Mytton Julie A, Towner Elizabeth Ml, Kendrick Denise, Stewart-Brown Sarah, Emond Alan, Ingram Jenny, Blair Peter S, Powell Jane, Mulvaney Caroline, Thomas James, Deave Toity, Potter Barbara
University of the West of England, Bristol, Centre for Child and Adolescent Health, , University of the West of England, Bristol, UK.
Inj Prev. 2014 Feb;20(1):e2. doi: 10.1136/injuryprev-2012-040689. Epub 2013 Jan 8.
Unintentional injury is the leading cause of preventable death in children in the UK, and 0-4-year-olds frequently attend emergency departments following injuries in the home. Parenting programmes designed to support parents, promote behaviour change and enhance parent-child relationships have been shown to improve health outcomes in children. It is not known whether group-based parenting programmes have the potential to prevent unintentional injuries in preschool children.
A study to develop a group-based parenting programme to prevent unintentional home injuries in preschool children, and assess the feasibility of evaluation through a cluster-randomised controlled trial. The intervention, designed for parents of children who have sustained a medically attended injury, will be developed with two voluntary sector organisations. The feasibility study will assess ability to recruit parents, deliver the programme and follow-up participants. Participants will complete questionnaires at baseline, 3 months and 6 months, and report injuries in their preschool children using a tool designed and validated for this study. Qualitative methods will assess user and deliverer perceptions of the programme.
This study will develop the first group-based parenting programme to prevent injuries in preschool children, and design tools for parent-reported injury outcomes. A key challenge will be to recruit parents to participate in a manner that is non-stigmatising, and does not result in feelings of guilt or belief that they are perceived to be a bad parent. The findings will be used to prepare a trial to assess the effectiveness and cost-effectiveness of the intervention.
意外伤害是英国儿童可预防死亡的主要原因，0至4岁儿童在家中受伤后经常前往急诊科就诊。旨在支持父母、促进行为改变并加强亲子关系的育儿计划已被证明能改善儿童的健康状况。尚不清楚基于小组的育儿计划是否有潜力预防学龄前儿童的意外伤害。
开展一项研究，制定一项基于小组的育儿计划，以预防学龄前儿童在家中发生意外伤害，并通过整群随机对照试验评估评估的可行性。该干预措施是为有过就医记录的受伤儿童的父母设计的，将与两个志愿部门组织共同制定。可行性研究将评估招募父母、实施该计划以及对参与者进行随访的能力。参与者将在基线、3个月和6个月时完成问卷，并使用为本研究设计和验证的工具报告其学龄前儿童的受伤情况。定性方法将评估用户和实施者对该计划的看法。
本研究将制定首个基于小组的育儿计划，以预防学龄前儿童受伤，并设计用于父母报告受伤结果的工具。一个关键挑战将是以不产生污名化的方式招募父母参与，且不会导致他们产生内疚感或认为自己被视为不良父母的想法。研究结果将用于筹备一项试验，以评估该干预措施的有效性和成本效益。
