The 130th Annual Meeting of APHA

3176.0: Monday, November 11, 2002 - Board 8

Abstract #48260

Is there a teachable moment for injury prevention in pediatric emergency departments: What do parents think?

Lara B. Trifiletti, MA, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Center for Injury Research and Policy, Baltimore, MD 21205, 410/614-5554, ltrifile@jhsph.edu, Andrea C. Gielen, ScD, ScM, CHES, Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, 624 N. Broadway, HH-750, Baltimore, MD 21205, and Allen R. Walker, MD, Department of Pediatrics, Johns Hopkins University, 600 North Wolfe Street, CMSC 144, Baltimore, MD 21287-3144.

Emergency services and physician organizations are being encouraged to provide injury prevention services in pediatric emergency departments (PED1,2—however, to be effective, we need to understand the needs of the audience. The existing assumption (not previously validated) is that a visit to the PED represents a “teachable moment” for injury prevention3—do parents agree? A cross-sectional design identified parents of children 0-5 years old visiting the Johns Hopkins PED. This setting serves predominantly low-income urban children, a group at high risk for injuries. One-time telephone interviews are being conducted with 230 parents. To date, 41 interviews have been completed, with data collection scheduled to end April 2002. Patient satisfaction with care and prevention services is also included. Qualitative data are also being collected via open-ended questions to assess: 1) whether parents think a PED visit is a good or bad time to talk about injury prevention; 2) how anxiety and worry would influence their interest and attention; 3) the best time during the visit to provide education; and 4) what the PED can do to help protect their child from injuries. Responses to open-ended questions are being transcribed. Thematic analysis will be used to identify common themes (e.g., methods for delivery of information) and descriptive summary statistics will be presented. Parent satisfaction will be described and analyzed by family characteristics and reason for visit. Results contribute previously unavailable information needed to develop injury prevention strategies for PED settings that serve large numbers of vulnerable families.

Learning Objectives:

  • At the conclusion of this session, participants will be able to

    Keywords: Emergency Department/Room, Injury Prevention

    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.

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    The 130th Annual Meeting of APHA