title: Understanding Barriers for Communicating Injury Prevention Messages and Strategies Moving Forward: Perspectives from Community Stakeholders.
abstract: OBJECTIVE
  The primary objective of this study was to elicit the perspectives of direct care providers on barriers and facilitators to communicating injury prevention messages to parents/caregivers of children under 4 years of age. The secondary objective was to examine characteristics of an injury prevention messaging strategy preferred by direct care providers.
  
  
  METHODS
  This qualitative study was conducted across four regions in Ontario Canada. Fifty-nine direct care providers were purposefully sampled and data interpreted using focus group analysis.
  
  
  METHODS
  Transcripts were analyzed verbatim using content and discourse analysis.
  
  
  RESULTS
  Several barriers to communicating injury prevention messages were identified encompassing (a) role, (b) parental, (c) social determinants, and (d) evidence impediments. In an effort to offset some of these barriers, participants endorsed the development of a tailored multicomponent injury prevention strategy adopting action-based messages.
  
  
  CONCLUSIONS
  The results of this study provide an in-depth exploration of direct care providers perceptions that can inform the design of materials and dissemination strategies to help increase and optimize access to injury prevention information. Injury prevention messages should be action-oriented, specifically tailored to the stage of child development, and disseminated through both face-to-face interactions and mobile technology.
authors: Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St Catharines, Ontario, Canada.
authors: Diane E
authors: DE
authors: Mack
authors: Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St Catharines, Ontario, Canada.
authors: Matt
authors: M
authors: Aymar
authors: Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St Catharines, Ontario, Canada.
authors: Jarold
authors: J
authors: Cosby
authors: Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St Catharines, Ontario, Canada.
authors: Philip M
authors: PM
authors: Wilson
authors: Niagara Region Public Health, Chronic Disease and Injury Prevention Division, Thorold, Ontario, Canada.
authors: Christina
authors: C
authors: Bradley
authors: Kingston, Frontenac, Lennox and Addington Public Health, Reproductive and Child Health Team, Kingston, Ontario, Canada.
authors: Casey
authors: C
authors: Walters Gray
mesh_terms: D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D002675:Child, Preschool; D003144:Communication Barriers; D005260:Female; D017144:Focus Groups; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D064689:Nurses, Public Health / Q000523:psychology / Q000706:statistics & numerical data; D009864:Ontario; D010290:Parents / Q000523:psychology; D011369:Professional-Patient Relations; D036301:Qualitative Research; D014947:Wounds and Injuries / Q000517:prevention & control*
keywords: child safety; education; focus groups; health promotion; injury control; injury prevention