Preventing abusive head trauma among infants and young children: a hospital-based, parent education program.
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| Title: | Preventing abusive head trauma among infants and young children: a hospital-based, parent education program. |
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| Authors: | Dias MS (AUTHOR), Smith K (AUTHOR), deGuehery K (AUTHOR), Mazur P (AUTHOR), Li V (AUTHOR), Shaffer ML (AUTHOR) |
| Source: | Pediatrics. 2005 Apr Supplement, Vol. 115 Issue 4 Part 1, pe470-7. 1p. |
| Abstract: | OBJECTIVE: Abusive head injuries among infants (shaken infant or shaken impact syndrome) represent a devastating form of child abuse; an effective prevention program that reduces the incidence of abusive head injuries could save both lives and the costs of caring for victims. We wished to determine whether a comprehensive, regional, hospital-based, parent education program, administered at the time of the child's birth, could be successfully implemented and to examine its impact on the incidence of abusive head injuries among infants <36 months of age. METHODS: All hospitals that provide maternity care in an 8-county region of western New York State participated in a comprehensive regional program of parent education about violent infant shaking. The program was administered to parents of all newborn infants before the infant's discharge from the hospital. The hospitals were asked to provide both parents (mothers and, whenever possible, fathers or father figures) with information describing the dangers of violent infant shaking and providing alternative responses to persistent infant crying and to have both parents sign voluntarily a commitment statement (CS) affirming their receipt and understanding of the materials. Program compliance was assessed by documenting the number of CSs signed by parents and returned by participating hospitals. Follow-up telephone interviews were conducted with a randomized 10% subset of parents, 7 months after the child's birth, to assess parents' recall of the information. Finally, the regional incidence of abusive head injuries among infants and children <36 months of age during the program (study group) was contrasted with the incidence during the 6 preceding years (historical control group) and with statewide incidence rates for the Commonwealth of Pennsylvania during the control and study periods, using Poisson regression analyses with a type I error rate of 0.05. RESULTS: During the first 5.5 years of the program, 65,205 CSs were documented, representing 69% of the 94,409 live births in the region during that time; 96% of CSs were signed by mothers and 76% by fathers/father figures. Follow-up telephone surveys 7 months later suggested that >95% of parents remembered having received the information. The incidence of abusive head injuries decreased by 47%, from 41.5 cases per 100,000 live births during the 6-year control period to 22.2 cases per 100000 live births during the 5.5-year study period. No comparable decrease was seen in the Commonwealth of Pennsylvania during the years 1996-2002, which bracketed the control and study periods in western New York State. CONCLUSIONS: A coordinated, hospital-based, parent education program, targeting parents of all newborn infants, can reduce significantly the incidence of abusive head injuries among infants and children <36 months of age. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106488908 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Preventing abusive head trauma among infants and young children: a hospital-based, parent education program. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Dias+MS%22">Dias MS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith+K%22">Smith K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22deGuehery+K%22">deGuehery K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mazur+P%22">Mazur P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li+V%22">Li V</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shaffer+ML%22">Shaffer ML</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. 2005 Apr Supplement, Vol. 115 Issue 4 Part 1, pe470-7. 1p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: Abusive head injuries among infants (shaken infant or shaken impact syndrome) represent a devastating form of child abuse; an effective prevention program that reduces the incidence of abusive head injuries could save both lives and the costs of caring for victims. We wished to determine whether a comprehensive, regional, hospital-based, parent education program, administered at the time of the child's birth, could be successfully implemented and to examine its impact on the incidence of abusive head injuries among infants <36 months of age. METHODS: All hospitals that provide maternity care in an 8-county region of western New York State participated in a comprehensive regional program of parent education about violent infant shaking. The program was administered to parents of all newborn infants before the infant's discharge from the hospital. The hospitals were asked to provide both parents (mothers and, whenever possible, fathers or father figures) with information describing the dangers of violent infant shaking and providing alternative responses to persistent infant crying and to have both parents sign voluntarily a commitment statement (CS) affirming their receipt and understanding of the materials. Program compliance was assessed by documenting the number of CSs signed by parents and returned by participating hospitals. Follow-up telephone interviews were conducted with a randomized 10% subset of parents, 7 months after the child's birth, to assess parents' recall of the information. Finally, the regional incidence of abusive head injuries among infants and children <36 months of age during the program (study group) was contrasted with the incidence during the 6 preceding years (historical control group) and with statewide incidence rates for the Commonwealth of Pennsylvania during the control and study periods, using Poisson regression analyses with a type I error rate of 0.05. RESULTS: During the first 5.5 years of the program, 65,205 CSs were documented, representing 69% of the 94,409 live births in the region during that time; 96% of CSs were signed by mothers and 76% by fathers/father figures. Follow-up telephone surveys 7 months later suggested that >95% of parents remembered having received the information. The incidence of abusive head injuries decreased by 47%, from 41.5 cases per 100,000 live births during the 6-year control period to 22.2 cases per 100000 live births during the 5.5-year study period. No comparable decrease was seen in the Commonwealth of Pennsylvania during the years 1996-2002, which bracketed the control and study periods in western New York State. CONCLUSIONS: A coordinated, hospital-based, parent education program, targeting parents of all newborn infants, can reduce significantly the incidence of abusive head injuries among infants and children <36 months of age. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1542/peds.2004-1896 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 1 StartPage: e470 Titles: – TitleFull: Preventing abusive head trauma among infants and young children: a hospital-based, parent education program. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Dias MS – PersonEntity: Name: NameFull: Smith K – PersonEntity: Name: NameFull: deGuehery K – PersonEntity: Name: NameFull: Mazur P – PersonEntity: Name: NameFull: Li V – PersonEntity: Name: NameFull: Shaffer ML IsPartOfRelationships: – BibEntity: Dates: – D: 03 M: 04 Text: 2005 Apr Supplement Type: published Y: 2005 Identifiers: – Type: issn-print Value: 00314005 Numbering: – Type: volume Value: 115 – Type: issue Value: 4 Part 1 Titles: – TitleFull: Pediatrics Type: main |
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