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96 ‘supervising for home safety‘ program: a randomised controlled trial testing community-based group delivery
  1. Barbara Morrongiello
  1. CA University of Guelph


Objective Because young children are often injured in their homes, identifying ways to motivate caregivers to engage in practices that promote children’s safety is important. The current RCT addresses this issue, with the primary aim being to evoke improvements in caregivers’ supervision of young children in the home. The current study used a group delivery in a community setting and assessed program impact, feasibility, and acceptance of the Supervising for Home Safety (SHS) program ‘“ a previously proven-effective program when delivered to caregivers individually (Morrongiello, Sandomierski, Zdzieborski, & McCollum, 2012; Morrongiello, Zdzieborski, Sandomierski, & Munroe, 2013).

Methods Caregivers of 2–5 year olds were randomised to receive either the SHS or an attention-matched control program. Programs were delivered in a community centre using a group format (~10 per group), with delivery based on a manual. Fidelity checks were conducted weekly.

Results In the SHS group only, there were increases from baseline to post-intervention in: beliefs about - children’s vulnerability to injury, caregiver preventability of injuries, and self-efficacy to do so; readiness for change in supervision; and watchful supervision. Face-to-face recruitment by staff at community organisations proved most successful. Caregivers’ satisfaction ratings were high, as was caregiver engagement (95% completed at least 7 of the 9 sessions).

Conclusion The SHS program can be delivered to groups of caregivers in community settings, is positively received by caregivers, and produces desirable changes that can be expected to improve caregivers’ home safety practices. Effects were as good as when the program was delivered individually.

Significance and Contribution The SHS program is the only program proven to improve caregivers’ supervision of young children in the home. The multiple delivery formats increases the implementation options and potential applicability (e.g., home visiting, parenting groups). Broad dissemination of the program is the future focus.

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