age-appropriate domestic safety knowledge, attitudes, intentions, and perceived behavioral control toward home safety practice (Table 1) [30-32]. The multiple-choice questions in the questionnaire are categorized into two sections: (1) age-specific questions, and (2) assessment questions that were answered incorrectly in the previous stage by the participant (see Multimedia Appendix 2).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a Technology-Based Injury Prevention Program for Enhancing Mothers’ Knowledge of Child Safety: Protocol for a Randomized Controlled Trial

Chow¹,

Wong²,

Leung³

et al. 2016

JMIR Res Protoc

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BackgroundProvision of anticipatory guidance for parents is recommended as an effective strategy to prevent injuries among young children. Technology-based anticipatory guidance has been suggested to reinforce the effectiveness of injury prevention and improve parents’ knowledge of child safety.ObjectiveThis study aims to examine the effectiveness of a technology-based injury prevention program with parental anticipatory guidance for enhancing mothers’ knowledge of child safety.MethodsIn this randomized controlled trial, 308 mothers will be recruited from the antenatal clinics and postnatal wards of two major public hospitals in Hong Kong. Participating mothers will be randomly assigned into intervention and control groups. Mothers in the intervention group will be given free access to a technology-based injury prevention program with anticipatory guidance, whereas mothers in the control group will be given a relevant booklet on parenting. The injury prevention program, available as a website or on a mobile app, includes behavioral components based on the Theory of Planned Behavior. The primary outcome measure will be the change in the mother’s knowledge of child safety. The secondary outcome measures will be age-appropriate domestic safety knowledge, attitudes, intentions, perceived behavioral control, and self-reported behavior related to home safety practice. We will also determine dose-response relationships between the outcome measures and the website and mobile app usage.ResultsEnrolment of participants will begin in October 2016. Results are expected by June 2018.ConclusionsParents will be able to easily access the domestic injury prevention website to find information regarding child injury prevention. It is anticipated that the technology-based intervention will help parents improve their knowledge of child safety and raise their awareness about the consequences of domestic injuries and the importance of prevention.Trial RegistrationClinicaltrials.govClinicaltrials.gov NCT02835768; http://clinicaltrials.gov/ct2/show/NCT02835768 (Archived by WebCite at http://www.webcitation/6lbXYM6b9)

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The Impact of Behavioral Risk Assessments and Tailored Health Information on Pediatric Injury

Cited by 9 publications

References 15 publications

The Role of Health Kiosks: Scoping Review

The Role of Health Kiosks: Scoping Review

A Brief Educational Intervention Improves Medication Safety Knowledge in Grandparents of Young Children

Effectiveness of a Technology-Based Injury Prevention Program for Enhancing Mothers’ Knowledge of Child Safety: Protocol for a Randomized Controlled Trial

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