title: A systematic review on the effectiveness of school and community-based injury prevention programmes on risk behaviour and injury risk in 8-12 year old children.
abstract: OBJECTIVE
  To review existing literature on the effectiveness of community-based and school-based physical activity related injury prevention programmes implemented to increase safety behaviour and decrease injury risk in 8-12 year old children, considering the methodological quality of the studies.
  
  
  METHODS
  A systematic review with quality assessment.
  
  
  METHODS
  A systematic search was performed using the CINAHL, Cochrane, EMBASE, PubMed and Sportdiscus databases. Inclusion criteria included the following: children aged 8-12 years; school- or community-based injury prevention programmes; an outcome defined as number of injuries, injury incidence or safety behaviour; published in an English language journal. Methodological quality was assessed for all included studies.
  
  
  RESULTS
  The search yielded 5377 records, of which 11 were included in the review; four studies were considered as being of high quality. The focus of studies that were included was on the use of safety devices (8), pedestrian safety (2) and physical activity-related injury prevention (1). For safety device use, short term effects of school- and community-based interventions are promising for 8-12 year olds. Results regarding sustainability of the effect are inconsistent. A mediating effect on the distribution of safety devices was observed. Both financial and non-financial barriers seemed to prevent participants from purchasing a safety device.
  
  
  CONCLUSIONS
  The short term effects for school- and community-based interventions using safety devices for 8-12 year olds are promising. More high quality research is, however warranted, preferably shifting focus from safety behaviour change to actual physical activity injury reduction.
authors: Department of Public and Occupational Health, VU University Medical Center, The Netherlands.
authors: Joske
authors: J
authors: Nauta
authors: Department of Public and Occupational Health, VU University Medical Center, The Netherlands.
authors: Willem
authors: W
authors: van Mechelen
authors: Medical Library, University Library, VU University Amsterdam, The Netherlands.
authors: René H J
authors: RH
authors: Otten
authors: Department of Public and Occupational Health, VU University Medical Center, The Netherlands. Electronic address: e.verhagen@vumc.nl.
authors: Evert A L M
authors: EA
authors: Verhagen
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control*; D002648:Child; D003153:Community Health Services; D006801:Humans; D015397:Program Evaluation; D011482:Protective Devices; D012309:Risk-Taking; D012449:Safety; D012574:Schools; D016138:Walking / Q000293:injuries; D014947:Wounds and Injuries / Q000517:prevention & control*
keywords: Child; Exercise; Injuries; Primary prevention; Wounds