Do the Framingham Safety Surveys improve injury prevention counseling during pediatric health supervision visits ?
Previous studies suggest that injury prevention counseling by pediatricians is effective but accomplished infrequently.
The Framingham Safety Surveys (FSS) are brief questionnaires designed to facilitate physician education of parents regarding injury prevention.
To determine whether the FSS improve pediatricians'injury prevention counseling.
Nonrandomized comparison of a 4-week baseline period and subsequent intervention periods.
Private practice ; university hospital clinic.
Patients coming for health supervision visits.
Provision to the physician of one of the FSS, completed by the parent just before the health supervision visit.
(1) After each visit parents completed a checklist of safety issues discussed by the pediatrician.
Injury prevention was compared for the two periods by means of three criteria : number of issues discussed (quantity), identification and discussion of specific high-risk behaviors (efficiency), and recognition of high-risk families (targeting). (2) Each physician's assessment of the value of the FSS was obtained by questionnaire.
A total of 144 parents (50 from the private practice, 94 from the clinic) completed checklists during the baseline period, and 168 (38 from the private practice, 130 from the clinic) during the intervention period.
Use of the FSS produced no detectable improvement in any of the three measures. (...)
Mots-clés Pascal : Accident domestique, Nourrisson, Homme, Questionnaire, Entretien clinique, Evaluation performance, Résultat, Prévention, Enfant, Education sanitaire, Parent, Consultation, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Household accident, Infant, Human, Questionnaire, Clinical interview, Performance evaluation, Result, Prevention, Child, Health education, Parent, Consultation, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0501153
Code Inist : 002B30A03B. Création : 10/04/1997.