Do the Framingham Safety Surveys improve injury prevention counseling during pediatric health supervision visits?
BACKGROUND
Previous studies suggest that injury prevention counseling by pediatricians is effective but accomplished infrequently. The Framingham Safety Surveys (FSS) are brief questionnaires designed to facilitate physician education of parents regarding injury prevention.


OBJECTIVE
To determine whether the FSS improve pediatricians' injury prevention counseling.


METHODS
Nonrandomized comparison of a 4-week baseline period and subsequent intervention periods.


METHODS
Private practice; university hospital clinic.


METHODS
Patients coming for health supervision visits.


METHODS
Provision to the physician of one of the FSS, completed by the parent just before the health supervision visit.


METHODS
(1) After each visit parents completed a checklist of safety issues discussed by the pediatrician. Injury prevention was compared for the two periods by means of three criteria: number of issues discussed (quantity), identification and discussion of specific high-risk behaviors (efficiency), and recognition of high-risk families (targeting). (2) Each physician's assessment of the value of the FSS was obtained by questionnaire.


RESULTS
A total of 144 parents (50 from the private practice, 94 from the clinic) completed checklists during the baseline period, and 168 (38 from the private practice, 130 from the clinic) during the intervention period. Use of the FSS produced no detectable improvement in any of the three measures. Seventy-seven percent of the physicians indicated that the FSS were helpful in educating families about safety, 38% thought that the FSS helped identify high-risk families, and 54% said they would use it again.


CONCLUSIONS
Although most physicians believed the FSS were useful, introduction of the surveys as employed in this study did not improve injury prevention counseling.
Hansen
K
K
Department of Pediatrics, University of Utah School of Medicine, Salt Lake City 84132, USA.
Wong
D
D
Young
P C
PC
D000293:Adolescent; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D003376:Counseling; D006801:Humans; D007223:Infant; D009679:Nuclear Family; D010290:Parents; D010353:Patient Education as Topic; D010819:Physician's Role; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D014947:Wounds and Injuries / Q000517:prevention & control*