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Evaluation of community coalition training effects on youth hospital-admitted injury incidence in Victoria, Australia: 2001–2017
  1. Janneke Berecki-Gisolf1,
  2. Bosco Rowland2,
  3. Nicola Reavley3,
  4. Barbara Minuzzo4,
  5. John Toumbourou2,5
  1. 1Monash University Accident Research Centre, Monash University, Clayton, Victoria, Australia
  2. 2Faculty of Health, Deakin University, Geelong, Victoria, Australia
  3. 3Centre for Mental Health, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia
  4. 4Communities That Care Ltd, Parkville, Victoria, Australia
  5. 5Centre for Adolescent Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, Parkville, Victoria, Australia
  1. Correspondence to Dr Janneke Berecki-Gisolf, Monash University Accident Research Centre, Monash University, Clayton, VIC 3800, Australia; janneke.berecki-gisolf{at}monash.edu

Abstract

Background Injuries are one of the three leading causes of morbidity and mortality for young people internationally. Although community risk factors are modifiable causes of youth injury, there has been limited evaluation of community interventions. Communities That Care (CTC) offers a coalition training process to increase evidence-based practices that reduce youth injury risk factors.

Method Using a non-experimental design, this study made use of population-based hospital admissions data to evaluate the impact on injuries for 15 communities that implemented CTC between 2001 and 2017 in Victoria, Australia. Negative binomial regression models evaluated trends in injury admissions (all, unintentional and transport), comparing CTC and non-CTC communities across different age groups.

Results Statistically significant relative reductions in all hospital injury admissions in 0–4 year olds were associated with communities completing the CTC process and in 0–19 year olds when communities began their second cycle of CTC. When analysed by subgroup, a similar pattern was observed with unintentional injuries but not with transport injuries.

Conclusion The findings support CTC coalition training as an intervention strategy for preventing youth hospital injury admissions. However, future studies should consider stronger research designs, confirm findings in different community contexts, use other data sources and evaluate intervention mechanisms.

  • safe Community
  • injury diagnosis
  • epidemiology

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors All authors contributed to the conceptualisation of the study, interpretation of the findings and drafting and revising of the manuscript.

  • Funding We acknowledge funding support from the National Health and Medical Research Council (APP1087781), Australian Research Council (LP100200755), State Government of Victoria (Department of Justice and Regulation, VicRoads and Transport Accident Commission) and Ian Potter Foundation (GRANT ID 20170371).

  • Competing interests The following authors served in the not-for-profit company Communities That Care Ltd that was evaluated in this paper: Rowland (current chief executive officer (CEO)), Reavley, Minuzzo (directors) and Toumbourou (director and ex-CEO).

  • Patient consent for publication Not required.

  • Ethics approval Victorian Injury Surveillance Unit has ethical approval for custody, use and dissemination of Victorian hospital data on injury (Monash University Human Ethics Committee project 21427).

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

  • Data availability statement Data are available on reasonable request.

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