From Emory University School of Medicine (S.C., M.A.), Atlanta, Georgia; Children's Healthcare of Atlanta (S.C., M.A.), Atlanta, Georgia; Cincinnati Children's Hospital (W.J.P.), Cincinnati, Ohio; Comprehensive Children's Injury Center (W.J.P.), Cincinnati, Ohio; Arkansas Children's Hospital (B.M.), Little Rock, Arkansas; Emory University School of Public Health (A.P.), Atlanta, Georgia.
J Trauma Acute Care Surg. 2017 Nov;83(5S Suppl 2):S184-S189. doi: 10.1097/TA.0000000000001603.
Injury is the leading cause of death in children. Although many pediatric hospitals and trauma centers provide injury prevention (IP) programming, there is no national standard. This study aims to identify characteristics of a sustainable and successful IP program by querying programs affiliated with the Injury Free Coalition for Kids (IFCK).
The IFCK sites were sent a 30-question survey via e-mail. Questions focused on demographics, scope of IP activities, self-efficacy, and outcome measures including finances, academic productivity, and legislative advocacy. Counts and frequencies were calculated and compared using χ tests.
The survey was completed by 38 (90.4%) of 42 sites. The majority were associated with a freestanding children's hospital (57.9%) and Level I pediatric trauma center (86.8%). Most programs (79%) had at least one dedicated full-time equivalent (FTE) staff. Research was most common on child passenger safety and teen driving. Nearly 30% of programs offered educational curricula to health care providers; these sites were more likely to have FTE support (p = 0.036). Steady sources of funding were identified for 60.5% of programs, with 47.8% citing their hospital as the primary source; 73% of respondents were confident in their program's capacity to sustain activities; these were more likely to be larger programs (p = 0.001) with steady sources of funding (p < 0.001). Despite 73.7% of sites having academic affiliations, 60.5% had 5 or fewer publications over the previous 5 years. In the prior 2 years, 55.3% of programs impacted legislative or policy changes. Funding, size of program, and FTE had no statistical correlation with research productivity or number of legislative/policy contributions.
This study characterizes the variation among pediatric IP programs within IFCK sites, while highlighting the association between financial and FTE support from programs' institutions with sustainable IP programming. These results can assist programs in identifying differences in relation to their peers.
伤害是儿童死亡的主要原因。尽管许多儿童医院和创伤中心都提供伤害预防（IP）项目，但目前尚无国家标准。本研究旨在通过查询隶属于“无伤害儿童联盟（IFCK）”的项目，确定一个可持续且成功的 IP 项目的特征。
通过电子邮件向 IFCK 网站发送了一份包含 30 个问题的调查问卷。问题集中在人口统计学、IP 活动范围、自我效能感以及财务状况、学术成果和立法宣传等方面的结果衡量指标。通过 χ 检验计算并比较了计数和频率。
共完成了 42 个站点中的 38 个（90.4%）站点的调查。大多数站点与独立的儿童医院（57.9%）和一级儿科创伤中心（86.8%）相关联。大多数项目（79%）至少有一名专职全职当量（FTE）员工。研究最常见的是儿童乘客安全和青少年驾驶。近 30%的项目向医疗保健提供者提供教育课程；这些站点更有可能获得 FTE 支持（p=0.036）。60.5%的项目确定了稳定的资金来源，其中 47.8%的项目将医院作为主要来源；73%的受访者对其项目的可持续活动能力有信心；这些项目更有可能是规模较大的项目（p=0.001），且有稳定的资金来源（p<0.001）。尽管 73.7%的站点有学术隶属关系，但在过去 5 年中，60.5%的站点只有 5 篇或更少的出版物。在过去的 2 年中，55.3%的项目影响了立法或政策的变化。资金、项目规模和 FTE 与研究生产力或立法/政策贡献的数量没有统计学上的相关性。
本研究描述了 IFCK 站点内儿科 IP 项目之间的差异，同时强调了项目机构的资金和 FTE 支持与可持续的 IP 项目之间的关联。这些结果可以帮助项目识别与同行之间的差异。
