Document Detail

Do the Framingham Safety Surveys improve injury prevention counseling during pediatric health supervision visits?
MedLine Citation:
PMID:  8859254     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Previous studies suggest that injury prevention counseling by pediatricians is effective but accomplished infrequently. The Framingham Safety Surveys (FSS) are brief questionnaires designed to facilitate physician education of parents regarding injury prevention. OBJECTIVE: To determine whether the FSS improve pediatricians' injury prevention counseling. DESIGN: Nonrandomized comparison of a 4-week baseline period and subsequent intervention periods. SETTINGS: Private practice; university hospital clinic. PATIENTS: Patients coming for health supervision visits. INTERVENTION: Provision to the physician of one of the FSS, completed by the parent just before the health supervision visit. OUTCOME MEASURES: (1) After each visit parents completed a checklist of safety issues discussed by the pediatrician. Injury prevention was compared for the two periods by means of three criteria: number of issues discussed (quantity), identification and discussion of specific high-risk behaviors (efficiency), and recognition of high-risk families (targeting). (2) Each physician's assessment of the value of the FSS was obtained by questionnaire. RESULTS: A total of 144 parents (50 from the private practice, 94 from the clinic) completed checklists during the baseline period, and 168 (38 from the private practice, 130 from the clinic) during the intervention period. Use of the FSS produced no detectable improvement in any of the three measures. Seventy-seven percent of the physicians indicated that the FSS were helpful in educating families about safety, 38% thought that the FSS helped identify high-risk families, and 54% said they would use it again. CONCLUSIONS: Although most physicians believed the FSS were useful, introduction of the surveys as employed in this study did not improve injury prevention counseling.
K Hansen; D Wong; P C Young
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  129     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-11-12     Completed Date:  1996-11-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  494-8     Citation Subset:  AIM; IM    
Department of Pediatrics, University of Utah School of Medicine, Salt Lake City 84132, USA.
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MeSH Terms
Attitude of Health Personnel
Child, Preschool
Nuclear Family
Patient Education as Topic
Physician's Role*
Wounds and Injuries / prevention & control*
Comment In:
J Pediatr. 1996 Oct;129(4):487-8   [PMID:  8859251 ]
J Pediatr. 1997 Sep;131(3):499-500   [PMID:  9329441 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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