RT Journal Article SR Electronic T1 Effectiveness of systematically delivered evidence-based home safety promotion to improve child home safety practices: a controlled before-and-after study JF Injury Prevention JO Inj Prev FD BMJ Publishing Group Ltd SP 227 OP 233 DO 10.1136/ip-2022-044745 VO 29 IS 3 A1 Michael James Taylor A1 Elizabeth Orton A1 Tina Patel A1 Clare Timblin A1 Rachel Clarke A1 Michael Craig Watson A1 Mike Hayes A1 Matthew Jones A1 Carol Coupland A1 Denise Kendrick YR 2023 UL http://injuryprevention.bmj.com/content/29/3/227.abstract AB Objective Evaluate the effectiveness of systematically delivered evidence-based home safety promotion for improving child home safety practices.Design Controlled before-and-after study.Setting Nine electoral wards in Nottingham, UK.Participants 361 families with children aged 2–7 months at recruitment living in four intervention wards with high health, education and social need; and 401 in five matched control wards.Intervention Evidence-based home safety promotion delivered by health visiting teams, family mentors and children’s centres including 24 monthly safety messages; home safety activity sessions; quarterly ‘safety weeks’; home safety checklists.Outcomes Primary: composite measure comprising having a working smoke alarm, storing poisons out of reach and having a stairgate. Secondary: other home safety practices; medically attended injuries. Parents completed questionnaires at 12 and 24 months after recruitment plus optional three monthly injury questionnaires.Results At 24 months there was no significant difference between groups in the primary outcome (55.8% vs 48.8%; OR 1.58, 95% CI 0.98 to 2.55) or medically attended injury rates (incidence rate ratio 0.89, 95% CI 0.51 to 1.56), but intervention families were more likely to store poisons safely (OR 1.81, 95% CI 1.06 to 3.07), have a fire escape plan (OR 1.81, 95% CI 1.06 to 3.08), use a fireguard or have no fire (OR 3.17, 95% CI 1.63 to 6.16) and perform more safety practices (β 0.46, 95% CI 0.13 to 0.79).Conclusions Systematic evidence-based home safety promotion in areas with substantial need increases adoption of some safety practices. Funders should consider commissioning evidence-based multicomponent child home safety interventions.Trial registration number ISRCTN31210493.No data are available.