Faculty of Health Professions, Dalhousie University, Canada.
Int J Inj Contr Saf Promot. 2009 Dec;16(4):189-96. doi: 10.1080/17457300903306914.
Traditionally, health professionals have positioned injury prevention strategies from their own perspective with little acknowledgement or understanding of the perspective of those who experience risk taking: specific populations of children with differing approaches to risk perception and problem-solving. The present study addresses this oversight by engaging children with and without attention deficit/hyperactivity disorder (ADHD) to explore the meaning of risk from their perspective. Although both groups of children reported similar processes of assessing risk, unique to children with ADHD was the overestimation of their physical abilities, intentional risk taking and anticipation of positive or no consequences of their risk taking. These findings also advance our knowledge of potentially appropriate strategies to effect change in risk taking that could influence risk of injury. Specifically, findings suggest that prevention efforts that incorporate both cognitive and social interventions are the most promising approaches. Integrating this understanding of children's perception of risk builds our knowledge about the contribution of risk perception to injury events and may help to inform future injury prevention initiatives with children with ADHD.
传统上，卫生专业人员从自己的角度出发制定预防伤害策略，很少承认或理解那些冒险的人的观点：具有不同风险感知和解决问题方法的特定儿童群体。本研究通过让患有和不患有注意力缺陷/多动障碍（ADHD）的儿童参与进来，从他们的角度探讨风险的含义，解决了这一疏忽。尽管两组儿童都报告了类似的风险评估过程，但 ADHD 儿童特有的是高估自己的身体能力、故意冒险以及对自己冒险的积极或无后果的预期。这些发现还增进了我们对可能适当的改变冒险行为的策略的认识，这些策略可能会影响受伤的风险。具体来说，研究结果表明，将认知和社会干预相结合的预防措施是最有前途的方法。了解儿童对风险的感知有助于我们了解风险感知对伤害事件的贡献，并可能有助于为患有 ADHD 的儿童提供未来的伤害预防计划。
