"Risk Watch": cluster randomised controlled trial evaluating an injury prevention program.
OBJECTIVE
to evaluate the effectiveness of a school-based injury prevention program.


METHODS
Cluster randomised controlled trial.


METHODS
20 primary schools in Nottingham, UK.


METHODS
459 children aged 7 to 10 years.


METHODS
The "Risk Watch" program delivered by teachers, aimed at improving bike and pedestrian, falls, poisoning and fire and burns safety.


METHODS
Safety knowledge, observed safety skills and self-reported safety behaviour.


RESULTS
At follow-up, intervention group children correctly answered more fire and burn prevention knowledge questions than control group children (difference between means 7.0% (95% CI 1.5% to 12.6%)). Children in intervention group schools were more likely to know the correct actions to take if clothes catch fire and the correct way to wear a cycle helmet (difference between school means 35.3% (95% CI 22.7% to 47.9%) and 6.3% (95% CI 1.4% to 11.1%) respectively). They were also more likely to know the correct actions to take in a house fire and on finding tablets (OR 2.80 (95% CI 1.08 to 7.22) and OR 3.50 (95% CI 1.18 to 10.38) respectively) and correctly demonstrated more safety skills than control group children (difference between means 11.9% (95% CI 1.4% to 22.5%)). There was little evidence to suggest the first year of the program impacted on self-reported safety behaviours.


CONCLUSIONS
The Risk Watch program delivered by teachers in primary schools increased some aspects of children's safety knowledge and skills and primary schools should consider delivering this program. Longer term, larger scale evaluations are required to examine retention of knowledge and skills and impact on safety behaviours and child injury rates.
Kendrick
Denise
D
Division of Primary Care, University of Nottingham, University Park, Nottingham, UK. denise.kendrick@nottingham.ac.uk
Groom
Lindsay
L
Stewart
Jane
J
Watson
Michael
M
Mulvaney
Caroline
C
Casterton
Rebecca
R
D000056:Accident Prevention / Q000379:methods*; D002648:Child; D002652:Child Behavior; D004739:England; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods; D015397:Program Evaluation; D012449:Safety; D012574:Schools; D014947:Wounds and Injuries / Q000517:prevention & control*