ArticleInternational journal of environmental research and public health2015
Effect of a multi-level education intervention model on knowledge and attitudes of accidental injuries in rural children in Zunyi, Southwest China.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Basic swimming or water safety skills training for drowning prevention in children: an updated systematic review.Frontiers in public health · 2025Pooled it
- Pooled it
- Prevention of childhood unintentional injuries in low- and middle-income countries: A systematic review.PloS one · 2020Pooled it
- School-based education programmes for the prevention of unintentional injuries in children and young people.The Cochrane database of systematic reviews · 2016Pooled it
- Effectiveness of a standardised and interactive intervention to prevent preschooler unintentional injury in rural China: a cluster randomised controlled trial.BMJ global health · 2025Trial
- Effectiveness of School-Based Interventions in Reducing Unintentional Childhood Injuries: A Cluster Randomized Trial.Indian pediatrics · 2021Trial
- Unintentional injury deaths among children under five in Hunan Province, China, 2015-2020.Scientific reports · 2023Article
- Educational technologies for accident prevention due to falls in childhood: a scoping review.Revista brasileira de enfermagem · 2023Article
- Burn injury prevention in low- and middle- income countries: scoping systematic review.Burns & trauma · 2021Article
- Unintentional injury mortality among children under age five in urban and rural areas in the Sichuan province of west China, 2009-2017.Scientific reports · 2019Article
- Left-Behind Children and Risk of Unintentional Injury in Rural China-A Cross-Sectional Survey.International journal of environmental research and public health · 2019Article
- Epidemiologic characteristics, knowledge and risk factors of unintentional burns in rural children in Zunyi, Southwest China.Scientific reports · 2016Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the effect of a school-family-individual (SFI) multi-level education intervention model on knowledge and attitudes about accidental injuries among school-aged children to improve injury prevention strategies and reduce the incidence of pediatric injuries.
methodsThe random sample of rural school-aged children were recruited by using a multistage, stratified, cluster sampling method in Zunyi, Southwest China from 2012 to 2014, and 2342 children were randomly divided into intervention and control groups. Then children answered a baseline survey to collect knowledge and attitude scores (KAS) of accidental injuries. In the intervention group, children, their parents/guardians and the school received a SFI multi-level education intervention, which included a children's injury-prevention poster at schools, an open letter about security instruction for parents/guardians and multiple-media health education (Microsoft PowerPoint lectures, videos, handbooks, etc.) to children. Children in the control group were given only handbook education. After 16 months, children answered a follow-up survey to collect data on accidental injury types and accidental injury-related KAS for comparing the intervention and control groups and baseline and follow-up data.
resultsThe distribution of gender was not significantly different while age was different between the baseline and follow-up survey. At baseline, the mean KAS was lower for the intervention than control group (15.37 ± 3.40 and 18.35 ± 5.01; p < 0.001). At follow-up, the mean KAS was higher for the intervention than control group (21.16 ± 3.05 and 20.02 ± 3.40; p < 0.001). The increase in KAS in the intervention and control groups was significant (p < 0.001; KAS: 5.79 vs. 1.67) and suggested that children's injury-related KAS improved in the intervention group. Moreover, the KAS between the groups differed for most subtypes of incidental injuries (based on International Classification of Diseases 10, ICD-10) (p < 0.05). Before intervention, 350 children had reported their accident injury episodes, while after intervention 237 children had reported their accidental injury episodes in the follow-up survey.
conclusionsSFI multi-level education intervention could significantly increase KAS for accidental injuries, which should improve children's prevention-related knowledge and attitudes about such injuries. It should help children change their risk behaviors and reduce the incidence of accidental injuries. Our results highlight a new intervention model of injury prevention among school-aged children.
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