Bedside Counseling and Injury Data Collection with Families

Bedside Counseling and Injury Data Collection with Families of Injured Children

About Bedside Counseling and Injury Data Collection The Bedside Counseling with Families of Injured Children program design is based on a risk management matrix. Each participating family is provided with a limited number of important safety messages, based on the specific characteristics of the injured child and the family. In lieu of providing unlimited or extensive safety information that will not be processed, the information imparted is targeted.

Overall Program Objectives § Promote safety and prevent recurrent injury of children in families that were hospitalized due to injuries. § Raise awareness and increase knowledge regarding injury prevention among parents of children hospitalized following injury. § Raise knowledge and awareness among hospital personnel concerning child safety. § Collect and analyze data on child injury and risk patterns as a basis for the development of prevention tools. * Project transfer to another cultural Background

Implementation or on the way to… New Zeeland Israel USA Australia Austria

Key components of the program • Interview with family to identify causes of injury • Individual counseling according to child age and socioeconomic background • Specific injury promotion messages, also included in the letter of release • Materials given to the family • Data captured in database

Materials

Variety of materials of the program 1. Questionnaire to be filled out by parents orthe interviewer himself during the actual counseling, and instruction forums 2. Information sheet about the project for parents 3. Power Point presentation for hospital staff 4. Counseling tool Cards appointed to different ages 5. Brochures with age appropriate safety tips for parents and children 6. Product safety sheets focusing on potentially dangerous products for children

Interview forms Injury Database event location Was there an adult present, who was the adult Date of birth and Gender Data encoded into database

Instruction forms Forms are Color Coded by Age Group and Injury Type

Counseling tool cards - Instruction Materials Provided in multiple languages

Instruction Materials Examples of safety equipment

Pamphlets provided to families

Product safety sheets

Results

What has been done? In Israel: § Program takes place in 7 hospitals (and growing) § Around 2, 000 families instructed every year (total 9, 350) § Evaluation of the program during the first year § Data analysis is shared with: Hospitals, cities, ministries, Standardization Administration, and others.

Evaluation Results- Israel Scale 1(low)-5(high) To which extent was the instruction necessary? 4. 10 To which extent was the instruction given at an appropriate time? 4. 70 How satisfied were you in general 4. 85 To which extent the safety messages were new to you? 2. 72 How relevant were the messages to you personally? 4. 20 Recollection of messages 95% correct 4. 4% incorrect 0. 6% don’t remember Messages adopted to everyday life 51. 5% - all 47. 5% - most of them 1. 5% - none

What has been done? In Austria: § Program taking place in 1 major children’s hospital (12, 000 child injuries being treated per year) § 418 families instructed within 14 months § Evaluation of the program: 71% of counseled parents agreed to speak on a follow up interview 6 months after the counseling. 218 parents (52%) could be reached

What has been done? In Australia: • Applied for a grant(s) for a pilot program: “Bedside Research and Information Pilot” • The pilot will be run in both Pediatrics and Emergency Departments of The Canberra Hospital, the major regional teaching hospital, with the support of the Australian National University Medical School which is based at the Hospital. The objective is to expand the program across Australia, starting with Brisbane and Perth. • To date we there is 2/3 of the funding agreed, with the balance due to be decided in the near future. About half will come from the Australian Government and half from the Australian Capital Territory Government. In USA • Childrens’ Hospital for disabled from NY is approaching for the program

Evaluation Results- Austria Follow-Up interviews with 218 parents: Questions according to the age of the child and in relation to parents‘ safety knowledge, risk assessment and use of safety equipment: Some results: § 70% showed positive assessment of risks § 50% use window lockers and smoke detectors (age group 1 -5 yrs. ) § 95% use bike helmets with children 1 -5 yrs. , but only 52% of parents! § 98% use bike helmets with children 6 -10 yrs. , but only 53% of parents! § 84% use bike helmets Parents reported: Behavioural changes Child: 45% Behavioural changes Parents: 55% Changes in the environment: 21%

Conclusions

What Did We Learn about the program? § The intervention takes place at the right time and place § Targeted messages are effective § Valuable and unique data for injury prevention

What did we learn in transferring the program from one country to another? § Core vs. Additional components of a program § Time-limited intervention vs. infrastructure § Data – core goal of the program? § Adaptation to: § Local culture and environment § Organizational structure § Safety messages

Conclusions

Results in Austria Sex: 59% injured children were male, 41% female Place of injury according to age: 40% of injuries occurred in the home (mainly children aged 0 -6 years), 21% on the road (mainly children 12 to 17), 17% during leisure time and sports (mainly children aged 6 -12), 22% others Injuries: 42% head injuries, 20% upper extremities, 26% lower extremities, 12% body A fracture has proven to be the most common injury which causes an hospital admission. 43% of all hospitalized children needed an operation due to the injury

Bedside Counseling Austria Place of injury (n=418)

Bedside Counseling Austria Injury region (n=418)