Nansel Tonja R, Weaver Nancy, Donlin Maureen, Jacobsen Heather, Kreuter Matthew W, Simons-Morton Bruce
National Institute of Child Health and Human Development, Division of Epidemiology, Statistics, and Prevention Research, 6100 Executive Blvd., Room 7B05, MSC 7510, Bethesda, MD 20892-7510, USA.
Patient Educ Couns. 2002 Mar;46(3):175-90. doi: 10.1016/s0738-3991(01)00211-7.
Injuries are a major cause of morbidity and mortality to young children. The provision of individually tailored educational materials in primary care settings may be an effective and efficient way to promote adoption of injury prevention measures by parents. A randomized controlled study compared the effectiveness of tailored and generic persuasive communications delivered in a primary care setting on the adoption of home and car safety behaviors. During routine well-child visits, a primarily African-American sample of parents of children ages 6-20 months (n=213) was randomized to receive either tailored or generic information regarding the prevention of injuries to their child. At follow-up, participants who received tailored information reported greater adoption of home and car safety behaviors than those receiving generic information. In addition, within the tailored information group, those who discussed the information with their physician showed significantly greater change than those who did not. However, this difference was not observed among those receiving generic information. Findings support the use of office-based tailored injury prevention education as a component of routine well-child care.
伤害是幼儿发病和死亡的主要原因。在初级保健机构提供个性化的教育材料可能是促进家长采取伤害预防措施的一种有效且高效的方式。一项随机对照研究比较了在初级保健机构中提供的个性化和一般性说服性沟通对家庭和汽车安全行为采用情况的有效性。在常规儿童健康检查期间，将主要为非裔美国人的6至20个月大儿童的家长样本（n = 213）随机分为两组，一组接收关于预防其子女受伤的个性化信息，另一组接收一般性信息。在随访时，收到个性化信息的参与者报告称，与收到一般性信息的参与者相比，他们更多地采取了家庭和汽车安全行为。此外，在个性化信息组中，与医生讨论过该信息的人比未讨论过的人有更显著的变化。然而，在收到一般性信息的人群中未观察到这种差异。研究结果支持将基于办公室的个性化伤害预防教育作为常规儿童健康护理的一个组成部分。
