Salvarani Cármine Porcelli, Colli Benedicto Oscar, Carlotti Júnior Carlos Gilberto
Division of Neurosurgery, Maringá Medical School, State University of Maringá Parana, Maringá, Parańa, Brazil.
Surg Neurol. 2009 Jul;72(1):6-13; discussion 13-4. doi: 10.1016/j.surneu.2007.10.008. Epub 2008 Mar 6.
Traffic accidents constitute the main cause of death in the first decades of life. Traumatic brain injury is the event most responsible for the severity of these accidents. The SBN started an educational program for the prevention of traffic accidents, adapted from the American model "Think First" to the Brazilian environment, since 1995, with special effort devoted to the prevention of TBI by using seat belts and motorcycle helmets. The objective of the present study was to set up a traffic accident prevention program based on the adapted Think First and to evaluate its impact by comparing epidemiological variables before and after the beginning of the program.
The program was executed in Maringá city, from September 2004 to August 2005, with educational actions targeting the entire population, especially teenagers and young adults. The program was implemented by building a network of information facilitators and multipliers inside the organized civil society, with widespread population dissemination. To measure the impact of the program, a specific software was developed for the storage and processing of the epidemiological variables.
The results showed a reduction of trauma severity due to traffic accidents after the execution of the program, mainly TBI.
The adapted Think First was systematically implemented and its impact measured for the first time in Brazil, revealing the usefulness of the program for reducing trauma and TBI severity in traffic accidents through public education and representing a standardized model of implementation in a developing country.
交通事故是青少年时期主要的死亡原因。创伤性脑损伤是这些事故严重程度的主要影响因素。自1995年以来，巴西神经外科协会（SBN）开展了一项预防交通事故的教育项目，该项目是在“先思考”（Think First）这一美国模式的基础上，根据巴西的实际情况进行调整的，特别致力于通过使用安全带和摩托车头盔来预防创伤性脑损伤。本研究的目的是基于调整后的“先思考”模式建立一个交通事故预防项目，并通过比较项目开始前后的流行病学变量来评估其影响。
该项目于2004年9月至2005年8月在马林加市实施，针对全体民众开展教育活动，尤其是青少年和年轻人。该项目通过在有组织的民间社会内部建立信息传播者和推广者网络来实施，并进行广泛的人群宣传。为了衡量该项目的影响，开发了一款专门用于存储和处理流行病学变量的软件。
结果显示，项目实施后，交通事故导致的创伤严重程度有所降低，主要是创伤性脑损伤。
调整后的“先思考”模式在巴西得到了系统实施，并首次对其影响进行了评估，结果表明该项目通过公共教育对于降低交通事故中的创伤和创伤性脑损伤严重程度是有用的，并且代表了发展中国家一种标准化的实施模式。
