Pediatric injury prevention counseling priorities

Lisa R. Cohen, Carol W. Runyan, Stephen Downs, J. Michael Bowling

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Objective. Child health care providers have a unique opportunity to conduct injury prevention counseling but limited empirical evidence for choosing prevention strategies. Efficient use of time requires that prevention strategies of higher priority be discussed before lower priority strategies. Our aim was to assess consensus among experts about the prioritization of prevention strategies for office based injury prevention counseling for parents of children under age two. Design. We used a modified Delphi technique with 23 childhood injury prevention experts nationwide. Participants were blinded to the identities of each other. Measures. The first questionnaire, distributed via facsimile transmission, consisted of open ended questions about prevention strategies participants believe should be included and their prioritization methods. The second questionnaire was closed ended and based on the results of the first. Results. Seventeen injury problems and 21 prevention strategies were suggested for counseling. Participants emphasized environmental strategies over more active, educational ones. Motor vehicle occupant injuries and car seats were given high priority scores by all participants. Smoke detectors, lowering the hot water heater temperature, and pool fencing also received high priority ratings. Participants based their decisions on the severity of the injury, the frequency with which the injury occured, and the availability of environmental strategies. However, they disagreed about the relative importance of these factors. Time constraints and parents' inability to absorb information led them to suggest limiting, to fewer than four, the number of prevention strategies addressed at any one visit. Conclusions. This study illustrates areas of consensus as well as unresolved dilemmas about pediatric injury prevention counseling. A rational decision making approach to prioritizing elements of clinical counseling is needed. Meanwhile, clinicians can use the findings of this study to derive their own judgments.

Original languageEnglish (US)
Pages (from-to)704-710
Number of pages7
JournalPediatrics
Volume99
Issue number5
StatePublished - May 1997
Externally publishedYes

Fingerprint

Counseling
Pediatrics
Wounds and Injuries
Consensus
Parents
Telefacsimile
Delphi Technique
Motor Vehicles
Child Care
Smoke
Health Personnel
Decision Making
Temperature
Water

Keywords

  • accident prevention, anticipatory guidance, clinical decision making, infants, safety
  • accidents, home

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Cohen, L. R., Runyan, C. W., Downs, S., & Bowling, J. M. (1997). Pediatric injury prevention counseling priorities. Pediatrics, 99(5), 704-710.

Pediatric injury prevention counseling priorities. / Cohen, Lisa R.; Runyan, Carol W.; Downs, Stephen; Bowling, J. Michael.

In: Pediatrics, Vol. 99, No. 5, 05.1997, p. 704-710.

Research output: Contribution to journalArticle

Cohen, LR, Runyan, CW, Downs, S & Bowling, JM 1997, 'Pediatric injury prevention counseling priorities', Pediatrics, vol. 99, no. 5, pp. 704-710.
Cohen LR, Runyan CW, Downs S, Bowling JM. Pediatric injury prevention counseling priorities. Pediatrics. 1997 May;99(5):704-710.
Cohen, Lisa R. ; Runyan, Carol W. ; Downs, Stephen ; Bowling, J. Michael. / Pediatric injury prevention counseling priorities. In: Pediatrics. 1997 ; Vol. 99, No. 5. pp. 704-710.
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