title: Injury prevention education using pictorial information.
abstract: BACKGROUND
  Written materials used in pediatric public health settings often exceed the reading skills of caretakers.
  
  
  OBJECTIVE
  To compare a pictorial anticipatory guidance (PAG) sheet requiring limited reading skills to a TIPP (The Injury Prevention Program) sheet for providing injury prevention information to low-income urban families.
  
  
  METHODS
  A convenience sample of families with children treated at an urban pediatric clinic affiliated with a teaching hospital. Methods. Parents of children </=6 years old received either a PAG sheet or a TIPP sheet during a well-child care clinic visit; parents of children seen in the morning clinic received a PAG sheet and those seen during the afternoon clinic a TIPP sheet. All also received injury prevention counseling by a clinic nurse. The recall of injury prevention information was assessed by telephone questionnaire 14 to 28 days after the clinic encounter.
  
  
  RESULTS
  We interviewed 66 parents (57% of families enrolled): 46 were in the PAG group and 20 in the TIPP group. There were no differences between groups in mean parent age, percent minority race, or percent public aid. Eighty-seven percent of PAG and 100% of TIPP parents recalled receiving an information sheet; 17% of PAG and 20% of TIPP parents could recall no specific injury topics. The mean number of topics recalled was 2.1 +/- 1.5 from parents in the PAG group and 1.6 +/- 1.1 from those in the TIPP group. No specific injury topic was recalled by more than half the parents in either group.
  
  
  CONCLUSIONS
  Recall of injury information several weeks after a clinic visit is limited. The use of PAG sheets did not improve recall; lack of literacy is not the sole cause of poor recall. Successful injury prevention counseling in this population may require comprehensive and repetitive efforts.
authors.affiliation: Divisions of Pediatric Emergency Medicine, Children's Memorial Hospital, Northwestern University Medical School, Illinois, USA.
authors.forename: E C
authors.initials: EC
authors.lastname: Powell
authors.forename: R R
authors.initials: RR
authors.lastname: Tanz
authors.forename: A
authors.initials: A
authors.lastname: Uyeda
authors.forename: M B
authors.initials: MB
authors.lastname: Gaffney
authors.forename: K M
authors.initials: KM
authors.lastname: Sheehan
mesh_terms: D000056:Accident Prevention; D001296:Audiovisual Aids; D001878:Books, Illustrated; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D006266:Health Education / Q000379:methods*; D006801:Humans; D010290:Parents; D013664:Teaching Materials; D014947:Wounds and Injuries / Q000517:prevention & control*