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Shakya I, Beck LF, Cordier L, Dugan S, Underwood Y, Bergen G. Special Report from the CDC: Evaluating the dissemination of CDC's MyMobility Plan: Findings and lessons learned. JOURNAL OF SAFETY RESEARCH 2024; 89:354-360. [PMID: 38858060 DOI: 10.1016/j.jsr.2024.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 03/06/2024] [Indexed: 06/12/2024]
Abstract
INTRODUCTION Age-related changes (e.g., cognitive, physiologic) can affect an individual's mobility and increase risks for falls and motor-vehicle crashes, which are leading causes of injuries and injury deaths among older Americans. To address this issue, CDC developed MyMobility Plan (MMP) products to help older adults make plans to reduce injury risks and promote safe mobility. In 2019, MMP products were disseminated to older adults and partner organizations. Dissemination strategies consisted of digital and print distribution and partner outreach. METHODS To assess dissemination efforts, a process (or implementation) evaluation was conducted from January to June 2019. Data were collected for 17 indicators (e.g., counts of webpage visits, product downloads, social media posts). Key informant interviews were conducted with partners, and qualitative analyses of interview data were undertaken to identify key themes related to their dissemination experiences. RESULTS Findings showed the dissemination resulted in 13,425 product downloads and print copy orders and reached almost 155,000 individuals through email subscriber lists, websites, webinars, and presentations. It is unknown what proportion of these individuals were older adults. Social media metrics were higher than expected, and 58 partners promoted products within their networks. Partner interviews emphasized the need for guidance on dissemination, collaboration with local partners, and integration of the products within a program model to ensure broader reach to and use by older adults. CONCLUSIONS The evaluation of the dissemination campaign identified strategies that were successful in creating exposure to the MMP and others that could improve reach in the future. Those strategies include meaningful and early partner engagement for dissemination. PRACTICAL APPLICATIONS Building in evaluation from the start can facilitate development of appropriate data collection measures to assess project success. Engaging partners as active disseminators in the planning stages can help increase the reach of public health tools and resources.
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Affiliation(s)
- Iju Shakya
- Oak Ridge Institute for Science and Education, ORISE Fellow, Oak Ridge, TN, United States; Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Laurie F Beck
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - LeShaundra Cordier
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Susan Dugan
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Yamile Underwood
- 2M Research. Contractor, Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Gwen Bergen
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.
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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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Manganello JA, Kane C, Roberts K, Klein EG, McAdams RJ, McKenzie LB. A Year of Child Injury Prevention on Instagram. JOURNAL OF HEALTH COMMUNICATION 2021; 26:636-644. [PMID: 34632948 DOI: 10.1080/10810730.2021.1985658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Injury is the leading cause of death for children but little is known about what types of injury prevention messages are communicated on Instagram. Conducted in the United States, the aim of this study was to better understand child injury prevention messages on Instagram to develop recommendations for the future. Informed by Social Cognitive Theory, a quantitative content analysis was conducted on all Instagram posts from selected organizations from May 2018 through April 2019. Of the 818 injury prevention posts, almost all included an image (575, 70%) or video (211, 26%). Of the 575 images, 245 (42.46%) had in image that did not match the topic of the post. Regarding injury prevention recommendations, 579 posts (71%) provided a clear action that parents should take. For these posts, 115 (20%) had an image that communicated the desired safety recommendation, but many more (285, 50%) did not; in 23 cases it was not clear if there was a match or not. There are missed opportunities for child health and injury organizations to reach parents and caregivers through Instagram. Posts made during the study period often lacked specificity about action-oriented measures and failed to utilize images that demonstrated the recommended practices. Organizations posting on Instagram and other social media platforms should provide clear action tips and utilize images that depict child injury prevention recommendations.
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Affiliation(s)
- Jennifer A Manganello
- School of Public Health, Department of Health Policy Management, and Behavior, University at Albany, One University Place, New York, USA
| | - Cassandra Kane
- School of Public Health, University at Albany, Rensselaer, New York, USA
| | - Kristin Roberts
- Center for Injury Research and Policy, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA
| | | | - Rebecca J McAdams
- Center for Injury Research and Policy, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Lara B McKenzie
- Center for Injury Research and Policy, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA
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The Fix-it face-to-face intervention increases multihazard household preparedness cross-culturally. Nat Hum Behav 2019; 3:453-461. [PMID: 30936428 DOI: 10.1038/s41562-019-0563-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 02/19/2019] [Indexed: 11/08/2022]
Abstract
Vulnerability to natural disasters is increasing globally1-3. In parallel, the responsibility for natural hazard preparedness has shifted to communities and individuals4. It is therefore crucial that households increase their preparedness, yet adoption of household preparedness measures continues to be low, even in high-risk regions5-8. In addition, few hazard-preparedness interventions have been evaluated longitudinally using observational measures. Therefore, we conducted a controlled intervention with a 12-month follow-up on adults in communities in the United States and Turkey that focused on improving household earthquake and fire preparedness. We show that this Fix-it intervention, involving evidence-based, face-to-face workshops, increased multihazard preparedness in both cultures longitudinally. Compared to baseline, the primary outcome-overall preparedness-increased significantly in the intervention groups, with more improvement in earthquake preparedness in the Turkish participants and more improvements in fire preparedness in the US participants. High baseline outcome expectancy and home ownership predicted overall preparedness change in both intervention groups longitudinally, implying that a sense of agency influences preparedness. An unintended consequence of observation is that it may increase preparedness, as even the control groups changed their behaviour. Therefore, observation of home preparatory behaviours by an external source may be a way to extend multihazard preparedness across a population.
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Gielen AC, Frattaroli S, Pollack KM, Peek-Asa C, Yang JG. How the science of injury prevention contributes to advancing home fire safety in the USA: successes and opportunities. Inj Prev 2018; 24:i7-i13. [PMID: 29483239 DOI: 10.1136/injuryprev-2017-042356] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 12/26/2017] [Accepted: 01/03/2018] [Indexed: 11/04/2022]
Abstract
BACKGROUND In the decades since the landmark report-America Burning-was published in 1973, the number of home fire deaths has shrunk from >5500 per year to 2650 in 2015. This paper: (1) describes how science and practice in injury prevention and fire and life safety contributed to successful interventions, and (2) identifies emerging strategies and future opportunities to prevent home fire-related deaths. METHODS The aims are addressed through the lens of population health research, with a focus on the work of selected Centers for Disease Control and Prevention-funded Injury Control Research Centers. Results are organised using the Haddon Matrix and an ecological model. RESULTS We found evidence to support interventions that address all components of both the matrix and the model, including: reduced ignition propensity cigarettes, stop smoking campaigns, housing codes, residential sprinkler systems, smoke alarms, community risk reduction, school-based educational programmes, and fire and burn response systems. Future reductions are likely to come from enhancing residential sprinkler and smoke alarm technology, and increasing their utilisation; expanding the use of community risk reduction methods; and implementing new technological solutions. Despite the successes, substantial disparities in home fire death rates remain, reflecting underlying social determinants of health. CONCLUSION Most of the evidence-supported interventions were focused on changing the policy and community environments to prevent home fires and reduce injury when a fire occurs. Future prevention efforts should give high priority to addressing the continued disparities in home fire deaths.
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Affiliation(s)
- Andrea C Gielen
- Department of Health, Behavior and Society, Johns Hopkins Center for Injury Research and Policy, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Shannon Frattaroli
- Department of Health Policy and Management, Johns Hopkins Center for Injury Research and Policy, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Keshia M Pollack
- Department of Health Policy and Management, Johns Hopkins Center for Injury Research and Policy, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Corinne Peek-Asa
- Injury Prevention Research Center, University of Iowa, Iowa city, Iowa, USA
| | - Jingzhen G Yang
- Center for Injury Research and Policy, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, Ohio, USA
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Using photographic interpretation to evaluate the safety of home environments. Prev Med Rep 2016; 4:459-62. [PMID: 27617192 PMCID: PMC5008039 DOI: 10.1016/j.pmedr.2016.08.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Revised: 08/18/2016] [Accepted: 08/24/2016] [Indexed: 11/24/2022] Open
Abstract
In the US there were 400,000 home fires resulting in 2755 deaths, 12,450 injuries, and $6.9B lost. The purpose of this study was to evaluate the content-validity of photographs taken in the home for use as an educational instrument to teach about "safe" and "unsafe" fire safety practice for adults and older adults. A total of 73 home fire safety experts were provided 27 photographs to evaluate home fire safety practice. Initially, a Krippendorff's alpha was calculated for the first 24 questions to evaluate inter-rater reliability, and differences in demographics were evaluated. Unique codes and themes for the last three questions were identified and inter-rater reliability examined. A majority of respondents were female (n = 43, 60.6%), college educated (n = 61, 83.6%), nurses (n = 25, 33.8%), or worked for a fire department (n = 21, 29.6%). Their mean age was 45.5 years and they had 11.05 years of experience. The first 24 questions had high inter-rater reliability (Krippendorff α = 0.831). No significant differences existed between the strata of the demographic variables (all p-values > 0.05). Similarly, based on the codes and themes identified, the last three questions had moderate-to-good inter-rater reliability (Krippendorff α = 0.764). Providing photographs as a 'seek-and-find' or 'What's wrong with this picture?' tools and simplified visual images is an excellent way to aid recognition of unsafe home fire safety environments. Education through non-traditional visual methods increases the possibility of change for diverse low-literacy populations.
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