Article Text

PDF

A randomised, controlled trial of home injury hazard reduction: The HOME injury study
  1. K J Phelan*,
  2. J Khoury,
  3. Y Xu,
  4. S Liddy,
  5. R Hornung,
  6. B P Lanphear
  1. Correspondence University of Cincinnati, Cincinnati Children's Hospital Medical Center, Room 2.347, 2nd Floor, S Building, MLC 7014 Ctr. 3333 Burnett Avenue Cincinnati, OH 45229-3039, USA

Abstract

Background The home is a leading location of injury for young children.

Objective Test the efficacy of home safety device installation on medically-attended injury.

Methods Of 8878 screened prenatal patients, 1263 (14%) were eligible and 468 (37%) agreed to participate. 355 children were born and randomly assigned to experimental (n=181) or control (n=174) groups. The mean number and density (no. per area) of hazards were assessed at home visits by trained research assistants using a validated survey. Medically-attended visits were measured by telephone survey. Two intention-to-treat analyses were conducted on (1) total injury rates and (2) on injuries deemed, a priori, preventable by installation of devices. Rates were calculated over 24 months using Poisson regression and generalised estimating equations.

Results The mean age of children at intervention was 6 months. Injury hazards were significantly reduced from baseline to 12 months in intervention but not control homes (p<0.005). The mean number (p<0.02) but not density (p=0.44) of hazards was also reduced at 24 months compared to controls. There was no significant difference in the rate of all medically-attended injuries for intervention compared to control group children, 14.3 (95% CI 9.7 to 21.1) versus 20.8 (95% CI 14.4 to 29.9) per 100 child-years (p=0.17) respectively; but there was a significant reduction in preventable medically attended injuries among intervention compared to control group children, 2.3 (95% CI 1.0 to 5.5) versus 7.7 (95% CI 4.2 to 14.2) per 100 child-years, respectively (p=0.026).

Conclusions An intervention to reduce exposure to injury hazards in homes of young children led to a 70% reduction in injury.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.