Evidence map›Paper›PMID 41458426›Full record

SynthesisFrontiers in public health2025

Basic swimming or water safety skills training for drowning prevention in children: an updated systematic review.

Yana Criel, Pieter Severijns, Hans Scheers, Emmy De Buck

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Yana CrielCentre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium.
Pieter SeverijnsCentre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium.
Hans ScheersCentre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium.
Emmy De BuckCentre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Child drownings constitute a major cause of mortality from unintentional injury worldwide. In 2021, the WHO issued a strong recommendation in favour of basic swimming skills and water safety training in children to prevent drowning. The systematic review conducted in support of this guideline, however, revealed evidence of overall very low certainty and illustrated a number of research gaps. Here, the evidence from this systematic review was updated. Methods: Five scientific databases (PubMed, Embase, The Cochrane Library, Web of Science, ERIC) and two clinical trial registers (clinicaltrails.gov, WHO ICTRP) were searched for controlled experimental and observational studies. Interventions delivering basic swimming skills or water safety in children under the age of 18 years were included. Outcomes of interest included drowning-related mortality and morbidity, and water safety skills, knowledge and behaviour. Certainty of the evidence was appraised using the GRADE methodology. Results: A total of 33 studies were included, of which 21 were previously included in the original review and 12 were newly identified in the current update. Studies delivered either basic swimming skills (18 studies), isolated water safety training (6 studies), water safety training as part of an injury prevention programme (5 studies) or an intervention combining swimming and water safety (4 studies). Certainty of the evidence ranged from high to very low. Conclusion: Swim training may reduce drowning-related mortality and increase water safety skills in children. The used pedagogical approach (focus on familiarization and motor awareness), mode of delivery (using video-taped feedback) and setting (shallow water) may be determining factors for swimming skills acquisition. Water safety training is effective to enhance knowledge of and safe behaviour in/around water, and may reduce drowning mortality. These results, highlighting the importance of promoting swimming and water safety skills from an early age onward, could inform public health strategies and guide the development of sustainable interventions in communities at high risk of drowning. Systematic review registration: PROSPERO registration CRD42020167437; https://www.crd.york.ac.uk/PROSPERO/view/CRD42020167437.

Indexed as

DrowningSafetySwimmingAdolescentChildChild, PreschoolHumanschildrendrowningswimming skillssystematic reviewwater safety

Identifiers

PMID41458426
PMCPMC12741065

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.