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Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence

Background Malaysia is facing an increasing burden of childhood injuries, not unlike many other low- and middle-income countries (LMICs). Across the globe, more than 95 percent of total child injury mortality occurs in LMICs. A considerable proportion of these injuries occur in and around the home....

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Main Authors: Bachani, Abdulgafoor M., Nagarajan, Madhuram, Mancuso, Arielle, Mani, Kulanthayan K. C., Hyder, Adnan Ali
Format: Article
Language:English
Published: BMJ Publishing Group 2018
Online Access:http://psasir.upm.edu.my/id/eprint/73200/1/CHILD.pdf
http://psasir.upm.edu.my/id/eprint/73200/
https://injuryprevention.bmj.com/content/24/Suppl_2/A265.3
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spelling my.upm.eprints.732002021-10-07T01:35:03Z http://psasir.upm.edu.my/id/eprint/73200/ Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence Bachani, Abdulgafoor M. Nagarajan, Madhuram Mancuso, Arielle Mani, Kulanthayan K. C. Hyder, Adnan Ali Background Malaysia is facing an increasing burden of childhood injuries, not unlike many other low- and middle-income countries (LMICs). Across the globe, more than 95 percent of total child injury mortality occurs in LMICs. A considerable proportion of these injuries occur in and around the home. Effective approaches to prevention include home safety education, parenting education and home modification. Through this study, we aim to evaluate the effectiveness of two intervention strategies in reducing in-home hazards for unintentional injuries among children. Methods We conducted a prospective cluster randomized controlled trial (cRCT) to compare the effectiveness of an in-home safety tutorial program and an educational pamphlet intervention in reducing safety hazards to child injuries. The study randomized 39 clusters to two study arms (home safety tutorial vs educational pamphlet), with around 30 households per cluster. Our exposure and outcome were assessed using a household survey instrument with self-reported and observer-reported components. Results Our initial analysis is a comparison of overall safety scores across the baseline arm that found a mean safety score of 30 of a maximum possible 45 (translating to a mean percentage of 66.7%), with improvement on average in both intervention arms. The overall safety score mean for educational pamphlets was 32.3 with a mean percentage of 71.7%, and the corresponding numbers for the in-home tutorial were 31.8 and 71%. Discussion This study compares a labor-intensive and ‘active’ intervention, the in-home safety tutorial, with a more passive intervention through handing out educational pamphlets. In our preliminary findings from the cRCT, we see an improvement in the mean safety scores between baseline and follow-up measurement in both intervention arms; between the two intervention arms, the safety scores are comparable. We believe that educational pamphlets can be an effective intervention to reduce child injuries, with particular relevance to resource constrained settings. BMJ Publishing Group 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/73200/1/CHILD.pdf Bachani, Abdulgafoor M. and Nagarajan, Madhuram and Mancuso, Arielle and Mani, Kulanthayan K. C. and Hyder, Adnan Ali (2018) Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence. Injury Prevention, 24 (suppl. 2). pp. 265-266. ISSN 1353-8047; ESSN: 1475-5785 https://injuryprevention.bmj.com/content/24/Suppl_2/A265.3 10.1136/injuryprevention-2018-safety.734
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background Malaysia is facing an increasing burden of childhood injuries, not unlike many other low- and middle-income countries (LMICs). Across the globe, more than 95 percent of total child injury mortality occurs in LMICs. A considerable proportion of these injuries occur in and around the home. Effective approaches to prevention include home safety education, parenting education and home modification. Through this study, we aim to evaluate the effectiveness of two intervention strategies in reducing in-home hazards for unintentional injuries among children. Methods We conducted a prospective cluster randomized controlled trial (cRCT) to compare the effectiveness of an in-home safety tutorial program and an educational pamphlet intervention in reducing safety hazards to child injuries. The study randomized 39 clusters to two study arms (home safety tutorial vs educational pamphlet), with around 30 households per cluster. Our exposure and outcome were assessed using a household survey instrument with self-reported and observer-reported components. Results Our initial analysis is a comparison of overall safety scores across the baseline arm that found a mean safety score of 30 of a maximum possible 45 (translating to a mean percentage of 66.7%), with improvement on average in both intervention arms. The overall safety score mean for educational pamphlets was 32.3 with a mean percentage of 71.7%, and the corresponding numbers for the in-home tutorial were 31.8 and 71%. Discussion This study compares a labor-intensive and ‘active’ intervention, the in-home safety tutorial, with a more passive intervention through handing out educational pamphlets. In our preliminary findings from the cRCT, we see an improvement in the mean safety scores between baseline and follow-up measurement in both intervention arms; between the two intervention arms, the safety scores are comparable. We believe that educational pamphlets can be an effective intervention to reduce child injuries, with particular relevance to resource constrained settings.
format Article
author Bachani, Abdulgafoor M.
Nagarajan, Madhuram
Mancuso, Arielle
Mani, Kulanthayan K. C.
Hyder, Adnan Ali
spellingShingle Bachani, Abdulgafoor M.
Nagarajan, Madhuram
Mancuso, Arielle
Mani, Kulanthayan K. C.
Hyder, Adnan Ali
Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence
author_facet Bachani, Abdulgafoor M.
Nagarajan, Madhuram
Mancuso, Arielle
Mani, Kulanthayan K. C.
Hyder, Adnan Ali
author_sort Bachani, Abdulgafoor M.
title Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence
title_short Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence
title_full Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence
title_fullStr Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence
title_full_unstemmed Assessing the effectiveness of intervention strategies to address home injuries among children in Malaysia: a cluster randomized trial evaluation of evidence
title_sort assessing the effectiveness of intervention strategies to address home injuries among children in malaysia: a cluster randomized trial evaluation of evidence
publisher BMJ Publishing Group
publishDate 2018
url http://psasir.upm.edu.my/id/eprint/73200/1/CHILD.pdf
http://psasir.upm.edu.my/id/eprint/73200/
https://injuryprevention.bmj.com/content/24/Suppl_2/A265.3
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score 13.211869

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