Τίτλος:
A controlled evaluation of a community injury prevention project in two
Greek islands
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background. During the 20-month period September 1993 to April 1995, a
health education injury prevention programme focusing on home injuries
among the young (less than or equal to 18 years old) and elderly
(greater than or equal to 65 years old) on the Greek island of Naxos was
undertaken; its effectiveness was evaluated by comparing the subsequent
injury experience in sentinel population groups in Naxos as well as in
Spetses, another island of similar sociodemographic profile, where no
such intervention programme had been formally implemented.
Methods. On the island of Naxos an injury prevention campaign was
initially undertaken involving virtually all opinion leaders and
implemented through lectures, workshops and publicity in the local
media. The main intervention focused on 172 households on the island of
Naxos and was done by trained local collaborators who visited each
household weekly to provide injury prevention advice and assess home
safety. Similar visits were done by untrained collaborators in 177
households on the island of Spetses in order to assure collaboration of
household members in the comparative evaluation stage of the programme.
The process evaluation was based on ascertained changes of safety
features and attitudes in the participating households, whereas the
outcome evaluation was based on the incidence of injuries among members
of the participating households in the two islands over a period of 8.5
months (255 days).
Results. On the intervention island of Naxos there were statistically
significant improvements with respect to 11 of the 28 examined
variables, whereas on the island of Spetses, such improvement was only
noted for one variable. The age-adjusted incidence rate ratio of
injuries overall among the target groups, contrasting the intervention
and the control households was 0.85 with 90% confidence interval (CI)
:0.69-1.05. With respect to home accidents the corresponding ratio was
0.79 with 90% CI :0.60-1.04.
Conclusions. An intensive and focused injury prevention intervention had
only modest success when injuries themselves were the outcome variable.
Συγγραφείς:
Petridou, E
Tolma, E
Dessypris, N
Trichopoulos, D
Περιοδικό:
International Journal of Epidemiology
Εκδότης:
Oxford University Press
Λέξεις-κλειδιά:
controlled evaluation; community project; home and leisure injuries;
injury prevention; intervention; effectiveness
DOI:
10.1093/ije/26.1.173
