MCHbest. NPM 7: Injury Hospitilization
Strategy. School-Based Interventions
Approach. Conduct outreach, education campaigns, and trainings in school-based settings.
Overview. Findings from numerous studies suggest that universal school-based interventions that target multiple risk behaviors.1 Risky behavior has been linked to multiple causes of injury; thus, these interventions have a high likelihood of trending positive to prevent injury.
Evidence. Moderate Evidence. A systematic review of 67 articles found evidence that school-based interventions "can be effective in improving a number of health outcomes."2 Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. (Read more about understanding evidence ratings).
Target Audience. School-Based/Students.
Outcome. Injury Prevention and Safe Behaviors. 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 11 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 “Conduct outreach, education campaigns, and trainings in school-based settings,” 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).
1,2 Children's Safety Network. Evidence-based and evidence-informed strategies for child and adolescent injury prevention. Education Development Center (2019).