Taylor M J, Patel T, Orton E, Watson M C, Hayes M, Clarke R, Stewart S, Timblin C, Kendrick D
Centre for Academic Primary Care, Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK.
Centre for Academic Primary Care, Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK.
Perspect Public Health. 2023 Aug 12:17579139231185999. doi: 10.1177/17579139231185999.
Unintentional injuries in the home contribute substantially to preschool child morbidity and mortality. Practitioners such as health visitors, family mentors and children's centre staff are well-positioned to facilitate child injury prevention by providing home safety advice to families, and training may enhance their ability to do so. We aimed to assess the impact of child home safety training for these practitioners.
An explanatory mixed-methods design was used. Practitioners completed questionnaires before, and up to 7 months after, receiving child home safety training and took part in interviews. Seventy-eight health visitors, 72 family mentors and 11 children's centre staff members completed questionnaires. Items were used to calculate scores on home safety knowledge, confidence to provide home safety advice and belief that child home safety promotion is important. Thematic analysis of interviews with seven health visitors and nine family mentors, open-ended responses to the questionnaires and an additional evaluation form was conducted to explore attendees' perceptions of the training and its impact. In addition, seven health visitors and six children's centre staff who had received no training were interviewed.
Knowledge was greater post-training than pre-training across all participants ( < .001). When practitioner groups were analysed separately, there were significant increases in family mentors' knowledge ( < .001) and belief ( = .016), and health visitors' confidence ( = .0036). Qualitative findings indicated that most training session attendees valued the training, believed their practice relating to child home safety had improved as a result, and felt further similar training sessions would be beneficial. Those who had not attended the sessions described a need for more child home safety training.
Delivering training to practitioners providing child home safety promotion to families with preschool children can enhance injury prevention knowledge, beliefs and confidence and positively impact on home safety promotion by practitioners.
家庭中的意外伤害在很大程度上导致了学龄前儿童的发病和死亡。健康访视员、家庭指导员和儿童中心工作人员等从业者能够通过向家庭提供家庭安全建议来促进儿童伤害预防，而培训可能会提高他们这样做的能力。我们旨在评估针对这些从业者的儿童家庭安全培训的效果。
采用解释性混合方法设计。从业者在接受儿童家庭安全培训之前以及之后长达7个月的时间里完成问卷调查，并参与访谈。78名健康访视员、72名家庭指导员和11名儿童中心工作人员完成了问卷调查。问卷项目用于计算家庭安全知识得分、提供家庭安全建议的信心得分以及认为促进儿童家庭安全很重要的信念得分。对7名健康访视员和9名家庭指导员的访谈、问卷的开放式回答以及一份额外的评估表进行了主题分析，以探讨参与者对培训及其影响的看法。此外，还采访了7名未接受培训的健康访视员和6名儿童中心工作人员。
所有参与者在培训后的知识水平均高于培训前（<.001）。当分别分析从业者群体时，家庭指导员的知识（<.001）和信念（=.016）以及健康访视员的信心（=.0036）均有显著提高。定性研究结果表明，大多数参加培训课程的人重视该培训，认为他们在儿童家庭安全方面的实践因此得到了改善，并认为进一步开展类似的培训课程会有益处。那些未参加课程的人表示需要更多的儿童家庭安全培训。
为向有学龄前儿童的家庭提供儿童家庭安全促进服务的从业者提供培训，可以增强伤害预防知识、信念和信心，并对从业者的家庭安全促进工作产生积极影响。
