MCHbest. NPM 7: Injury Hospitilization
Strategy. Well-Child Visits to Deliver Safety Education
Approach. Provide safety advice + counseling at well-child visits.
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:
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).
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.