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The Stamp-in-Safety programme, an intervention to promote better supervision of children on childcare centre playgrounds: an evaluation in an urban setting
  1. Gayathri Chelvakumar1,
  2. Karen Sheehan2,
  3. Amy L Hill2,
  4. Danita Lowe2,
  5. Nicole Mandich2,
  6. David C Schwebel3
  1. 1Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  2. 2Injury Prevention and Research Center, Children's Memorial Hospital, Chicago, Illinois, USA
  3. 3Department of Psychology, University of Alabama, Birmingham, Alabama, USA
  1. Correspondence to Dr Karen Sheehan, Injury Prevention and Research Center, Children's Memorial Hospital, 2300 Children's Plaza no 62, Chicago, IL 60614, USA; ksheehan{at}


Using a non-equivalent control group design, this report evaluated a previously studied behavioural intervention, the Stamp-in-Safety programme, which is designed to reduce the injury risk for young children on playgrounds at childcare centres by increasing the quality of adult supervision and rewarding children for safe play. In an urban, commercial childcare centre, 71 children aged 3–5 years and 15 teachers participated. Primary outcome measures were teacher verbalisations (warnings, explanations, redirects), teacher location (core, outskirt, or fringe of playground), child risk-taking behaviours (using equipment appropriately) and the number of injuries on the playground. Analyses revealed that the intervention had a modest positive effect in promoting safer teacher and child playground behaviours. This study reaffirms previous results that the Stamp-in-Safety programme is an effective method to decrease the risk of playground injuries at childcare centres.

  • Behavioural
  • child
  • playground

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  • Funding This study received funding from the Injury Free Coalition for Kids, a National Program of the Robert Wood Johnson Foundation, Columbia University, Department of Epidemiology, School of Public Health, 722 W 168th Street, Room 821 H-I, New York, NY 10032, USA and Kohl's Cares for Kids Safety Network,Kohl's Department Stores, Community Relations Department, N56 W17000 Ridgewood Drive, Menomonee Falls, WI 53051, USA.

  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the Children's Memorial Hospital.

  • Provenance and peer review Not commissioned; externally peer reviewed.