Evidence map›Paper›PMID 24745634›Full record

Trial reportAmerican journal of preventive medicine2014

Health literacy and injury prevention behaviors among caregivers of infants.

William J Heerman, Eliana M Perrin, H Shonna Yin, Lee M Sanders, Svetlana K Eden, Ayumi Shintani, Tamera Coyne-Beasley, Andrea B Bronaugh, Shari L Barkin, Russell L Rothman

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

William J HeermanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: Bill.Heerman@vanderbilt.edu.
Eliana M PerrinDepartment of Pediatrics and Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina.
H Shonna YinDepartment of Pediatrics, New York University School of Medicine, New York, New York.
Lee M SandersDepartment of Pediatrics and Center for Health Policy, Stanford University, Stanford, California.
Svetlana K EdenDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Ayumi ShintaniDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Tamera Coyne-BeasleyDepartment of Pediatrics and Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina.
Andrea B BronaughDepartment of Internal Medicine and Pediatrics and Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee.
Shari L BarkinDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Russell L RothmanDepartment of Internal Medicine and Pediatrics and Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee.

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Institutional Clinical and Translational Science AwardUL1TR000038 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2012 to 2014
$16.8M
Role of Parent Health Literacy in Early Child Obesity and Other Health OutcomesR01HD059794 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DELAMATER, ALAN M, PERRIN, ELIANA M. · 2009 to 2018
$6.7M
Conducting Child Health Care Research in Vulnerable PopulationsT32HD060554 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BARKIN, SHARI, WILLIAMS, DEREK J. · 2009 to 2019
$3.8M
NCATS NIH HHS UL1 TR000038NCATS NIH HHS UL1TR000038NCATS NIH HHS UL1 TR000445NCRR NIH HHS U54RR023499NCRR NIH HHS UL1 RR025747NCRR NIH HHS UL1RR025747NICHD NIH HHS R01 HD049794NICHD NIH HHS R01 HD059794NICHD NIH HHS R01HD059794-04S1NICHD NIH HHS R01HD059794-04S2NICHD NIH HHS T32 HD060554
6 · The paper itself

Abstract

backgroundUnintentional injury is a leading cause of infant mortality. PURPOSE: To examine the role of caregiver health literacy in infant injury prevention behaviors.

methodsA cross-sectional analysis of data collected in 2010-2012 from a randomized trial at four pediatric clinics was performed in 2012-2013. Caregiver health literacy was assessed with the Short Test of Functional Health Literacy in Adults. Caregiver-reported adherence to American Academy of Pediatrics-recommended injury prevention behaviors was assessed across seven domains: (1) car seat position; (2) car seat use; (3) sleeping safety; (4) fire safety; (5) hot water safety; (6) fall prevention; and (7) firearm safety.

resultsData were analyzed from 844 English- and Spanish-speaking caregivers of 2-month-old children. Many caregivers were non-adherent with injury prevention guidelines, regardless of health literacy. Notably, 42.6% inappropriately placed their children in the prone position to sleep, and 88.6% did not have their hot water heater set <120°F. Eleven percent of caregivers were categorized as having low health literacy. Low caregiver health literacy, compared to adequate health literacy, was significantly associated with increased odds of caregiver non-adherence with recommended behaviors for car seat position (AOR=3.4, 95% CI=1.6, 7.1) and fire safety (AOR=2.0, 95% CI=1.02, 4.1) recommendations. Caregivers with low health literacy were less likely to be non-adherent to fall prevention recommendations (AOR=0.5, 95% CI=0.2, 0.9).

conclusionsNon-adherence to injury prevention guidelines was common. Low caregiver health literacy was significantly associated with some injury prevention behaviors. Future interventions should consider the role of health literacy in promoting injury prevention.

Indexed as

AdultCaregiversCross-Sectional StudiesFemaleHealth BehaviorHealth LiteracyHumansInfantMaleSafety ManagementSocioeconomic FactorsWounds and Injuries

Identifiers

PMID24745634
PMCPMC4040284

What OpenQuestion holds

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Registered trials

None linked

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.