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Parenting interventions and the prevention of unintentional injuries in childhood : systematic review and meta-analysis
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Kendrick, D., Barlow, Jane, Hampshire, A., Stewart-Brown, Sarah L. and Polnay, Leon (2008) Parenting interventions and the prevention of unintentional injuries in childhood : systematic review and meta-analysis. Child: Care, Health and Development, Vol.34 (No.5). pp. 682-695. doi:10.1111/j.1365-2214.2008.00849.x
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Official URL: http://dx.doi.org/10.1111/j.1365-2214.2008.00849.x
Abstract
Objectives To evaluate the effectiveness of parenting interventions in preventing unintentional injury and increasing parental safety practices.
Data sources A range of medical and social science electronic databases were searched. Abstracts from the first to seventh World conferences on injury prevention and control and the journal Injury Prevention were hand searched.
Review methods Randomized controlled trials (RCTs), non-randomized controlled trials (non-RCTs) and controlled before and after studies, providing parenting interventions to parents of children aged 0-18 years and reporting injuries, safety equipment or safety practices were included. Studies were selected, data extracted and quality appraised independently by two reviewers. Pooled relative risks were estimated using random effect models.
Results Fifteen studies (11 RCTs) were included, 11 of which were home visiting programmes and two of which were paediatric practice-based interventions. Thirteen studies recruited families at risk of adverse child health outcomes. Intervention arm families had a significantly lower risk of injury (RR 0.82, 95% CI 0.71-0.95), as measured by self-report of medically or non-medically attended injury. Several studies found fewer home hazards, a home environment more conducive to child safety, or a greater number of safety practices in intervention arm families.
Conclusions Parenting interventions, most commonly provided within the home, using multi-faceted interventions appear to be effective in reducing unintentional child injury. Further research is required to explore the mechanisms by which parenting interventions reduce injury, the features of interventions that are necessary to reduce injury, and their generalizability to different population groups.
| Item Type: | Journal Item | ||||
|---|---|---|---|---|---|
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > R Medicine (General) R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Parenting, Wounds and injuries -- Prevention, Systematic reviews (Medical research), Meta-analysis, Children's accidents -- Prevention | ||||
| Journal or Publication Title: | Child: Care, Health and Development | ||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||
| ISSN: | 0305-1862 | ||||
| Official Date: | September 2008 | ||||
| Dates: |
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| Volume: | Vol.34 | ||||
| Number: | No.5 | ||||
| Number of Pages: | 14 | ||||
| Page Range: | pp. 682-695 | ||||
| DOI: | 10.1111/j.1365-2214.2008.00849.x | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Description: | This paper is based on a Cochrane Review published |
Data sourced from Thomson Reuters' Web of Knowledge
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