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  1. Violence prevention in the primary care setting. A program for pediatric residents.

    Article - En anglais

    Objective 

    To measure the effect of a violence prevention program on pediatric residents'violence prevention guidance during well-child visits.

    Design 

    Prospective study of an educational intervention.

    Setting 

    Inner-city tertiary care hospital and satellite site.

    Participants 

    Pediatric residents.

    Interventions 

    A 21/2-hour violence prevention program, consisting of an introductory talk, role playing, a printed resident guide, and supplemental reading materials.

    Main Outcome Measures 

    Parent or guardian report of violence prevention guidance offered during the well-child visit, using a postvisit survey.

    Results 

    Three hundred eight patient encounters were included in the survey : 93 prior to the program, 106 just afterward, and 109 after 6 months.

    Before the program, guns or violence was discussed at 9.7% of visits ; this increased to 19.1% of visits after the program (odds ratio, 2.20 ; 95% confidence interval, 1.02-4.74).

    The improvement was sustained 6 months after the program.

    More than 80% of residents felt the program increased their fund of knowledge and taught them skills, and 93% stated that they would use these skills in the future.

    Conclusion 

    This one-time educational intervention significantly increased the amount of violence prevention guidance provided by pediatric residents to their patients and families.

    The effect was sustained after 6 months. (...)

    Mots-clés Pascal : Soin santé primaire, Prévention, Violence, Programme sanitaire, Enfant, Homme, Médecin, Interne(étudiant), Formation professionnelle, Pratique professionnelle

    Mots-clés Pascal anglais : Primary health care, Prevention, Violence, Sanitary program, Child, Human, Physician, Resident(student), Occupational training, Professional practice

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0300644

    Code Inist : 002B18F02. Création : 16/11/1999.