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An academic, business, and community alliance to promote evidence-based public health policy: the case of primary seat belt legislation.促进基于证据的公共卫生政策的学术、商业和社区联盟:以主要安全带立法为例。
J Health Care Poor Underserved. 2013 Aug;24(3):1364-77. doi: 10.1353/hpu.2013.0138.
2
Child passenger safety practices in the U.S.: disparities in light of updated recommendations.美国儿童乘客安全实践:更新建议下的差异。
Am J Prev Med. 2012 Sep;43(3):272-81. doi: 10.1016/j.amepre.2012.05.023.
3
Child passenger safety.儿童乘客安全。
Pediatrics. 2011 Apr;127(4):e1050-66. doi: 10.1542/peds.2011-0215. Epub 2011 Mar 21.
4
Emergency physicians' knowledge and provision of child passenger safety information.急诊医师对儿童乘客安全信息的了解与提供情况。
Acad Emerg Med. 2011 Feb;18(2):145-51. doi: 10.1111/j.1553-2712.2010.00971.x.
5
Greater use of preventive services in U.S. health care could save lives at little or no cost.在美国的医疗保健中更多地使用预防性服务可以在几乎不增加成本或无需增加成本的情况下挽救生命。
Health Aff (Millwood). 2010 Sep;29(9):1656-60. doi: 10.1377/hlthaff.2008.0701.
6
Effectiveness of belt positioning booster seats: an updated assessment.安全带定位增高座椅的有效性:最新评估
Pediatrics. 2009 Nov;124(5):1281-6. doi: 10.1542/peds.2009-0908. Epub 2009 Oct 19.
7
The effectiveness of child restraint systems for children aged 3 years or younger during motor vehicle collisions: 1996 to 2005.1996年至2005年期间儿童约束系统对3岁及以下儿童在机动车碰撞事故中的有效性
Am J Public Health. 2009 Feb;99(2):252-7. doi: 10.2105/AJPH.2007.131128. Epub 2008 Dec 4.
8
Counseling about proper use of motor vehicle occupant restraints and avoidance of alcohol use while driving: a systematic evidence review for the U.S. Preventive Services Task Force.关于正确使用机动车乘员约束装置及避免驾车时饮酒的咨询:美国预防服务工作组的系统证据综述
Ann Intern Med. 2007 Aug 7;147(3):194-206. doi: 10.7326/0003-4819-147-3-200708070-00009.
9
Effectiveness of child safety seats vs safety belts for children aged 2 to 3 years.儿童安全座椅与安全带对2至3岁儿童的有效性比较
Arch Pediatr Adolesc Med. 2007 Jan;161(1):65-8. doi: 10.1001/archpedi.161.1.65.
10
Effectiveness of child safety seats vs seat belts in reducing risk for death in children in passenger vehicle crashes.儿童安全座椅与安全带在降低乘用车碰撞事故中儿童死亡风险方面的有效性。
Arch Pediatr Adolesc Med. 2006 Jun;160(6):617-21. doi: 10.1001/archpedi.160.6.617.

一项旨在提高医疗服务提供者对儿童乘客安全意识的简短教育干预措施。

A brief educational intervention to improve healthcare providers' awareness of child passenger safety.

作者信息

Ekundayo O James, Jones Gennifer, Brown Angela, Aliyu Muktar, Levine Robert, Goldzweig Irwin

机构信息

Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN 37208, USA.

出版信息

Int J Pediatr. 2013;2013:821693. doi: 10.1155/2013/821693. Epub 2013 Feb 11.

DOI:10.1155/2013/821693
PMID:23476672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3583053/
Abstract

Introduction. Motor vehicle crashes are the leading cause of death among US children aged 4-14 years. In theory, health provider counseling about Child Passenger Safety (CPS) could be a useful deterrent. The data about the effectiveness of CPS dissemination is sparse, but existing results suggest that providers are not well informed. Moreover, there is insufficient evidence to determine whether provider counseling about CPS is effective. Methods. We therefore assessed CPS best practice knowledge among 217 healthcare workers at hospitals in seven cities throughout the USA and evaluated the impact of a brief, lunch and learn educational intervention with a five-item questionnaire. Attendees were comprised of physicians, nurses, social workers, pediatric residents, and pediatric trauma response teams. Results. Pre-post survey completion was nearly 100% (216 of 217 attendees). Participation was fairly evenly distributed according to age (18-29, 30-44, and 45+ years). More than 80% of attendees were women. Before intervention, only 4% of respondents (9/216) answered all five questions correctly; this rose to 77% (167/216) (P < 0.001, using a Wilcoxon signed-rank test) after intervention. Conclusion. Future research should consider implementation and controlled testing of comparable educational programs to determine if they improve dissemination of CPS best practice recommendations in the long term.

摘要

引言。机动车碰撞是美国4至14岁儿童死亡的主要原因。理论上,医疗服务提供者关于儿童乘客安全(CPS)的咨询可能是一种有效的威慑措施。关于CPS传播有效性的数据很少,但现有结果表明提供者了解不足。此外,没有足够的证据来确定提供者关于CPS的咨询是否有效。方法。因此,我们评估了美国七个城市医院的217名医护人员对CPS最佳实践的了解情况,并通过一份包含五个项目的问卷评估了一次简短的“午餐学习”教育干预的影响。参与者包括医生、护士、社会工作者、儿科住院医师和儿科创伤应对团队。结果。调查前后的完成率接近100%(217名参与者中的216名)。参与情况按年龄(18 - 29岁、30 - 44岁和45岁以上)分布较为均匀。超过80%的参与者为女性。干预前,只有4%的受访者(9/216)正确回答了所有五个问题;干预后这一比例升至77%(167/216)(使用Wilcoxon符号秩检验,P < 0.001)。结论。未来的研究应考虑实施和对照测试类似的教育项目,以确定它们是否能长期改善CPS最佳实践建议的传播。