A randomized controlled trial to evaluate the Make Safe Happen® app-a mobile technology-based safety behavior change intervention for increasing parents' safety knowledge and actions

Lara B McKenzie, Kristin J Roberts, Roxanne Clark, Rebecca McAdams, Mahmoud Abdel-Rasoul, Elizabeth G Klein, Sarah A Keim, Orie Kristel, Alison Szymanski, Christopher G Cotton, Wendy C Shields, Lara B McKenzie, Kristin J Roberts, Roxanne Clark, Rebecca McAdams, Mahmoud Abdel-Rasoul, Elizabeth G Klein, Sarah A Keim, Orie Kristel, Alison Szymanski, Christopher G Cotton, Wendy C Shields

Abstract

Background: Many unintentional injuries that occur in and around the home can be prevented through the use of safety equipment and by consistently following existing safety recommendations. Unfortunately, uptake of these safety behaviors is unacceptably low. This paper describes the design of the Make Safe Happen® smartphone application evaluation study, which aims to evaluate a mobile technology-based safety behavior change intervention on parents' safety knowledge and actions.

Methods: Make Safe Happen® app evaluation study is a randomized controlled trial. Participants will be parents of children aged 0-12 years who are recruited from national consumer online survey panels. Parents will complete a pretest survey, and will be randomized to receive the Make Safe Happen® app or a non-injury-related app, and then complete a posttest follow-up survey after 1 week. Primary outcomes are: (1) safety knowledge; (2) safety behaviors; (3) safety device acquisition and use, and (4) behavioral intention to take safety actions.

Results: Anticipated study results are presented.

Conclusions: Wide-reaching interventions, to reach substantial parent and caregiver audiences, to effectively reduce childhood injuries are needed. This study will contribute to the evidence-base about how to increase safety knowledge and actions to prevent home-related injuries in children.

Trial registration number: NCT02751203 ; Pre-results.

Keywords: Behavior change; Child; Home; Multiple injury; Randomized trial.

Conflict of interest statement

Ethics approval

The study was approved by the Institutional Review Board at Nationwide Children’s Hospital.

Competing interests

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Study Design
Fig. 2
Fig. 2
Participant Code (a) Participant Code Screen and (b) Participant Code Agreement Screen
Fig. 3
Fig. 3
Opening Screen
Fig. 4
Fig. 4
Menu Screen
Fig. 5
Fig. 5
Age Selection Screen
Fig. 6
Fig. 6
Rooms and Features
Fig. 7
Fig. 7
Checklist

References

    1. 10 Leading Causes of Injury Deaths by Age Group Highlighting Unintentional Injury Deaths, United States-2014 [Internet]. CDC using WISQARS. 2014. Available from: . Cited 4 Jan 2017.
    1. Abraham VM, Gaw CE, Chounthirath T, et al. Toy-related injuries among children treated in US emergency departments, 1990-2011. Clin Pediatr (Phila) 2015;54(2):127–137. doi: 10.1177/0009922814561353.
    1. Baker JM, Mickalide AD. Safe storage, safe dosing, safe kids: a report to the nation on safe medication. Washington, D.C.: Safe Kids Worldwide; 2012.
    1. Baker SP, Waller AE. Childhood injury state-by-state mortality facts. Baltimore: Johns Hopkins Injury Prevention Center; 1989.
    1. Bergen G, Chen LH, Warner M, Fingerhut LA. Injury in the United States: 2007 Chartbook. Hyattsville: National Center for Health Statistics; 2008.
    1. Center for Disease Control and Prevention . National action plan for child injury prevention. Atlanta: National Center for Injury Prevention and Control; 2012.
    1. D’Souza AL, Nelson NG, McKenzie LB. Pediatric burn injuries treated in US emergency departments between 1990 and 2006. Pediatrics. 2009;124(5):1424–1430. doi: 10.1542/peds.2008-2802.
    1. D’Souza AL, Smith GA, McKenzie LB. Bunk bed-related injuries among children and adolescents treated in emergency departments in the United States, 1990-2005. Pediatrics. 2008;121(6):e1696–e1702. doi: 10.1542/peds.2007-2555.
    1. Davis MG, Casavant MJ, Spiller HA, et al. Pediatric exposures to laundry and dishwasher detergents in the United States: 2013-2014. Pediatrics. 2016;137(5) 10.1542/peds.2015-4529.
    1. De Roo AC, Chounthirath T, Smith GA. Television-related injuries to children in the United States, 1990-2011. Pediatrics. 2013;132(2):267–274. doi: 10.1542/peds.2013-1086.
    1. Gaines J, Schwebel DC. Recognition of home injury risks by novice parents of toddlers. Accid Anal Prev. 2009;41:1070–1074. doi: 10.1016/j.aap.2009.06.010.
    1. Harris VA, Rochette LM, Smith GA. Pediatric injuries attributable to falls from windows in the United States in 1990-2008. Pediatrics. 2011;128(3):455–462.
    1. Kendrick D, Watson M, Mulvaney C, et al. How useful are home safety behaviours for predicting childhood injury? A cohort study. Health Educ Res. 2005;20(6):709–718. doi: 10.1093/her/cyh021.
    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). 2014;8(3):761–939. 10.1002/ebch.1911.
    1. Kurinsky RM, Rochette LM, Smith GA. Pediatric injuries associated with high chairs and chairs in the United States, 2003-2010. Clin Pediatr (Phila) 2014;53(4):372–379. doi: 10.1177/0009922813510599.
    1. National Cancer Institute. Theory at a glance: a guide for health promotion practice. Second ed: U.S. Department of Health and Human Services. Bethesda: National Institutes of Health; 2005.
    1. National Estimates of the 10 Leading Causes of Nonfatal Injuries Treated in Hospital Emergency Departments, United States-2013 [Internet]. CDC Using WISQARS. 2013. Available from: . Cited 4 Jan 2016.
    1. Omaki E, Rizzutti N, Shields W, Zhu J, McDonald E, Stevens MW, et al. A systematic review of technology-based interventions for unintentional injury prevention education and behaviour change. Inj Prev. Published Online First: 19 January 2016. 10.1136/injuryprev-2015-041740.
    1. Report to the Nation: Protecting Children in Your Home. Washington, DC: Safe Kids Worldwide. 2015. . Accessed 30 Jan 2018.
    1. Rimal RN, Adkins AD. Using computers to narrowcast health messages: the role of audience segmentation, targeting, and tailoring in health promotion. In: Thompson TL, Dorsey AM, Miller KI, Parrott R, editors. Handbook of health communication. Mahwah: Lawrence Erlbaum Associates; 2003. pp. 497–513.
    1. Sharpe SJ, Rochette LM, Smith GA. Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatrics. 2012;129(6):1111–1117. doi: 10.1542/peds.2011-0012.
    1. Smith A. Record shares of Americans now own smartphones, have home broadband: Pew Research Center; 2017. Available from: . Accessed 30 Jan 2018.
    1. Valdez AL, Casavant MJ, Spiller HA, et al. Pediatric exposure to laundry detergent pods. Pediatrics. 2014;134(6):1127–1135. doi: 10.1542/peds.2014-0057.

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir