Evidence map›Paper›PMID 21464382›Full record

Trial reportArchives of pediatrics & adolescent medicine2011

A randomized controlled trial of home injury hazard reduction: the HOME injury study.

Kieran J Phelan, Jane Khoury, Yingying Xu, Stacey Liddy, Richard Hornung, Bruce P Lanphear

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of pediatrics & adolescent medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00129324 (Neurobehavioral Effects of Prevalent Neurotoxicants in Children), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00129324 nacompletednot on this map

Neurobehavioral Effects of Prevalent Neurotoxicants in Children: A Cohort Study of the Cincinnati Center for Children's Environmental Health

TypeinterventionalSponsorNational Institute of Environmental Health Sciences (NIEHS)Ran2003 to 2018Enrolled468ConditionsEnvironmental Exposures, Child Development, Lead and Injury ReductionArmsLead Hazard Control Intervention, Injury Hazard Control Intervention
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
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  5. A randomised safety promotion intervention trial among low-income families with toddlers.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2018
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  10. Effectiveness of systematically delivered evidence-based home safety promotion to improve child home safety practices: a controlled before-and-after study.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kieran J PhelanCenter for Children's Environmental Health, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA. kieran.phelan@cchmc.org
Jane Khoury
Yingying Xu
Stacey Liddy
Richard Hornung
Bruce P Lanphear

Funding

Study of Prevalent Neurotoxicants in ChildrenP01ES011261 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI LANPHEAR, BRUCE P · 2001 to 2006
$6.4M
A Community-Based Trial to Prevent Lead Poisoning and InjuriesR01ES014575 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI YOLTON, KIMBERLY · 2007 to 2011
$2.9M
Childhood Residential Injury and Caregiver SupervisionK23HD045770 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI PHELAN, KIERAN J · 2005 to 2009
$705k
NICHD NIH HHS 1K23HD045770-01A2NICHD NIH HHS K23 HD045770NIEHS NIH HHS P01 ES011261NIEHS NIH HHS P01-ES11261NIEHS NIH HHS R01 ES014575NIEHS NIH HHS R01ES014575PHS HHS R49CCR523141-01
6 · The paper itself

Abstract

objectiveTo test the efficacy of installing safety devices in the homes of young children on total injury rates and on injuries deemed a priori modifiable by the installation of these devices.

designA nested, prospective, randomized controlled trial.

settingIndoor environment of housing units.

participantsMothers and their children from birth to 3 years old participating in the Home Observation and Measures of the Environment study. Among 8878 prenatal patients, 1263 (14.2%) were eligible, 413 (32.7%) agreed to participate, and 355 were randomly assigned to the intervention (n = 181) or control (n = 174) groups.

interventionInstallation of multiple passive measures (eg, stair gates, cabinet locks, and smoke detectors) to reduce exposure to injury hazards. Injury hazards were assessed at home visits by teams of trained research assistants using a validated survey.

main outcome measureModifiable and medically attended injury (ie, telephone calls, office visits, and emergency visits for injury).

resultsThe mean age of children at intervention was 6.3 months. Injury hazards were reduced in the intervention homes but not in the control homes at 1 and 2 years (P < .004). There was no difference in the rate for all medically attended injuries in intervention children compared with controls: 14.3 injuries (95% confidence interval [CI], 9.7-21.1 injuries) vs 20.8 injuries (95% CI, 14.4-29.9 injuries) per 100 child-years (P = .17); but there was a significant reduction in the rate of modifiable medically attended injuries in intervention children compared with controls: 2.3 injuries (95% CI, 1.0-5.5 injuries) vs 7.7 injuries (95% CI, 4.2-14.2 injuries) per 100 child-years (P = .03).

conclusionAn intervention to reduce exposure to hazards in homes led to a 70% reduction in the rate of modifiable medically attended injury.

trial registrationclinicaltrials.gov Identifier: NCT00129324.

Indexed as

Protective DevicesAccidents, HomeAdultAge FactorsChild, PreschoolCohort StudiesFemaleHumansInfantInfant, NewbornMaleResidence CharacteristicsSocioeconomic FactorsTreatment OutcomeWounds and InjuriesYoung Adult

Identifiers

PMID21464382
PMCPMC3693223

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.