Evidence map›Paper›PMID 40623794›Full record

Trial reportBMJ global health2025

Effectiveness of a standardised and interactive intervention to prevent preschooler unintentional injury in rural China: a cluster randomised controlled trial.

Jieyi He, Wanhui Wang, David C Schwebel, Jie Li, Min Zhao, Weiqiang Li, Peishan Ning, Guoqing Hu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Jieyi He *Clinical Trials Center, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Wanhui Wang *Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
David C SchwebelDepartment of Psychology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jie LiDepartment of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Min ZhaoDepartment of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Weiqiang LiDepartment of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Peishan NingDepartment of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China huguoqing009@gmail.com ningpeishan@csu.edu.cn.
Guoqing HuDepartment of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China huguoqing009@gmail.com ningpeishan@csu.edu.cn.ORCID http://orcid.org/0000-0002-5002-8015

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious interactive education interventions for child injury prevention are suboptimal for implementation in rural areas. This study evaluated the effectiveness of a standardised school-based interactive education intervention to prevent unintentional injury for rural preschoolers.

methodsA 9-month single-blinded cluster randomised controlled trial was conducted in rural China, involving 12 preschools with 2518 preschoolers aged 3-6 years old. The control group received routine education, and the intervention group added the standardised Safety Experience Room intervention. The primary outcome was unintentional injury incidence rate among preschoolers during the 9-month period. The secondary outcome was the proportion of preschoolers correctly answering questions about the prevention knowledge of road traffic injury, falls and drowning. Principal data analyses were conducted using an intention-to-treat approach. Adjusted ORs (aORs) with 95% CIs were calculated based on generalised linear mixed models and bootstrapped SEs with 1000 replications. Sensitivity analyses were employed based on the full analysis set to assess the impact of missing values on principal findings.

resultsCompared with the control group, the intervention group had a significantly lower unintentional injury incidence rate (aOR=0.78, 95% CI: 0.64 to 0.94) and higher proportions of correct answers to the 18 injury prevention questions (with aORs ranging from 1.78 to 22.10) after adjusting for socio-demographic factors and baseline values of the outcome variables. Sensitivity analyses supported the principal findings.

conclusionThe 9-month interactive intervention decreased unintentional injury incidence and substantially increased preschooler's safety knowledge in rural China, offering an effective option for implementing or integrating in multifactorial interventions in resource-limited areas. TRIAL REGISTRATION NUMBER: Chinese Clinical Trial Registry, CHiCTR2000038025.

Indexed as

Accidental InjuriesAccident PreventionHealth EducationRural PopulationWounds and InjuriesAccidental FallsAccidents, TrafficChildChild, PreschoolChinaFemaleHealth Knowledge, Attitudes, PracticeHumansIncidenceMaleSingle-Blind MethodChild healthCluster randomized trialHealth education and promotionInjuryPaediatrics

Identifiers

PMID40623794
PMCPMC12232458

What OpenQuestion holds

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Registered trials

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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.