Effect of a Multi-Level Education Intervention Model on Knowledge and Attitudes of Accidental Injuries in Rural Children in Zunyi, Southwest China

Bo-Ling Cao, Xiu-Quan Shi, Yong-Hong Qi, Ya Hui, Hua-Jun Yang, Shang-Peng Shi, Li-Rong Luo, Hong Zhang, Xin Wang and Ying-Ping Yang
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Bo-Ling Cao: Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563099, China
Xiu-Quan Shi: Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563099, China
Yong-Hong Qi: Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563099, China
Ya Hui: Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563099, China
Hua-Jun Yang: Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563099, China
Shang-Peng Shi: Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563099, China
Li-Rong Luo: Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China
Hong Zhang: Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China
Xin Wang: Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China
Ying-Ping Yang: School of Management, Zunyi Medical University, Zunyi 563099, China

IJERPH, 2015, vol. 12, issue 4, 1-12

Abstract: Objective : To 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. Methods : The 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. Results : The 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. Conclusions : SFI 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.

Keywords: rural children; accidental injury; intervention; knowledge and attitude (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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