Translating an Evidence-Based Injury Prevention Program for Implementation in a Home Visitation Setting

Abstract

Safe N' Sound (SNS), a computer-based childhood injury prevention program, provides individually tailored information to parents about their child's injury risks with specific behavioral recommendations. We translated SNS for implementation in a home visitation organization in order to increase its capacity to effectively address injury prevention and decrease the burden of injury experienced by high-need families. The aim of this study was to identify behavioral and organizational barriers and facilitators to translating and implementing SNS in a home visitation setting. Nurse home visitors (NHVs) participated in semistructured interviews that examined perceptions of program implementation, intervention characteristics, individual characteristics of NHVs, and recommendations for improving implementation. The utility of the program for promoting injury prevention systematically and its alignment with the organization's mission were facilitators of successful implementation. Barriers included NHVs' concerns about overburdening clients and missed educational opportunities related to injury risks not addressed by the program and delayed delivery of educational reports. Findings illustrate the dynamic interactions of intervention characteristics with organizational and individual factors and suggest that customizing implementation to organizational capacity and specific needs may better support successful program implementation in home visitation settings.

Alignment in implementation of evidence-based interventions: a scoping review

“…The included studies described the implementation of various types of EBIs, mostly in a hospital care setting (Table 3). A majority of the articles focused on the implementation of strategies/practices, and within that group, about one-third (n = 11) were different types of e-health initiatives [17,[19][20][21][22][23][24][25][26][27][28]. Almost half of the EBIs tried to improve health outcomes in an organization, whereas the remaining EBIs targeted health outcomes on population level, health system development, and reorganization of care services.…”

Keeping our children safe: piloting a hospital-based home-visitation program in Israel

“…Likewise, some studies showed a significant improvement in home safety [ 16 , 17 ], while others did not [ 18 , 19 ]. There have been attempts to explore why results are discrepant [ 20 – 22 ], but no clear indicators for success have emerged. Outstanding questions remain such as the relative benefit of recruiting in the community or hospital settings, the optimal number of visits, and qualifications to conduct home visits.…”