Preventing product-related injuries: a randomized controlled trial of poster alerts.
BACKGROUND
The Product Safety Programme (PSP) of Health Canada is responsible for preventing product-related injuries. If PSP decides a product is dangerous, it can publicize its dangers, prohibit, or control its distribution; but for child products, the preferred option is to publicize its concerns. In the past, this included sending posters to paediatricians' offices and, more recently, placing alerts on the PSP website. This study examines the effectiveness of this process.


METHODS
15 Montreal paediatricians participated in a modified crossover randomized trial. During a randomly chosen intervention week, two product-related notices were posted in the paediatricians' waiting area. In the following or preceding week, these notices did not appear. Parents were interviewed by telephone to determine if they saw the posters and acted on the information received.


RESULTS
We interviewed 808 parents (86%) of the 940 who agreed to participate. Of these, only 16% of the intervention and less than 1% of the control group reported seeing the posters. There were no differences in reported changes in behaviours related to the notices. These findings are unchanged after taking account of socio-economic status. No parents cited the posters, websites, or paediatricians as their main source of information about dangerous products.


CONCLUSIONS
Product safety notices, whether sent to paediatricians' practices or posted on a website, cannot be relied upon to reach parents of preschool age children. Other approaches require consideration, such as increasing the power of PSP to regulate product safety.
Pless
I Barry
IB
Dept. of Pediatrics and Epidemiology and Biostatistics, Faculty of Medicine, McGill University, Montreal, QC. barry.pless@mcgill.ca
Hagel
Brent
B
Patel
Hema
H
Leduc
Denis
D
Magdalinos
Helen
H
D002648:Child; D002675:Child, Preschool; D003257:Consumer Product Safety; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D010290:Parents; D010372:Pediatrics; D011792:Quebec; D014947:Wounds and Injuries / Q000517:prevention & control*