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Islam KF, Awal A, Mazumder H, Munni UR, Majumder K, Afroz K, Tabassum MN, Hossain MM. Social cognitive theory-based health promotion in primary care practice: A scoping review. Heliyon 2023; 9:e14889. [PMID: 37025832 PMCID: PMC10070720 DOI: 10.1016/j.heliyon.2023.e14889] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 03/03/2023] [Accepted: 03/21/2023] [Indexed: 03/30/2023] Open
Abstract
Background Using a theoretical perspective to guide research design and implementation can result in a coherent preventative intervention model. Among theoretical frameworks, Bandura's Social Cognitive Theory (SCT) is particularly useful for studies focused on behavior change in health promotion research. Objective This scoping review explored and summarized the current evidence on health promotion interventions that integrated constructs of Social Cognitive Theory and the outcome of those interventions in primary care settings. Method ology: We conducted this scoping review using the PRISMA scoping review guidelines; we reviewed articles from five electronic databases and additional sources that were peer-reviewed journal articles reporting interventions applying SCT constructs and synthesized the outcomes following the interventions. Results Among 849 retrieved from multiple sources, 39 articles met our eligibility criteria. Most studies (n = 19) were conducted in the United States. Twenty-six studies followed a randomized control trial design. Most studies (n = 26) recruited participants utilizing the primary care network. All 39 studies mentioned "self-efficacy" as the most utilized construct of SCT to determine how behavior change operates, followed by "observational learning" through role models. Twenty-three studies integrated individual (face-to-face) or peered group-based counseling-training programs; eight interventions used telephonic health coaching by a specialist; eight studies used audio-visual mediums. All included studies reported positive health outcomes following the intervention, including increased self-reported moderate-to-vigorous physical activity, increased Knowledge of dietary intake, high-risk behaviors such as STIs transmission, adapting to a healthy lifestyle, and adherence to post-transplant medication. Conclusion Current evidence suggests that SCT-based interventions positively impact health outcomes and intervention effectiveness. The results of this study indicate the importance of incorporating and assessing several conceptual structures of behavioral theories when planning any primary care health promotion practice.
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Taylor MJ, Orton E, Patel T, Timblin C, Clarke R, Watson MC, Hayes M, Jones M, Coupland C, Kendrick D. Effectiveness of systematically delivered evidence-based home safety promotion to improve child home safety practices: a controlled before-and-after study. Inj Prev 2023; 29:227-233. [PMID: 36720631 DOI: 10.1136/ip-2022-044745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 11/18/2022] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Evaluate the effectiveness of systematically delivered evidence-based home safety promotion for improving child home safety practices. DESIGN Controlled before-and-after study. SETTING Nine electoral wards in Nottingham, UK. PARTICIPANTS 361 families with children aged 2-7 months at recruitment living in four intervention wards with high health, education and social need; and 401 in five matched control wards. INTERVENTION Evidence-based home safety promotion delivered by health visiting teams, family mentors and children's centres including 24 monthly safety messages; home safety activity sessions; quarterly 'safety weeks'; home safety checklists. OUTCOMES Primary: composite measure comprising having a working smoke alarm, storing poisons out of reach and having a stairgate. Secondary: other home safety practices; medically attended injuries. Parents completed questionnaires at 12 and 24 months after recruitment plus optional three monthly injury questionnaires. RESULTS At 24 months there was no significant difference between groups in the primary outcome (55.8% vs 48.8%; OR 1.58, 95% CI 0.98 to 2.55) or medically attended injury rates (incidence rate ratio 0.89, 95% CI 0.51 to 1.56), but intervention families were more likely to store poisons safely (OR 1.81, 95% CI 1.06 to 3.07), have a fire escape plan (OR 1.81, 95% CI 1.06 to 3.08), use a fireguard or have no fire (OR 3.17, 95% CI 1.63 to 6.16) and perform more safety practices (β 0.46, 95% CI 0.13 to 0.79). CONCLUSIONS Systematic evidence-based home safety promotion in areas with substantial need increases adoption of some safety practices. Funders should consider commissioning evidence-based multicomponent child home safety interventions. TRIAL REGISTRATION NUMBER ISRCTN31210493.
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Affiliation(s)
- Michael James Taylor
- Healthcare Public Health Team, NHS England and NHS Improvement Midlands, Nottingham, UK .,Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Elizabeth Orton
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Tina Patel
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Clare Timblin
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Rachel Clarke
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | | | - Mike Hayes
- Child Accident Prevention Trust, London, UK
| | - Matthew Jones
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Carol Coupland
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Denise Kendrick
- Centre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK
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Feng Y, Ma X, Zhang Q, Jiang R, Lu J, Chen K, Wang H, Xia Q, Zheng J, Xia J, Li X. Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0-3: randomized controlled trial in Shanghai. BMC Public Health 2022; 22:2086. [PMID: 36380326 PMCID: PMC9666943 DOI: 10.1186/s12889-022-14462-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/26/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Unintentional injuries to children are a major public health problem. The online social media is a potential way to implement health education for caregivers in online communities. Using WeChat, a free and popular social media service in China, this study evaluated the effectiveness of social online community-based parental health education in preventing unintentional injuries in children aged 0-3. METHODS We recruited 365 parents from two community health centers in Shanghai and allocated them into intervention and control groups randomly. Follow-up lasted for one year. The intervention group received and followed their WeChat group and a WeChat official account for dissemination of reliable medical information. The control group received only the WeChat group. RESULTS Between the intervention and control groups, changes in unintentional injuries (OR = 1.71, 95% CI: 1.02-2.87, P = .04), preventability (β = 0.344, 95% CI: 0.152-0.537, P < .001), daily supervision behavior (β = 0.503, 95% CI: 0.036-0.970, P = .04), and behaviors for preventing specific injuries (β = 2.198, 95% CI: 1.530-2.865, P < .001) were significantly different, and change in first-aid skills for treating a tracheal foreign body were nearly significant (P = .06). CONCLUSIONS The WeChat-group-based parental health education can reduce the occurrence of unintentional child injuries by improving parents' skills, beliefs, and behaviors. Online social communities promote health education and reduce unintentional injuries among children. TRIAL REGISTRATION ChiCTR1900020753. Registered on January 17, 2019.
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Affiliation(s)
- Yuheng Feng
- grid.8547.e0000 0001 0125 2443Department of Health Policy and Management, School of Public Health, Fudan University, 130 Dong’an Road, P.O. Box 177, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Research Center On Disability Issues, Fudan University, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Key Laboratory of Health Technology Assessment, National Health Commission, Fudan University, Shanghai, 200032 China
| | - Xueqi Ma
- grid.8547.e0000 0001 0125 2443Department of Health Policy and Management, School of Public Health, Fudan University, 130 Dong’an Road, P.O. Box 177, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Research Center On Disability Issues, Fudan University, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Key Laboratory of Health Technology Assessment, National Health Commission, Fudan University, Shanghai, 200032 China
| | - Qi Zhang
- grid.261368.80000 0001 2164 3177School of Community and Environmental Health, Old Dominion University, Norfolk, VA 23529 USA
| | - Ruo Jiang
- grid.8547.e0000 0001 0125 2443Department of Health Policy and Management, School of Public Health, Fudan University, 130 Dong’an Road, P.O. Box 177, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Research Center On Disability Issues, Fudan University, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Key Laboratory of Health Technology Assessment, National Health Commission, Fudan University, Shanghai, 200032 China
| | - Jun Lu
- grid.8547.e0000 0001 0125 2443Department of Health Policy and Management, School of Public Health, Fudan University, 130 Dong’an Road, P.O. Box 177, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Research Center On Disability Issues, Fudan University, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Key Laboratory of Health Technology Assessment, National Health Commission, Fudan University, Shanghai, 200032 China
| | - Kaiyue Chen
- grid.8547.e0000 0001 0125 2443Department of Health Policy and Management, School of Public Health, Fudan University, 130 Dong’an Road, P.O. Box 177, Shanghai, 200032 China
| | - Huiping Wang
- Community Health Center of Jiading Town, Jiading District, Shanghai, China
| | - Qinghua Xia
- Changning District Center for Disease Control and Prevention, Shanghai, China
| | - Jicui Zheng
- grid.8547.e0000 0001 0125 2443Affiliated Pediatric Hospital of Fudan University, Shanghai, China
| | - Jingwei Xia
- Shanghai Huangpu District Maternal and Child Health Care Institute, Shanghai, China
| | - Xiaohong Li
- grid.8547.e0000 0001 0125 2443Department of Health Policy and Management, School of Public Health, Fudan University, 130 Dong’an Road, P.O. Box 177, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Research Center On Disability Issues, Fudan University, Shanghai, 200032 China ,grid.8547.e0000 0001 0125 2443Key Laboratory of Health Technology Assessment, National Health Commission, Fudan University, Shanghai, 200032 China
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Kim MY, Lee HN, Lee YK, Kim JS, Cho H. Analysis of research on interventions for the prevention of safety accidents involving infants: a scoping review. CHILD HEALTH NURSING RESEARCH 2022; 28:234-246. [PMID: 36379600 PMCID: PMC9672521 DOI: 10.4094/chnr.2022.28.4.234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 09/19/2022] [Accepted: 09/24/2022] [Indexed: 11/14/2023] Open
Abstract
PURPOSE This study aimed to conduct a scoping review of studies on interventions for the prevention of safety accidents involving infants. METHODS The scoping review method by Arksey and O'Malley was used to conduct an overview based on information spanning a wide range of fields. Multiple electronic databases, PubMed, CINAHL, RISS, and KISS, were searched for articles written in English or Korean published from 2012 to the present on safety accident prevention interventions. A total of 2,137 papers were found, and 20 papers were ultimately analyzed. RESULTS Most studies were conducted in the United States (55.0%) and in the medical field (45.0%), and most were experimental studies (35.0%). The results were organized across five categories: 1) preventive precautions, 2) characteristics of children's developmental stages, 3) encouraging voluntary participation, 4) continuity of interventions, and 5) teaching methods. CONCLUSION Safety accident prevention interventions should cover the establishment of a safe home environment, include voluntary participation, and provide routine follow-up interventions. Additionally, practical training and teaching methods that incorporate feedback rather than a lectureoriented approach should be adopted.
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Affiliation(s)
- Mi Yeon Kim
- Center Coordinator, Regional Emergency Medical Center, Wonkwang University Hospital, Iksan, Korea
| | - Han Na Lee
- Charge Nurse, Wonkwang University Hospital, Iksan, Korea
| | - Yun Kyeong Lee
- Lecturer, Department of Nursing, Wonkwang University, Iksan, Korea
| | - Ji Soo Kim
- Registered Nurse, Wonkwang University Hospital, Iksan, Korea
| | - Haeryun Cho
- Associate Professor, Department of Nursing, Wonkwang University, Iksan, Korea
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Al-Hajj S, Desapriya E, Pawliuk C, Garis L, Pike I. Interventions for Preventing Residential Fires in Vulnerable Neighbourhoods and Indigenous Communities: A Systematic Review of the Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095434. [PMID: 35564830 PMCID: PMC9100970 DOI: 10.3390/ijerph19095434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 04/21/2022] [Accepted: 04/27/2022] [Indexed: 11/28/2022]
Abstract
Globally, residential fires constitute a substantial public health problem, causing major fire-related injury morbidity and mortality. This review examined the literature on residential fire prevention interventions relevant to Indigenous communities and assessed their effectiveness on mitigating fire incidents and their associated human and economic burden. Electronic databases including MEDLINE, EMBASE, CENTRAL, and Web of Science Core Collection were reviewed for studies on fire prevention interventions published after 1990 and based on the 4E’s of injury prevention approaches (Education, Enforcement, Engineering, and Engagement). The grey literature and sources including indigenous organizational websites were also searched for eligible studies. Two authors independently screened, selected, and extracted data, in consultation with experts in the field. Outcomes measured included enhanced safety knowledge and practices, decreased residential fires incidents, reduced fire-related injuries and deaths, and lowered costs for healthcare needs. After removing duplicates, screening titles and abstracts, and assessing full texts, 81 articles were included in this review. Of the included studies, 29.1% implemented educational interventions within a variety of settings, including schools, community centres and homes, and included healthcare professionals and firefighters to raise awareness and the acquisition of fire safety skills. Engineering and environmental modifications were adopted in 20.2% of the studies with increased smoke alarm installations being the leading effective intervention followed by sprinkler inspections. Moreover, engagement of household members in hands-on safety training proved to be effective in enhancing household knowledge, fire safety decisions and practices. More importantly, effective outcomes were obtained when multi-faceted fire safety interventions were adopted, e.g., environmental modification and educational interventions, which together markedly reduced fire incidents and associated injuries. This review reveals the dearth of fire prevention evidence gathered directly within Indigenous communities. Nonetheless, relevant fire prevention recommendations can be made, calling for the adoption of combined and context-sensitive fire prevention interventions tailored to targeted Indigenous and vulnerable communities through multiple approaches and measures. Follow-ups and longitudinal studies are critical for accurate evaluation of the long-term outcomes and impacts on preventing residential fires.
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Affiliation(s)
- Samar Al-Hajj
- Department of Epidemiology and Population Health, Faculty of Health Sciences, The American University of Beirut, Beirut P.O. Box 11-0236, Lebanon
- British Columbia Injury Research and Prevention Unit, British Columbia Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (E.D.); (C.P.); (L.G.); (I.P.)
- Correspondence:
| | - Ediriweera Desapriya
- British Columbia Injury Research and Prevention Unit, British Columbia Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (E.D.); (C.P.); (L.G.); (I.P.)
| | - Colleen Pawliuk
- British Columbia Injury Research and Prevention Unit, British Columbia Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (E.D.); (C.P.); (L.G.); (I.P.)
| | - Len Garis
- British Columbia Injury Research and Prevention Unit, British Columbia Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (E.D.); (C.P.); (L.G.); (I.P.)
- School of Culture, Media and Society, The University of the Fraser Valley, Abbotsford, BC V2S 7M8, Canada
| | - Ian Pike
- British Columbia Injury Research and Prevention Unit, British Columbia Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada; (E.D.); (C.P.); (L.G.); (I.P.)
- Department of Pediatrics, Faculty of Medicine, The University of British Columbia, Vancouver, BC V6H 3V4, Canada
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Wang Y, Zhu E, Hager ER, Black MM. Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis. PLoS One 2022; 17:e0261934. [PMID: 35045101 PMCID: PMC8769292 DOI: 10.1371/journal.pone.0261934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Accepted: 11/05/2021] [Indexed: 11/19/2022] Open
Abstract
Objective Little is known about the association between maternal depressive symptoms and attendance at safety promotion interventions. This study used latent class analysis (LCA) to identify the profile of attendance within a toddler safety intervention and assessed its relation with maternal depressive symptoms at baseline and reduction of home safety problems over time, separately. Methods The analytic sample included 91 mothers of toddlers (mean maternal age 28.16 years) who were assigned to the safety promotion intervention group as part of a randomized trial and assessed at baseline, 6-month and 12-month follow-ups. Using LCA, we classified mothers into low and high attendance classes based on their attendance at 8 intervention sessions. We assessed maternal depressive symptoms with the Beck Depression Inventory (BDI) and home safety problems with a 9-item home safety problem observation. Results The mothers were classified into low attendance (45%) and high attendance classes (55%). The posterior probability of attending each session ranged from 0–0.29 for the low attendance class and 0.68–0.92 for the high attendance class. Each one unit increase of BDI sum score at baseline was associated with an 8% reduced odds of being in the high attendance class (aOR = 0.92, 95% CI: 0.86, 1.00, p = 0.037). The home safety problem score reduction was greater among high attendance class participants than low attendance class participants at the 6-month follow-up (b = -1.15, 95% CI:-2.09, -0.20, p = 0.018). Conclusion Maternal depressive symptoms were associated with the reduced probability of maternal attendance at toddler safety promotion sessions; high session attendance was related to greater reduction of toddler home safety problems. Identifying risk factors for maternal low attendance to interventions and developing strategies to promote attendance should lead to reductions in home safety problems and reductions in unintentional injuries among young children.
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Affiliation(s)
- Yan Wang
- Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
- * E-mail:
| | - Eric Zhu
- Centennial High School, Ellicott City, Maryland, United States of America
| | - Erin R. Hager
- Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
| | - Maureen M. Black
- Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
- RTI International, Research Triangle Park, North Carolina, United States of America
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Black MM, Hager ER, Wang Y, Hurley KM, Latta LW, Candelaria M, Caulfield LE. Toddler obesity prevention: A two-generation randomized attention-controlled trial. MATERNAL & CHILD NUTRITION 2021; 17:e13075. [PMID: 32885909 PMCID: PMC7729807 DOI: 10.1111/mcn.13075] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Revised: 06/19/2020] [Accepted: 07/20/2020] [Indexed: 12/16/2022]
Abstract
Rapid weight gain increases risks of obesity and associated co-morbidities. The objective was to reduce the rate of body mass index (BMI) growth (BMI z score), relative to control. Secondary outcomes were toddler-mother physical activity, mealtime interactions and fruit/vegetable intake. The randomized three-arm, eight-session, 4-month trial, conducted 2009-2013, included two intervention arms (responsive parenting and maternal lifestyle) and an attention control (home safety). Baseline and 6- and 12-month follow-up evaluations included weight and length/height, ankle accelerometry, video-recorded mealtime interactions (Emotional Availability Scales) and 24-h diet recalls (Healthy Eating Index-2015 [HEI-2015]). Analyses used linear mixed-effects models with repeated measures comparing intervention versus control changes in BMI z score. We recruited 277 racially mixed (70% African American) toddler-mother dyads (mean ages 20.1 months and 27.3 years) from US WIC and primary care clinics and randomized them into intervention versus control; 31% toddlers and 73% mothers were overweight/obese. At follow-up, changes in the rate of toddler BMI z score and maternal BMI were non-significant. Maternal lifestyle group toddlers and mothers spent 24.43 and 11.01 more minutes in physical activity (95% confidence interval [CI]: 2.55, 46.32, and 95% CI: 1.48, 20.54, respectively). Fruit intake increased in both intervention groups. Hostile mealtime interactions increased in the maternal lifestyle group, and in supplementary analyses, mealtime interactions were significantly higher in the responsive parenting group than in the maternal lifestyles group, suggesting that toddler dietary interventions include responsive parenting. Intervention effects were stronger among older versus younger toddlers. Despite no impact on weight gain, additional research should examine integrated two-generation responsive parenting and maternal lifestyle interventions among toddler-mother dyads.
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Affiliation(s)
- Maureen M. Black
- Department of Pediatrics and Department of Epidemiology and Public HealthUniversity of Maryland School of MedicineBaltimoreMarylandUSA
- RTI InternationalResearch Triangle ParkNorth CarolinaUSA
| | - Erin R. Hager
- Department of Pediatrics and Department of Epidemiology and Public HealthUniversity of Maryland School of MedicineBaltimoreMarylandUSA
| | - Yan Wang
- Department of Pediatrics and Department of Epidemiology and Public HealthUniversity of Maryland School of MedicineBaltimoreMarylandUSA
| | - Kristen M. Hurley
- Center for Human NutritionThe Johns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Laura W. Latta
- Institute for Innovation and ImplementationUniversity of Maryland School of Social WorkBaltimoreMarylandUSA
| | - Margo Candelaria
- Institute for Innovation and ImplementationUniversity of Maryland School of Social WorkBaltimoreMarylandUSA
| | - Laura E. Caulfield
- Center for Human NutritionThe Johns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
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Varying Effect of a Randomized Toddler Home Safety Promotion Intervention Trial by Initial Home Safety Problems. Matern Child Health J 2020; 24:432-438. [PMID: 31832912 DOI: 10.1007/s10995-019-02845-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
OBJECTIVES Toddlers are vulnerable to unintentional injuries. A safety intervention targeting low-income families of toddlers, was effective at improving home safety. The current study examined whether the effect varies by initial home safety problems. METHODS 277 mother-toddler dyads recruited in the Mid-Atlantic region of the United States during 2007-2010 were randomized into safety promotion (n = 91) or attention-control groups (n = 186). Observers rated participants' homes with a 9-item safety problem checklist at baseline, and at 6- and 12-months follow-up. Initial home safety problems were categorized as multiple (≥ 4 problems) and none/few (< 4). Linear mixed models assessed the moderating effect with a three-way interaction (time, intervention, and initial safety problems). RESULTS At 12 months, the intervention effect was stronger among families with multiple initial problems than no/few initial problems, with a reduction of 1.55 more problems among the families with multiple problems, compared to the families with no/few problems (b = - 1.55, SE = 0.62, p = 0.013). CONCLUSIONS Interventions targeting families with multiple safety problems may be more effective than universal programming.
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Trude ACB, Black MM, Surkan PJ, Hurley KM, Wang Y. Maternal anxiety and diet quality among mothers and toddlers from low-income households. MATERNAL AND CHILD NUTRITION 2020; 16:e12992. [PMID: 32147951 PMCID: PMC7507505 DOI: 10.1111/mcn.12992] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 01/24/2020] [Accepted: 02/18/2020] [Indexed: 01/23/2023]
Abstract
We evaluated the association between maternal anxiety score and diet quality over time among mothers and toddlers in low‐income families. Longitudinal data were collected from 267 mother–toddler dyads in an obesity prevention trial. Participants were recruited from the Special Supplemental Nutrition Program for Women, Infants and Children and paediatric clinics between 2007 and 2010. Dyads were assessed at study enrolment (Time 1), 6‐month (Time 2), and 12‐month follow‐up (Time 3). On the basis of a 1‐day 24‐hr dietary recall, we estimated maternal and toddler diet quality using the Healthy Eating Index 2015. Anxiety, a time‐varying variable, was assessed via the State–Trait Anxiety Inventory. Associations between maternal anxiety score and maternal and toddler diet quality over time were assessed in adjusted mixed models. Maternal and toddler diet quality were positively correlated (r = .48, p < .001). Higher maternal anxiety scores were related to lower toddler Healthy Eating Index scores (b = −0.51, 95% confidence interval, CI [−0.87, −0.15]) with no significant variation over time. The relation between maternal diet quality and anxiety score varied over time (b = 0.28, p = .03, for time–anxiety interaction). Higher maternal anxiety scores were associated with lower maternal diet quality at Time 1 (b = −0.71, 95% CI [−1.09, 0.34]) and at Time 2 (b = −0.51, 95% CI [−0.97, −0.05]), but not at Time 3 (b = −0.14, 95% CI [−0.54, 0.26]). Findings suggest that mothers and toddlers exhibited similar low‐quality dietary patterns and that lower diet quality was associated with higher maternal anxiety scores. Approaches to enhance diet quality may consider incorporating anxiety‐reducing strategies into maternal and toddler care and feeding behaviour guidelines.
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Affiliation(s)
- Angela C B Trude
- Growth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Maureen M Black
- Growth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.,RTI International, Research Triangle Park, North Carolina, USA
| | - Pamela J Surkan
- Social and Behavioral Intervention Program, International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Kristen M Hurley
- Center for Human Nutrition, International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Yan Wang
- Growth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA
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Effectiveness of home fire safety interventions. A systematic review and meta-analysis. PLoS One 2019; 14:e0215724. [PMID: 31107902 PMCID: PMC6527231 DOI: 10.1371/journal.pone.0215724] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 04/09/2019] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To assess the effectiveness of Home Fire Safety (HFS) interventions versus other interventions/no interventions/controls on HFS knowledge and behaviour at short-, intermediate- and long-term follow ups. DESIGN Systematic review and meta-analysis of randomized controlled trials. DATA SOURCES MEDLINE, EMBASE and PubMed databases were searched from January 1998 to July 2018, and studies retrieved. PARTICIPANTS Toddlers, children (primary or secondary school), teenagers or adults. INTERVENTIONS/COMPARISON HFS interventions compared to other interventions / no interventions / controls. OUTCOMES HFS knowledge and behaviour. RESULTS 10 studies were identified (8 RCTs and 2 prospective cohort). Two studies assessed the effects of HFS interventions vs no interventions on HFS knowledge at up to 4 months follow up in school children and demonstrated significant difference between groups (very low quality, 2 RCTs, 535 participants, SMD 0.38, 95% CI: 0.21 to 0.55, p < 0.001). One study examined the effects of different modes of HFS interventions (computer-based vs instructor-led) on HFS knowledge and behaviour immediately post-intervention in adults and displayed no significant difference between groups (HFS knowledge; very low quality, 1 RCT, 68 participants, SMD -0.02, 95% CI: -0.50 to 0.45, p = 0.92) and (HFS behaviour; very low quality, 1 RCT, 68 participants, SMD 0.06, 95% CI: -0.41 to 0.54, p = 0.79) respectively. CONCLUSION The limited evidence supports the use of HFS interventions to improve HFS knowledge and behaviour in children, families with children and adults.
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Habermehl N, Diekroger E, Lazebnik R, Kim G. Injury Prevention Education in the Waiting Room of an Underserved Pediatric Primary Care Clinic. Clin Pediatr (Phila) 2019; 58:73-78. [PMID: 30338699 DOI: 10.1177/0009922818806315] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Unintentional injuries are the leading cause of childhood mortality in the United States. Study aims included educating families about injury prevention and improving satisfaction with the waiting room experience. Two hundred caregivers with young children in the waiting room of an underserved pediatric primary care clinic participated in brief individual education sessions and received a toolkit containing small safety items and content highlighting age-appropriate safety topics. Participants completed 2 follow-up surveys, and most caregivers (94%) reported learning new information about injury prevention and thought that the intervention resulted in a better waiting room experience (91%). Of those who completed the 2-week follow-up survey (84%), 93.5% made changes at home and 42.7% bought new safety equipment. Injury prevention education can be effectively provided in the waiting room of a pediatric primary care clinic by improving reported caregiver safety knowledge and behaviors as well as satisfaction with the waiting room experience.
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Affiliation(s)
- Nikita Habermehl
- 1 University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| | - Elizabeth Diekroger
- 1 University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| | - Rina Lazebnik
- 1 University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| | - Grace Kim
- 1 University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
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