Health Literacy and Child Prevention Injury

健康素养和儿童预防伤害

• 批准号: 7135926
• 负责人: Andrea C Gielen
• 金额: $ 8.18万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-26 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7135926
• 关键词: awareness; behavior modification; behavioral /social science research tag; children; computer assisted instruction; computer center; culture; early /brief intervention /therapy; educationally disadvantaged; emergency care; health behavior; health disparity; health education; health services research tag; human data; human therapy evaluation; injury prevention; interactive multimedia; longitudinal human study; low socioeconomic status; outcomes research; parent offspring interaction; patient oriented research; pediatrics; urban poverty area

DESCRIPTION (provided by applicant): Injury is the leading cause of death for children and thousands of nonfatal injuries are treated in emergency departments every year. Children living in low income urban environments are at especially high risk for preventable injuries. There is promising evidence that pediatric emergency departments can provide an important opportunity for providing injury prevention counseling. We are currently completing an NICHD- funded intervention trial of a culturally tailored, computer kiosk intervention promoting child safety in the Johns Hopkins Pediatric Emergency Department (FED). The families served in this FED are from a low income, urban, predominantly African American population. Preliminary data using the REALM was collected in the RED to inform the development of our intervention. Among 59 parents, 28 percent read below the 9th grade level, and 14 percent at or below the 6th grade level. We have continued to collect REALM data from parents enrolled in the intervention trial, although questions about literacy were not included in the original study aims. Parents (or legal guardians) of young children are being enrolled and randomly assigned to receive the culturally tailored, personalized child safety feedback report or a non-tailored child health feedback report. Outcome assessments of parents' safety knowledge and behaviors will be assessed at two follow-up points by interview with a random sample selected for home observations to confirm self-reported safety practices. This proposed RO3 research is a revised application. The aims are to: 1) assess the prevalence of low health literacy among a large sample of inner city parents of young children seen in a pediatric emergency department; 2) examine the relationship between low health literacy in parents and child injury related outcomes, including knowledge of safety information and adoption of safety behaviors; and 3) examine whether and to what extent low income parents' literacy levels moderate the impact of a culturally tailored computer kiosk intervention on comprehension of safety information and adoption of safety behaviors. Results from this study can be used to: 1) suggest ways in which FED prevention interventions for low literacy populations can be strengthened, and 2) prepare an RO1 application to extend our program of research on adult literacy and child health and safety. We believe communication strategies that effectively incorporate issues of culture and literacy can help reduce the disparities in child injury experiences, although virtually no scholarly work has been undertaken on this topic. We propose to efficiently begin addressing this gap by conducting an innovative secondary data analysis, the results of which will be immediately useful to prevention programs and will form the basis for future research on literacy and child health and safety.

描述（由申请人提供）：伤害是儿童死亡的主要原因，每年都有数以千计的非致命伤害在急诊室接受治疗。生活在低收入城市环境中的儿童遭受可预防伤害的风险特别高。有令人鼓舞的证据表明，儿科急诊科可以为提供伤害预防咨询提供重要机会。我们目前正在约翰·霍普金斯大学儿科急诊科 (FED) 完成一项由 NICHD 资助的干预试验，该试验是针对文化定制的计算机亭干预措施，旨在促进儿童安全。该 FED 服务的家庭来自低收入城市，主要是非裔美国人。使用 REALM 的初步数据在 RED 中收集，为我们干预措施的制定提供信息。在 59 名家长中，28% 的家长阅读水平低于 9 年级水平，14% 的家长阅读水平等于或低于 6 年级水平。我们继续从参与干预试验的家长那里收集 REALM 数据，尽管最初的研究目标中并未包含有关读写能力的问题。幼儿的父母（或法定监护人）正在被登记并随机分配以接收根据文化定制的个性化儿童安全反馈报告或非定制的儿童健康反馈报告。对家长安全知识和行为的结果评估将在两个后续点通过采访随机抽取的样本进行家庭观察，以确认自我报告的安全做法。这项拟议的 RO3 研究是修订后的申请。目的是： 1) 评估在儿科急诊科就诊的大量内城幼儿家长样本中健康素养低下的普遍情况； 2) 检查父母健康素养低下与儿童伤害相关结果之间的关系，包括安全信息知识和采取安全行为； 3) 检查低收入父母的识字水平是否以及在多大程度上减轻了根据文化定制的计算机亭干预对安全信息的理解和安全行为的采用的影响。这项研究的结果可用于：1) 提出加强对低识字率人群的 FED 预防干预措施的建议，2) 准备 RO1 申请，以扩展我们关于成人识字率和儿童健康与安全的研究计划。我们相信，有效结合文化和读写能力问题的沟通策略可以帮助减少儿童受伤经历的差异，尽管实际上还没有关于这个主题的学术工作。我们建议通过进行创新的二次数据分析来有效地开始解决这一差距，其结果将立即用于预防计划，并将构成未来扫盲和儿童健康与安全研究的基础。