Effectiveness of interventions in the prevention of home injuries among children under 5 years of age: A systematic review

Authors

1 Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Public Health, Research Center for Behavioral Disorders and Substances Abuse, Hamadan University of Medical Sciences, Hamadan, Iran

3 Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran

Abstract

Background: Injuries caused by home injuries in children under 5 years of age is one of the main causes of death in this group and also constitutes a significant public health burden. This review aimed at summarizing the literature on the effectiveness of interventions to prevent home injuries in children under 5 years of age. Methods: Magiran, Iran Medex, and SID in Persian Scientific databases and BioMed Central, PubMed, ScienceDirect, Web of Science, and Scopus were systematically searched for articles published up to June 2016. Then, two researchers reviewed the papers independently and finally, 14 studies fulfilled the inclusion criteria. Results: The results showed the effectiveness of intervention measures including training sessions at home, home visit, group discussions, and interviews as the educational tools. The educational approach was used as the intervention in 11 studies; legislative/incentive approach and engineering/technology approaches had not been used in papers; and three studies had used the educational intervention and engineering/technological approaches. Conclusions: Most of the effective inventions included studies that used the combination of effective methods to reduce the risk of injuries. Since the accidents are preventable, the appropriate intervention strategies, especially active intervention or a combination of interventional measures are effective to reduce the risk of home accidents and injuries in children.

Keywords


1. Morrongiello BA, Zdzieborski D, Sandomierski M, Munroe K. Results of a randomized controlled trial assessing the efficacy of the supervising for home safety program: Impact on mothers’ supervision practices. Accid Anal Prev 2013;50:587‑95. 
2. Mutto M, Lawoko S, NansambaC, Ovuga E, Svanstrom L. Unintentional childhood injury patterns, odds, and outcomes in Kampala city: An analysis of surveillance data from the national pediatric emergency unit. J Inj Violence Res 2011;3:13‑8. 
3. World Health Organization. World Report on Disability. 20 Avenue Appia, 1211 Geneva 27, Switzerla: World Health Organization; 2011. 
4. 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;128:825‑30. 
5. McDonald EM, Gielen AC, Trifiletti LB, Andrews JS, Serwint JR, Wilson ME. Evaluation activities to strengthen an injury prevention resource center for urban families. Health Promot Pract 2003;4:129‑37. 
6. Meimanat Abadi S, Ghofranipour F, Yousefi F, Moradpour F. The effect of educational intervention based on health belief model on the damage caused by accidents among children less than 5 year old of women referred to health centers in Qorveh in 2013. Hakim Jorjani J 2016;4:28‑40. 
7. Rezapur‑Shahkolai F, Afshari M, Moghimbeigi A, Hazavehei SM. Home‑related injuries among under‑five‑year children and mothers’ care regarding injury prevention in rural areas. Int J Inj Contr Saf Promot 2017;24:354‑62. 
8. Osborne JM, Davey TM, SpinksAB, McClure RJ, Sipe N, Cameron CM, et al. Child injury: Does home matter? Soc Sci Med 2016;153:250‑7. 
9. Flavin MP, Dostaler SM, Simpson K, Brison RJ, Pickett W. Stages of development and injury patterns in the early years: A population‑based analysis. BMC Public Health 2006;6:187. 
10. Gulliver P, Dow N, Simpson J. The epidemiology of home injuries to children under five years in New Zealand. Aust N Z J Public Health 2005;29:29‑34. 
11. Hyder AA, Sugerman DE, Puvanachandra P, Razzak J, El‑Sayed H, Isaza A, et al. Global childhood unintentional injury surveillance in four cities in developing countries: A pilot study. Bull World Health Organ 2009;87:345‑52. 12. Bourguet CC, McArtor RE. Unintentional injuries. Risk factors in preschool children. Am J Dis Child 1989;143:556‑9. 
13. Elder JP, Ayala GX, Slymen DJ, Arredondo EM, Campbell NR. Evaluating psychosocial and behavioral mechanisms of change in a tailored communication intervention. Health Educ Behav 2009;36:366‑80. 
14. Braun PA, Beaty BL, DiGuiseppi C, Steiner JF. Recurrent early childhood injuries among disadvantaged children in primary care settings. Inj Prev 2005;11:251‑5. 
15. Blakemore T. Examining Potential Risk Factors, Pathways and Processes Associated with Childhood Injury in the Longitudinal Study of Australian Children: Improving the lives of Australians; 2007. 
16. Hapgood R, Kendrick D, Marsh P. How well do socio‑demographic characteristics explain variation in childhood safety practices? J Public Health Med 2000;22:307‑11. 
17. Hong J, Lee B, Ha EH, Park H. Parental socioeconomic status and unintentional injury deaths in early childhood: Consideration of injury mechanisms, age at death, and gender. Accid Anal Prev 2010;42:313‑9. 
18. Phelan K, Khoury J, Atherton H, Kahn RS. Maternal depression, child behavior, and injury. Inj Prev 2007;13:403‑8. 
19. Simpson JC, Turnbull BL, Ardagh M, Richardson S. Child home injury prevention: Understanding the context of unintentional injuries to preschool children. Int J Inj Contr Saf Promot 2009;16:159‑67. 
20. Morrongiello BA. Caregiver supervision and child‑injury risk: I. Issues in defining and measuring supervision; II. Findings and directions for future research. J Pediatr Psychol 2005;30:536‑52. 
21. Morrongiello BA, Corbett M, McCourt M, Johnston N. Understanding unintentional injury‑risk in young children I. The nature and scope of caregiver supervision of children at home. J Pediatr Psychol 2006;31:529‑39. 
22. Eldosoky RS. Home‑related injuries among children: Knowledge, attitudes and practice about first aid among rural mothers. East Mediterr Health J 2012;18:1021‑7. 
23. Ma B, Xi HJ, Wang JL, Yan Y, Tang HT, Zhu SH, et al. Pediatric burns due to hot water from water dispenser: A neglected issue that should be highly concerned. Chin Med J (Engl) 2012;125:2053‑6. 
24. Morrongiello BA, Sandomierski M, Zdzieborski D, McCollam H. A randomized controlled trial evaluating the impact of the supervising for home safety program on parent appraisals of injury risk and need to actively supervise. Health Psychol 2012;31:601‑11. 
25. Gielen AC, Wilson ME, McDonald EM, Serwint JR, Andrews JS, Hwang WT, et al. Randomized trial of enhanced anticipatory guidance for injury prevention. Arch Pediatr Adolesc Med 2001;155:42‑9. 
26. Gielen AC, McDonald EM, Wilson ME, Hwang WT, Serwint JR, Andrews JS, et al. Effects of improved access to safety counseling, products, and home visits on parents’ safety practices: Results of a randomized trial. Arch Pediatr Adolesc Med 2002;156:33‑40. 
27. Clamp M, Kendrick D. A randomised controlled trial of general practitioner safety advice for families with children under 5 years. BMJ 1998;316:1576‑9. 28. Kendrick O. Preventing injuries in children: Cluster randomized controlled trial in primary care. J Pediatr 1999;135:648‑9. 
29. Babul S, Olsen L, Janssen P, McIntee P, Raina P. A randomized trial to assess the effectiveness of an infant home safety programme. Int J Inj Contr Saf Promot 2007;14:109‑17. 
30. Posner JC, Hawkins LA, Garcia‑Espana F, Durbin DR. A randomized, clinical trial of a home safety intervention based in an emergency department setting. Pediatrics 2004;113:1603‑8. 
31. Rehmani R, Leblanc JC. Home visits reduce the number of hazards for childhood home injuries in Karachi, Pakistan: A randomized controlled trial. Int J Emerg Med 2010;3:333‑9. 
32. Sznajder M, Leduc S, Janvrin MP, Bonnin MH, Aegerter P, Baudier F, et al. Home delivery of an injury prevention kit for children in four French cities: A controlled randomized trial. Inj Prev 2003;9:261‑5. 
33. van Beelen ME, Beirens TM, Struijk MK, den Hertog P, Oenema A, van Beeck EF, et al. ‘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. 
34. Watson M, Kendrick D, Coupland C, Woods A, Futers D, Robinson J. Providing child safety equipment to prevent injuries: Randomised controlled trial. BMJ 2005;330:178. 
35. Phelan KJ, Khoury J, Xu Y, Liddy S, Hornung R, Lanphear BP. A randomized controlled trial of home injury hazard reduction: The HOME injury study. Arch Pediatr Adolesc Med 2011;165:339‑45. 
36. Reich SM, Penner EK, Duncan GJ. Using baby books to increase new mothers’ safety practices. Acad Pediatr 2011;11:34‑43. 
37. Ebadi Fardazar F, Hashemi SS, Solhi MS, Mansori K. The effect of educational intervention based on protection motivation theory on mothers’ behaviors about prevention of home accidents in children under 5 year old. J Health Res Community 2016;1:37‑44. 
38. Nouhjah S, Ghanavatizadeh A, Eskandri N, Daghlavi M. Prevalence of non‑fatal home injuries and its related factors among children attending health centers in Ahvaz: A pilot study. Hakim Res J 2012;15:238‑42. 
39. Kypri K, Chalmers DJ, Langley JD, Wright CS. Child injury mortality in New Zealand 1986‑95. J Paediatr Child Health 2000;36:431‑9. 
40. Kypri K, Chalmers DJ, Langley JD, Wright CS. Child injury morbidity in New Zealand, 1987‑1996. J Paediatr Child Health 2001;37:227‑34. 
41. Damashek A, Peterson L. Unintentional injury prevention efforts for young children: Levels, methods, types, and targets. J Dev Behav Pediatr 2002;23:443‑55. 
42. Spady DW, Saunders DL, Schopflocher DP, Svenson LW. Patterns of injury in children: A population‑based approach. Pediatrics 2004;113:522‑9. 
43. Katcher ML, Meister AN, Sorkness CA, Staresinic AG, Pierce SE, Goodman BM, et al. Use of the modified delphi technique to identify and rate home injury hazard risks and prevention methods for young children. Inj Prev 2006;12:189‑94. 
44. Petrass L, Blitvich JD, Finch CF. Parent/Caregiver supervision and child injury: A systematic review of critical dimensions for understanding this relationship. Fam Community Health 2009;32:123‑35. 
45. Simpson JC, Nicholls J. Preventing unintentional childhood injury at home: Injury circumstances and interventions. Int J Inj Contr Saf Promot 2012;19:141‑51. 
46. Tabibi Z. Incidence, causes and prevention of child accidents in Iran: An analysis of existing studies. J Fam Res 2009;5:179‑205. 
47. Morrongiello BA, Corbett M, Brison RJ. Identifying predictors of medically‑attended injuries to young children: Do child or parent behavioural attributes matter? Inj Prev 2009;15:220‑5. 
48. King WJ, Klassen TP, LeBlanc J, Bernard‑Bonnin AC, Robitaille Y, Pham B, et al. The effectiveness of a home visit to prevent childhood injury. Pediatrics 2001;108:382‑8. 
49. King WJ, LeBlanc JC, Barrowman NJ, Klassen TP, Bernard‑BonninAC, Robitaille Y, et al. Long term effects of a home visit to prevent childhood injury: Three year follow up of a randomized trial. Inj Prev 2005;11:106‑9. 50. Dershewitz RA, Williamson JW. Prevention of childhood household injuries: A controlled clinical trial. Am J Public Health 1977;67:1148‑53. 
51. Olds DL, Henderson CR Jr. Chamberlin R, Tatelbaum R. Preventing child abuse and neglect: A randomized trial of nurse home visitation. Pediatrics 1986;78:65‑78. 
52. Ballesteros MF, Schieber RA, Gilchrist J, Holmgreen P, Annest JL. Differential ranking of causes of fatal versus non‑fatal injuries among US children. Inj Prev 2003;9:173‑6. 
53. Erkal S. Identification of the number of home accidents per year involving children in the 0‑6 age group and the measures taken by mothers to prevent home accidents. Turk J Pediatr 2010;52:150‑7. 
54. Pless I B. The Scientific basis of Childhood Injury Prevention: AReview of the Medical Literature. London: Child Accident Prevention Trust; 1993. 
55. Speller V, Mulligan J, Law C, Foot B. Preventing Injury in Children and Young People: A Review of the Literature and Current Practice. Paper Presented at the Database of Abstracts of Reviews of Effectiveness; 1995. 
56. Towner E, Dowswell T, Simpson G, Jarvis S. Health Promotion in Childhood and Young Adolescence for the Prevention of Unintentional Injuries. Health Promotion Effectiveness Reviews; 1996.