MCHbest. NPM 7: Injury Hospitilization
Strategy. Person-to-Person Interventions Outside the Clinical Setting
Approach. Adopt person-to-person interventions such as the drug disposal program, Count it! Drop it! Lock it!
Overview. Evidence suggests that critical components of peer-education based strategies include the educational component, an opportunity for discussion, and an opportunity for caregivers and child to practice skills.1 A systematic review concluded that peer-to-peer interventions for caregivers, conducted outside of the clinical setting, were effective in reducing risk behaviors in children.2,3
Evidence. Moderate Evidence. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Peer education components can also include communication campaigns, dissemination of written materials, educational programs, and one-on-one counseling. Access the findings from the environmental scan through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patients/Consumers/Caregivers.
Outcome. Injury Prevention. 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. There are currently 15 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Adopt peer-to-peer interventions such as the drug disposal program, Count it! Drop it! Lock it!” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
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 Burrus, B., Leeks, K. D., Sipe, T. A., Dolina, S., Soler, R., Elder, R., . . . Dittus, P. (2012). Person-to-person interventions targeted to parents and other caregivers to improve adolescent health: a community guide systematic review. American Journal of Preventive Medicine, 42(3), 316-326. doi: 10.1016/j.amepre.2011.12.001.
2 Strengthen the Evidence for MCH Programs: Environmental Scan of Strategies -- National Performance Measure #7
3 Children's Safety Network. Evidence-based and evidence-informed strategies for child and adolescent injury prevention. Education Development Center (2019).