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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 7: Injury Hospitilization

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Strategy. Well-Child Visits to Deliver Safety Education

Approach. Provide safety advice + counseling at well-child visits.

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Overview. Health care professionals can act as safety advocates by disseminating information about child injury risks and encouraging uptake of safety practices within the context of direct health care services, such as well-child visits. Counseling by health care providers is a recommended best practice and results in improved safety behaviors and reduced injury risk.1 2

Evidence. Moderate/Emerging. Research indicates due to their interactions with children and families, health care providers are in a position to effectively communicate best practices to reduce risk and prevent injury. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).

Target Audience. Caregivers.

Outcome. Reduction of unintentional child injuries in the home. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the “Intervention Results” for each study.

Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM. You may also want to look at evidence that supports educational programs in other NPM topic areas that can be translated to this specific topic area.

Sample ESMs. Using the approach “Conduct web-based safety advice + counseling at well-baby visits,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of parents/caregivers who receive web-based safety advice and counseling during well-baby visit on how to improve the safety of their home.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of parents/caregivers who receive web-based safety advice and counseling during well-baby visit on how to improve the safety of their home.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of parents/caregivers who report increased understanding of how to improve home safety.
  • Number of parents/caregivers who report increased confidence in how to make their home safer for their baby.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of parents/caregivers who increase the safety of their home environment.
  • Percent of parents/caregivers who report increased confidence in how to make their home safer for their baby.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


References:

1 U.S. Preventive Task Force. Guide to Clinical Preventive Services, 2nd ed. 1996.

2 Van Beelen M, Beirens T, den Hertog P, van Beeck E, Raat H. Effectiveness of web-based tailored advice on parents’ child safety behaviors: randomized controlled trial. Journal of Medical Internet Research 2014; 16: e17.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.