Using a Computer Kiosk to Promote Child Safety: Results of a Randomized, Controlled Trial in an Urban Pediatric Emergency Department

Gielen, Andrea Carlson; McKenzie, Lara B.; McDonald, Eileen M.; Shields, Wendy; Wang, Mei Cheng; Cheng, Yuhui; Weaver, Nancy L.; Walker, Allan David

doi:10.1542/peds.2006-2703

Cited by 114 publications

(111 citation statements)

References 26 publications

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“…Technology-based interventions such as computer kiosks have been shown to provide effective, tailored educational interventions while simultaneously replacing the need for additional personnel. 27 An additional barrier to injury prevention efforts in the ED is lack of materials. 21 Given the need for and effectiveness of safety device provision, especially in socioeconomically disadvantaged populations, the future of successful injury prevention efforts may be in health insurance coverage.…”

Section: Discussionmentioning

confidence: 99%

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Zonfrillo

Nelson

Durbin

2011

Academic Emergency Medicine

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Objectives: While physicians provide discharge instructions to patients and families following emergency department (ED) visits, injury prevention information may not be routinely included in these instructions. This study assessed emergency physicians' knowledge and provision of child passenger safety (CPS) information to patients following motor vehicle crashes (MVCs).Methods: This study was both a survey of emergency physician knowledge and provision of CPS information and an examination of frequency of CPS information in discharge instructions at a single institution. Members of the American Academy of Pediatrics (AAP) Section on Emergency Medicine were invited to participate in the survey. Respondents were asked about their provision of CPS information to patients and knowledge of national AAP CPS recommendations. The institutional ED medical record chart review assessed the frequency of written CPS information for patients of MVC-related visits who were discharged home.Results: There were 317 survey respondents from 1,024 eligible physicians, of whom 43 began but did not complete the survey. The data analyzed are from the 274 who completed the survey. While 85% (95% confidence interval [CI] = 81% to 89%) of physicians believed that CPS information should be included in discharge instructions, only 36% (95% CI = 31% to 42%) correctly answered all knowledge questions. Of the 51 self-identified division ⁄ department chiefs, 15 (29.4%; 95% CI = 16.9% to 41.9%) reported that their EDs routinely provide CPS information in discharge instructions for pediatric passengers in MVCs. For the medical record review, of the 152 randomly selected MVC visits, 13 (8.6%; 95% CI = 4.1% to 13.0%) had documented CPS information in the discharge instructions. Patients with documented CPS information were younger, but there were no significant differences in race, sex, or maximum abbreviated injury scale score between patients with versus without CPS information. Conclusions:While emergency physicians value the use of CPS information in discharge instructions following MVCs, they do not have adequate knowledge of, nor do they regularly disseminate, this information.

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Section: Discussionmentioning

confidence: 99%

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Zonfrillo

Nelson

Durbin

2011

Academic Emergency Medicine

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“…The trial aimed to test the effectiveness of a computer kiosk that generated tailored safety reports for parents on smoke alarm use, poison storage, and child safety seat use. 41,42 The study was approved by the Johns Hopkins Committee for Human Research.…”

Section: Methodsmentioning

confidence: 99%

“…The remaining 901 participants were randomized into a control and intervention group for a participation rate of 77%. Further specifics about the recruitment process can be found in Gielen et al 41 Data for this analysis comes from the 453 individuals randomized into the control group. As the sample recruited were primarily mothers (90%), and considering the intent of the study, the decision was made to limit the analysis to only mothers.…”

Section: Methodsmentioning

confidence: 99%

Neighborhood Violence and its Association with Mothers’ Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence

Johnson

Solomon²,

Shields

et al. 2009

J Urban Health

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This paper presents a cross-sectional study examining the influence of neighborhood violence on multiple aspects of mothers' health. While the influence of neighborhood violence on health is important to understand for all populations, mothers are especially important as they play a key role in protecting their children from the consequences of violence. Three hundred and ninety-two Baltimore City mothers of children 5 years and younger completed a self-administered survey that included questions about perceptions of their safety as well as their personal experiences with neighborhood violence. Separate models were run to compare the relationship between each measurement of neighborhood violence and five diverse health-related determinants and outcomes: self-reported health status, smoking, exercise, average hours of sleep a night, and sleep interruption. Controlling for mother's age, child's age, maternal education, and marital status, mothers with high exposure to neighborhood violence were twice as likely to report poorer health, smoking, never exercising, and poor sleep habits. Maternal perception of neighborhood safety was not related to any of the assessed health-related determinants and outcomes. This study emphasizes the importance of measuring exposure to neighborhood violence rather than solely assessing perceived safety. Neighborhood violence was a common experience for mothers in this urban sample, and should be considered by health professionals in trying to understand and intervene to improve the health of mothers and their children.

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“…This included six RCTs (Baudier et al, 1988;Clamp & Kendrick, 1998;Colver, Hutchinson, & Judson, 1982;Gielen et al, 2007;Paul, Sanson-Fisher, & Redman, 1994;Watson et al, 2005) and one CBA (Schwarz, Grisso, Miles, Holmes, & Sutton, 1993), evaluating interventions providing safety education (OR 1.61, 95% CI 1.10À2.36 (Gielen et al, 2007)) and safety education plus equipment, with effect sizes ranging from RR 1.15 95% CI 1.03À1.28 (Clamp & Kendrick, 1998) to OR 14.30 95% CI 4.22À18.46 (Colver et al, 1982. The remaining 18 studies (see Table 4) evaluating a range of interventions including safety education, tailored safety education, safety education plus equipment found no significant difference in safe storage of medicines between treatment groups.…”

Section: Interventions Promoting Safe Storage Of Medicinesmentioning

confidence: 99%

Prevention of childhood poisoning in the home: overview of systematic reviews and a systematic review of primary studies

Wynn

Zou

Young

et al. 2015

International Journal of Injury Control and Safety Promotion

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Unintentional poisoning is a significant child public health problem. This systematic overview of reviews, supplemented with a systematic review of recently published primary studies synthesizes evidence on non-legislative interventions to reduce childhood poisonings in the home with particular reference to interventions that could be implemented by Children's Centres in England or community health or social care services in other high income countries. Thirteen systematic reviews, two meta-analyses and 47 primary studies were identified. The interventions most commonly comprised education, provision of cupboard/drawer locks, and poison control centre (PCC) number stickers. Metaanalyses and primary studies provided evidence that interventions improved poison prevention practices. Twenty eight per cent of studies reporting safe medicine storage (OR from meta-analysis 1.57, 95% CI 1.22À2.02), 23% reporting safe storage of other products (OR from meta-analysis 1.63, 95% CI 1.22À2.17) and 46% reporting availability of PCC numbers (OR from meta-analysis 3.67, 95% CI 1.84À7.33) demonstrated significant effects favouring the intervention group. There was a lack of evidence that interventions reduced poisoning rates. Parents should be provided with poison prevention education, cupboard/drawer locks and emergency contact numbers to use in the event of a poisoning. Further research is required to determine whether improving poison prevention practices reduces poisoning rates.

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Using a Computer Kiosk to Promote Child Safety: Results of a Randomized, Controlled Trial in an Urban Pediatric Emergency Department

Cited by 114 publications

References 26 publications

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Neighborhood Violence and its Association with Mothers’ Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence

Prevention of childhood poisoning in the home: overview of systematic reviews and a systematic review of primary studies

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