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Effectiveness of systematically delivered evidence-based home safety promotion to improve child home safety practices: a controlled before-and-after study
Taylor, Michael James Orton, Elizabeth Patel, Tina Timblin, Clare Clarke, Rachel Watson, Michael Craig Hayes, Mike Jones, Matthew Coupland, Carol Kendrick, Denise
Taylor, Michael James
Orton, Elizabeth
Patel, Tina
Timblin, Clare
Clarke, Rachel
Watson, Michael Craig
Hayes, Mike
Jones, Matthew
Coupland, Carol
Kendrick, Denise
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.
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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 Jan 31