ArticleInternational journal of emergency medicine2010
Home visits reduce the number of hazards for childhood home injuries in Karachi, Pakistan: a randomized controlled trial.
Article in International journal of emergency medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Epidemiology, risk factors, and strategies to prevent and manage poisonings due to pharmaceuticals in children in low income and low-middle income countries: A systematic review.Journal of global health · 2023Pooled it
- Prevention of childhood unintentional injuries in low- and middle-income countries: A systematic review.PloS one · 2020Pooled it
- Extended home visits from child healthcare nurses and dental nurses: an interview study with first-time parents participating in the home visit program in southern Sweden.Frontiers in public health · 2025Article
- Cultural adaptation for country diversity: A systematic review of injury prevention interventions caused by domestic accidents in children under five years old.Medical journal of the Islamic Republic of Iran · 2019Review
- Home injury risks to young children in Karachi, Pakistan: a pilot study.Archives of disease in childhood · 2013Article
- Disseminating childhood home injury risk reduction information in Pakistan: results from a community-based pilot study.International journal of environmental research and public health · 2013Article
- Indicators of family care for development for use in multicountry surveys.Journal of health, population, and nutrition · 2012Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough unintentional injuries are major causes of morbidity and mortality in less developed countries, they have received scant attention, and injury prevention policies and programs have just begun to be addressed systemically.
aimsTo reduce hazards associated with home injuries due to falls and ingestions through an injury prevention program administered by home visitors.
methodsNon-blinded randomized controlled trial design of two interventions where one branch of the study group served as the control for the other in an urban neighborhood in Karachi, Pakistan. The study participants included 340 families with at least one child aged 3 years or less, discharged home from the Emergency Department following a visit for any reason other than an injury. The interventions included: (1) counseling to reduce falls; (2) counseling to reduce poisoning and choking. The primary outcome measure for each intervention was the relative risk of change in the home status from "unsafe" to "safe" after the intervention.
resultsThere were 170 families in the fall prevention and 170 families in the ingestion prevention branch of the study. The percentage of homes deemed "safe" in which the families had received fall intervention counseling was 13.5% compared to 3.5% in the control group (relative risk 3.8; 95% CI: 1.5 to 10.0; p = 0.002), whereas the percentage of homes deemed "safe" in which the families had received the ingestions intervention counseling was 18.8% compared to 2.4% in the control group (relative risk 7.8; 95% CI: 2.4 to 25.3; p < 0.001). Effectiveness did not depend on education or the socioeconomic status of the study participants. The mean number of fall hazards was reduced from 3.1 at baseline to 2.4 in the fall intervention counseling group, and the mean number of ingestion hazards decreased from 2.3 to 1.9. (p < 0.001).
conclusionsOur study demonstrates the effectiveness of an educational intervention aimed at improving the home safety practices of families with young children.
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