Violence prevention in the primary care setting. A program for pediatric residents.
To measure the effect of a violence prevention program on pediatric residents'violence prevention guidance during well-child visits.
Prospective study of an educational intervention.
Inner-city tertiary care hospital and satellite site.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0300644
Code Inist : 002B18F02. Création : 16/11/1999.