Cooray Nipuna, Sun Si Louise, Adams Susan, Keay Lisa, Nassar Natasha, Brown Julie
The George Institute for Global Health, Faculty of Medicine and Health, UNSW Sydney, Newtown, Australia.
School of Women's and Children's Health, UNSW Sydney, Sydney, Australia.
JMIR Pediatr Parent. 2022 May 10;5(2):e34413. doi: 10.2196/34413.
Falls represent the most common mechanism of injury requiring hospitalization among children under 12 months, and they commonly result in traumatic brain injury. Epidemiological studies exploring infant falls demonstrate the experienced burden, but they lack contextual information vital to the development of preventive interventions.
The objective of this study was to examine contextual information for falls involving children under 12 months, using online parenting discussion forums.
Online parenting forums provide an unobtrusive rich data source for collecting detailed information about fall events. Relevant discussions related to fall incidents were identified and downloaded using site-specific Google Search queries and a programming script. A qualitative descriptive approach was used to analyze the incidents and categorize contextual information into "precursor events" and "influencing factors" for infant falls.
We identified 461 infant fall incidents. Common fall mechanisms included falls from furniture, falls when being carried or supported by someone, falls from baby products, and falls on the same level. Across the spectrum of fall mechanisms, common precursor events were infant rolling off, infant being alone on furniture, product misuse, caretaker falling asleep while holding the infant, and caretaker tripping/slipping while carrying the infant. Common influencing factors were infant's rapid motor development, lapses in caretaker attention, and trip hazards.
The findings define targets for interventions to prevent infant falls and suggest that the most viable intervention approach may be to target parental behavior change. Online forums can provide rich information critical for preventive interventions aimed at changing behavior.
跌倒为12个月以下儿童中最常见的需要住院治疗的受伤机制，并且通常会导致创伤性脑损伤。探索婴儿跌倒情况的流行病学研究表明了其所带来的负担，但缺乏对于制定预防干预措施至关重要的背景信息。
本研究的目的是利用在线育儿讨论论坛，来研究涉及12个月以下儿童的跌倒的背景信息。
在线育儿论坛为收集有关跌倒事件的详细信息提供了一个不引人注目的丰富数据源。使用特定网站的谷歌搜索查询和一个编程脚本，识别并下载与跌倒事件相关的讨论。采用定性描述方法来分析这些事件，并将背景信息归类为婴儿跌倒的“先兆事件”和“影响因素”。
我们识别出461起婴儿跌倒事件。常见的跌倒机制包括从家具上跌落、被他人抱持或扶持时跌倒、从婴儿产品上跌落以及在同一平面上跌倒。在各种跌倒机制中，常见的先兆事件有婴儿滚落、独自在家具上、产品使用不当、看护人抱着婴儿时睡着以及看护人抱婴儿时绊倒/滑倒。常见的影响因素有婴儿快速的运动发育、看护人注意力不集中以及绊倒隐患。
这些发现确定了预防婴儿跌倒干预措施的目标，并表明最可行的干预方法可能是针对父母行为的改变。在线论坛可为旨在改变行为的预防干预措施提供关键的丰富信息。
