Multicentre cluster randomised controlled trial evaluating implementation of a fire prevention Injury Prevention Briefing in children's centres: study protocol.
BACKGROUND
The UK has one of the highest fatality rates for deaths from fire-related injuries in children aged 0-14 years; these injuries have the steepest social gradient of all injuries in the UK. Children's centres provide children under five years old and their families with a range of services and information, including home safety, but their effectiveness in promoting injury prevention has yet to be evaluated. We developed a fire prevention intervention for use in children's centres comprising an Injury Prevention Briefing (IPB) which provides evidence on what works and best practice from those running injury prevention programmes, and a facilitation package to support implementation of the IPB. This protocol describes the design and methods of a trial evaluating the effectiveness and cost-effectiveness of the IPB and facilitation package in promoting fire prevention.


METHODS
Pragmatic, multicentre cluster randomised controlled trial, with a nested qualitative study, in four study centres in England. Children's centres in the most disadvantaged areas will be eligible to participate and will be randomised to one of three treatment arms comprising: IPB with facilitation package; IPB with no facilitation package; usual care (control). The primary outcome measure will be the proportion of families who have a fire escape plan at follow-up. Eleven children's centres per arm are required to detect an absolute difference in the percentage of families with a fire escape plan of 20% in either of the two intervention arms compared with the control arm, with 80% power and a 5% significance level (2-sided), an intraclass correlation coefficient of 0.05 and assuming outcomes are assessed on 20 families per children's centre. Secondary outcomes include the assessment of the cost-effectiveness of the intervention, other fire safety behaviours and factors associated with degree of implementation of the IPB.


CONCLUSIONS
This will be the first trial to develop and evaluate a fire prevention intervention for use in children's centres in the UK. Its findings will be generalisable to children's centres in the most disadvantaged areas of the UK and may also be generalisable to similar interventions to prevent other types of injury.


BACKGROUND
http://NCT01452191 (date of registration: 13/10/2011).
Centre for Child & Adolescent Health, Health & Life Sciences, University of the West of England Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, UK. toity.deave@uwe.ac.uk.
Toity
T
Deave
Elizabeth
E
Towner
Elaine
E
McColl
Richard
R
Reading
Alex
A
Sutton
Carol
C
Coupland
Nicola
N
Cooper
Jane
J
Stewart
Mike
M
Hayes
Emma
E
Pitchforth
Michael
M
Watson
Denise
D
Kendrick
D002056:Burns / Q000517:prevention & control*; D002656:Child Day Care Centers / Q000458:organization & administration*; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D005390:Fires / Q000517:prevention & control*; D006801:Humans; D015397:Program Evaluation; D017751:Safety Management / Q000379:methods; D011795:Surveys and Questionnaires; D006113:United Kingdom