Monneuse Olivier J Y, Nathens Avery B, Woods Nicole N, Mauceri Julie L, Canzian Sonya L, Xiong Wei, Ahmed Najma A
Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
J Am Coll Surg. 2008 Aug;207(2):179-84. doi: 10.1016/j.jamcollsurg.2008.01.021. Epub 2008 Apr 24.
Despite education and changes in public policy, trauma-related injuries continue to exact an unacceptably high morbidity and mortality, particularly among young people. Most injuries are preventable and can often be attributed to poor choices.
A mixed methods study involving 262 high school students was conducted to study the effect on knowledge and risk assessment after a day-long injury prevention program, and to develop a theoretic framework to better understand attitudes and beliefs that underlie commonly seen behaviors among young people.
Knowledge about injury increased after participation in the program, but was not durable over time. Risk perception and capacity to discern safer options improved after the program and persisted for up to 30 days. A qualitative analysis revealed seven themes that reflect a sense of invincibility and a belief that fate is more important than choice in determining the outcomes of a situation.
Effective injury prevention programs should include risk perception training that is informed by the attitudes and beliefs of the recipients.
尽管开展了教育活动并出台了公共政策，但创伤相关损伤仍导致了高得令人无法接受的发病率和死亡率，尤其是在年轻人中。大多数损伤是可以预防的，而且往往可归因于不良选择。
开展了一项混合方法研究，涉及262名高中生，旨在研究为期一天的伤害预防计划对知识和风险评估的影响，并构建一个理论框架，以更好地理解年轻人常见行为背后的态度和信念。
参与该计划后，关于损伤的知识有所增加，但随着时间推移并不持久。该计划实施后，风险认知以及辨别更安全选项的能力得到改善，并持续长达30天。定性分析揭示了七个主题，这些主题反映出一种无敌感，以及一种认为在决定情况结果时命运比选择更重要的信念。
有效的伤害预防计划应包括基于接受者态度和信念的风险认知培训。
