@article {Wang41, author = {Yan Wang and Andrea C Gielen and Laurence S Magder and Erin R Hager and Maureen M Black}, title = {A randomised safety promotion intervention trial among low-income families with toddlers}, volume = {24}, number = {1}, pages = {41--47}, year = {2018}, doi = {10.1136/injuryprev-2016-042178}, publisher = {BMJ Publishing Group Ltd}, abstract = {Background Toddler-aged children are vulnerable to unintentional injuries, especially those in low-income families.Objective To examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers.Methods 277 low-income mother{\textendash}toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants{\textquoteright} homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups.Results The intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time β=-0.54, 95\% CI -0.05 to -1.03, p=0.035), with no significant differences at the 6-month follow-up.Conclusions A safety promotion intervention built on principles of SCT has the potential to promote toddlers{\textquoteright} home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices.Trial registration number NCT02615158; post-results.}, issn = {1353-8047}, URL = {https://injuryprevention.bmj.com/content/24/1/41}, eprint = {https://injuryprevention.bmj.com/content/24/1/41.full.pdf}, journal = {Injury Prevention} }