RT Journal Article
SR Electronic
T1 Evaluation of community coalition training effects on youth hospital-admitted injury incidence in Victoria, Australia: 2001–2017
JF Injury Prevention
JO Inj Prev
FD BMJ Publishing Group Ltd
SP 463
OP 470
DO 10.1136/injuryprev-2019-043386
VO 26
IS 5
A1 Janneke Berecki-Gisolf
A1 Bosco Rowland
A1 Nicola Reavley
A1 Barbara Minuzzo
A1 John Toumbourou
YR 2020
UL http://injuryprevention.bmj.com/content/26/5/463.abstract
AB 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.