The 130th Annual Meeting of APHA

5175.0: Wednesday, November 13, 2002 - 2:50 PM

Abstract #48016

Use of the modified delphi technique to identify and score home injury hazard risks and prevention methods for young children

Murray L. Katcher, MD, PhD1, Andrew N. Meister2, Anthony G. Staresinic, PharmD3, Christine A. Sorkness, PharmD3, Joseph Schirmer, MS4, and Sarah Pierce2. (1) Department of Pediatrics, University of Wisconsin, Clinical Sciences Center H4/4, 600 Highland Avenue, Madison, WI 53792, 608-262-8416, mkatcher@facstaff.wisc.edu, (2) University of Wisconsin-Madison, 1619 Regent St., Madison, WI 53705, (3) School of Pharmacy, University of Wisconsin-Madison, 777 Highland Avenue, Madison, WI 53705-2222, (4) Bureau of Environmental Health, Wisconsin Division of Health, 1 West Wilson St., Box 2659, Madison, WI 53703

Purpose: Annually, 7 million nonfatal injuries occur at home. To date, studies have not determined how dangerous one home hazard might be as compared with another or how prevention methods compare with each other in their effectiveness and feasibility. The Delphi technique is a method wherein successive iterative surveys are used to develop consensus of opinion among a group of experts, without having to engage them in a face-to-face discussion. The purpose of this study was to develop a method to identify home injury hazards and to quantify their relative danger to young children, as well as to examine the effectiveness and feasibility of injury prevention devices and behaviors. Methods: From the 54 email invitations sent, 36 individuals agreed to participate. Each member of the group was sent 3 email surveys requesting identification and scoring of home injury hazards and prevention methods. Results: The overall response rate for each survey was above 80%. Initially, 330 unique hazards and devices/behaviors were identified. The most important injury devices/behaviors listed, in order, were smoke alarms, pool fencing, water temperature set <120oF, child-resistant packaging, removal of firearms from the home, storage of firearms/ammunition separately, installation of window guards, child supervision, child-resistant latches and locks, and creation of safe play areas for children. Conclusions: The Delphi method of consensus identified important home injury hazards and prevention methods. An ongoing federally funded injury prevention program will use this consensus to develop quantitative hazard scores and apply them to young children’s home environment.

Learning Objectives:

Keywords: Injury Risk, Methodology

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Protecting Children and Youth from Injury

The 130th Annual Meeting of APHA