Studying injury prevention: practices, problems, and pitfalls in implementation.
Clin Pediatr (Phila)
; 46(3): 228-35, 2007 Apr.
Article
em En
| MEDLINE
| ID: mdl-17416878
ABSTRACT
This prospective, randomized, controlled trial was conducted to determine feasibility and effectiveness of a chronic care model approach to injury prevention compared with standard anticipatory guidance. Enrolled caregivers of children aged 0 to 5 years received focused counseling from a physician and health assistant, educational handouts, phone follow-up, and access to free safety devices and automobile restraint evaluations. Only 35.1% of eligible parents participated. Home visits were completed at 6 months to observe safety practices. Injuries were gleaned from parent report and medical record review. Safety practices were evaluated in 27 households. Chart review showed no significant difference in the number of medically attended injuries between groups (P = 0.6). The impact of the chronic care model on injury prevention in primary care could not be determined with certainty. Evaluating effectiveness of injury prevention strategies on actual safety practices with direct observation is challenging.
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Bases de dados:
MEDLINE
Assunto principal:
Ferimentos e Lesões
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
Limite:
Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
Clin Pediatr (Phila)
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos