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

Chun Bong Chow, Wilfred Hing-Sang Wong, Wing Cheong Leung, Mary Hoi-Yin Tang, Ko Ling Chan, Calvin Kl Or, Tim Mh Li, Frederick Ka Wing Ho, Daniel Lo, Patrick Ip, Chun Bong Chow, Wilfred Hing-Sang Wong, Wing Cheong Leung, Mary Hoi-Yin Tang, Ko Ling Chan, Calvin Kl Or, Tim Mh Li, Frederick Ka Wing Ho, Daniel Lo, Patrick Ip

Abstract

Background: Provision 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.

Objective: This study aims to examine the effectiveness of a technology-based injury prevention program with parental anticipatory guidance for enhancing mothers' knowledge of child safety.

Methods: In 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.

Results: Enrolment of participants will begin in October 2016. Results are expected by June 2018.

Conclusions: Parents 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 registration: Clinicaltrials.gov Clinicaltrials.gov NCT02835768; https://ichgcp.net/clinical-trials-registry/NCT02835768 (Archived by WebCite at http://www.webcitation/6lbXYM6b9).

Keywords: anticipatory guidance; child safety; injury prevention; randomized controlled trial; technology-based intervention.

Conflict of interest statement

Conflicts of Interest: None declared.

©Chun Bong Chow, Wilfred Hing-Sang Wong, Wing Cheong Leung, Mary Hoi-Yin Tang, Ko Ling Chan, Calvin KL Or, Tim MH Li, Frederick Ka Wing Ho, Daniel Lo, Patrick Ip. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 31.10.2016.

Figures

Figure 1
Figure 1
Flow diagram of study design.

References

    1. World Health Organization Child and adolescent injury prevention: a global call to action. 2005. [2016-10-10]. .
    1. Peden M. World report on child injury prevention. World Health Organization. 2008. [2016-10-10]. .
    1. Chow C, Ip P, Wong W. A geographical study of child injury in Hong Kong: spatial variation among 18 districts. Hong Kong: Food and Health Bureau. 2013. .
    1. Gardner HG, American Academy of Pediatrics Committee on Injury‚ Violence‚ and Poison Prevention Office-based counseling for unintentional injury prevention. Pediatrics. 2007 Jan;119(1):202–6. doi: 10.1542/peds.2006-2899.
    1. Kendrick D, Young B, Mason-Jones AJ, Ilyas N, Achana FA, Cooper NJ, Hubbard SJ, Sutton AJ, Smith S, Wynn P, Mulvaney C, Watson MC, Coupland C. Home safety education and provision of safety equipment for injury prevention (Review) Evid Based Child Health. 2013 May;8(3):761–939. doi: 10.1002/ebch.1911.
    1. Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, Viswanath K. Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med. 2005;165(22):2618–24. doi: 10.1001/archinte.165.22.2618.
    1. Cheraghi P, Poorolajal J, Hazavehi SM, Rezapur-Shahkolai F. Effect of educating mothers on injury prevention among children aged <5 years using the Health Belief Model: a randomized controlled trial. Public Health. 2014 Sep;128(9):825–30. doi: 10.1016/j.puhe.2014.06.017.
    1. Peden M. World report on child injury prevention appeals to “Keep Kids Safe”. Inj Prev. 2008 Dec;14(6):413–4. doi: 10.1136/ip.2008.020693.
    1. Kendrick D, Mulvaney CA, Ye L, Stevens T, Mytton JA, Stewart-Brown S. Parenting interventions for the prevention of unintentional injuries in childhood. Cochrane Database Syst Rev. 2013;(3):CD006020. doi: 10.1002/14651858.CD006020.pub3.
    1. DiGuiseppi C, Roberts IG. Individual-level injury prevention strategies in the clinical setting. Future Child. 2000;10(1):53–82.
    1. Duncan P. In: Bright Futures: Guidelines for Health Supervision of Infants, Children, And Adolescents. Hagan Jr JF, Shaw JS, editors. Elk Grove Village, IL: American Academy of Pediatrics; 2007.
    1. Khanom A, Hill RA, Brophy S, Morgan K, Rapport F, Lyons R. Mothers' perspectives on the delivery of childhood injury messages: a qualitative study from the growing up in Wales, environments for healthy living study (EHL) BMC Public Health. 2013;13:806. doi: 10.1186/1471-2458-13-806.
    1. Nelson CS, Wissow LS, Cheng TL. Effectiveness of anticipatory guidance: recent developments. Curr Opin Pediatr. 2003 Dec;15(6):630–5.
    1. Gielen AC, Wilson ME, McDonald EM, Serwint JR, Andrews JS, Hwang WT, Wang MC. Randomized trial of enhanced anticipatory guidance for injury prevention. Arch Pediatr Adolesc Med. 2001 Jan;155(1):42–9.
    1. Mouton A, Cloes M. Web-based interventions to promote physical activity by older adults: promising perspectives for a public health challenge. Arch Public Health. 2013;71(1):16. doi: 10.1186/0778-7367-71-16.
    1. Bensley R, Brookins-Fisher J. Community health education methods: a practical guide. Sudbury, MA: Jones and Bartlett Publishers; 2008. Feb 27,
    1. Webb TL, Joseph J, Yardley L, Michie S. Using the Internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010;12(1):e4. doi: 10.2196/jmir.1376.
    1. Hall CM, Bierman KL. Technology-assisted interventions for parents of young children: emerging practices, current research, and future directions. Early Child Res Q. 2015 Mar 4;33:21–32. doi: 10.1016/j.ecresq.2015.05.003.
    1. Omaki E, Rizzutti N, Shields W, Zhu J, McDonald E, Stevens MW, Gielen A. A systematic review of technology-based interventions for unintentional injury prevention education and behaviour change. Inj Prev. 2016 Jan 19; doi: 10.1136/injuryprev-2015-041740.
    1. van Beelen ME, Beirens TM, den Hertog P, van Beeck EF, Raat H. Effectiveness of Web-based tailored advice on parents' child safety behaviors: randomized controlled trial. J Med Internet Res. 2014;16(1):e17. doi: 10.2196/jmir.2521.
    1. Gielen AC, McKenzie LB, McDonald EM, Shields WC, Wang M, Cheng Y, Weaver NL, Walker AR. Using a computer kiosk to promote child safety: results of a randomized, controlled trial in an urban pediatric emergency department. Pediatrics. 2007 Aug;120(2):330–9. doi: 10.1542/peds.2006-2703.
    1. The Hong Kong Chilhood Injury Prevention and Research Association Chilhood Injury Prevention and Research Association. 2002. [2016-10-10].
    1. The Injury Prevention Program. A guide to safety counselling in office practice. American Academy of Pediatrics 1994. [2016-10-10]. .
    1. Gielen AC. Injury and violence prevention: a primer. Patient Educ Couns. 2002 Mar;46(3):163–8.
    1. Gielen AC, Sleet D. Application of behavior-change theories and methods to injury prevention. Epidemiol Rev. 2003;25:65–76.
    1. Ajzen I. The theory of planned behaviour: reactions and reflections. Psychol Health. 2011 Sep;26(9):1113–27. doi: 10.1080/08870446.2011.613995.
    1. Adriaensens L, Hesselink A, Fabrie M, Brugmans M, Verhagen E. Effectiveness of an online tailored intervention on determinants and behaviour to prevent running related sports injuries: a randomised controlled trial. Schweizerische Zeitschrift für Sportmedizin und Sporttraumatologie. 2014;62(3):6–13.
    1. Nansel TR, Weaver N, Donlin M, Jacobsen H, Kreuter MW, Simons-Morton B. Baby, Be Safe: the effect of tailored communications for pediatric injury prevention provided in a primary care setting. Patient Educ Couns. 2002 Mar;46(3):175–90.
    1. Mason M, Christoffel KK, Sinacore J. Reliability and validity of the injury prevention project home safety survey. Arch Pediatr Adolesc Med. 2007 Aug;161(8):759–65. doi: 10.1001/archpedi.161.8.759.
    1. Anderst J, Moffatt M. Adequate supervision for children and adolescents. Pediatr Ann. 2014 Nov;43(11):e260–5. doi: 10.3928/00904481-20141022-09.
    1. van Beelen ME, Beirens TM, Struijk MK, den Hertog P, Oenema A, van Beeck EF, Raat H. 'BeSAFE', effect-evaluation of internet-based, tailored safety information combined with personal counselling on parents' child safety behaviours: study design of a randomized controlled trial. BMC Public Health. 2010;10:466. doi: 10.1186/1471-2458-10-466.
    1. Brixey SN, Weaver NL, Guse CE, Zimmermann H, Williams J, Corden TE, Gorelick MH. The impact of behavioral risk assessments and tailored health information on pediatric injury. Clin Pediatr (Phila) 2014 Dec;53(14):1383–9. doi: 10.1177/0009922814549544.
    1. Lewis JR. IBM computer usability satisfaction questionnaires: psychometric evaluation and instructions for use. Int J Hum-Comput Int. 1995 Jan;7(1):57–78. doi: 10.1080/10447319509526110.
    1. Suggs LS. A 10-year retrospective of research in new technologies for health communication. J Health Commun. 2006;11(1):61–74. doi: 10.1080/10810730500461083.
    1. Thackeray R, Neiger BL, Hanson CL, McKenzie JF. Enhancing promotional strategies within social marketing programs: use of Web 2.0 social media. Health Promot Pract. 2008 Oct;9(4):338–43. doi: 10.1177/1524839908325335.
    1. Eysenbach G, CONSORT-EHEALTH Group CONSORT-EHEALTH: improving and standardizing evaluation reports of Web-based and mobile health interventions. J Med Internet Res. 2011 Dec 31;13(4):e126. doi: 10.2196/jmir.1923.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe