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Health Education Research Advance Access published online on September 28, 2007
Health Education Research, doi:10.1093/her/cym041
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Preventing unintentional pediatric injuries: a tailored intervention for parents and providers

Tonja R. Nansel1,*, Nancy L. Weaver2, Heather A. Jacobsen2, Cristie Glasheen2 and Matthew W. Kreuter2

1 Division of Epidemiology, Statistics and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA
2 Health Communication Research Laboratory, Saint Louis University School of Public Health, St Louis, MO 63140, USA

Correspondence to: * Correspondence to: T. R. Nansel. E-mail: nanselt{at}mail.nih.gov

The purpose of this study was to determine the efficacy of providing (i) tailored injury prevention information (T-IPI) to parents and (ii) concurrent T-IPI to parents and providers to promote parent adoption of safety practices. During well-child visits, parents of children ages 4 and younger completed a computer assessment and were randomized to receive generic injury prevention information, T-IPI or T-IPI supplemented with a tailored summary for providers. Follow-up assessments were completed by telephone 1 month later. Parents receiving T-IPI alone or with supplementary provider information were more likely to report adopting a new injury prevention behavior than those receiving generic information (49 and 45%, respectively, compared with 32%; odds ratio = 2.0 and 1.9, respectively), and these effects were greatest among the least educated parents. In addition, more complicated behavior changes were reported by those receiving tailored information. Provider receipt of feedback did not result in significantly different provider–parent communication or change in parents' safety practices. Providing parents with individually tailored pediatric injury prevention information may be an effective method for delivering injury prevention anticipatory guidance. Tailoring may have particular utility for more complicated behaviors and for communication with less educated parents.

Received on December 20, 2005; accepted on June 7, 2007


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