title: Translating an Evidence-Based Injury Prevention Program for Implementation in a Home Visitation Setting.
abstract: Safe N' Sound (SNS), a computer-based childhood injury prevention program, provides individually tailored information to parents about their child's injury risks with specific behavioral recommendations. We translated SNS for implementation in a home visitation organization in order to increase its capacity to effectively address injury prevention and decrease the burden of injury experienced by high-need families. The aim of this study was to identify behavioral and organizational barriers and facilitators to translating and implementing SNS in a home visitation setting. Nurse home visitors (NHVs) participated in semistructured interviews that examined perceptions of program implementation, intervention characteristics, individual characteristics of NHVs, and recommendations for improving implementation. The utility of the program for promoting injury prevention systematically and its alignment with the organization's mission were facilitators of successful implementation. Barriers included NHVs' concerns about overburdening clients and missed educational opportunities related to injury risks not addressed by the program and delayed delivery of educational reports. Findings illustrate the dynamic interactions of intervention characteristics with organizational and individual factors and suggest that customizing implementation to organizational capacity and specific needs may better support successful program implementation in home visitation settings.
authors.affiliation: Saint Louis University College for Public Health & Social Justice, St. Louis, MO, USA snicks2@slu.edu.
authors.forename: Shannon E
authors.initials: SE
authors.lastname: Nicks
authors.affiliation: Saint Louis University College for Public Health & Social Justice, St. Louis, MO, USA.
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Weaver
authors.affiliation: Nurses for Newborns, St. Louis, MO, USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Recktenwald
authors.affiliation: Saint Louis University College for Public Health & Social Justice, St. Louis, MO, USA.
authors.forename: Keri A
authors.initials: KA
authors.lastname: Jupka
authors.affiliation: Nurses for Newborns, St. Louis, MO, USA.
authors.forename: Maia
authors.initials: M
authors.lastname: Elkana
authors.affiliation: Nurses for Newborns, St. Louis, MO, USA.
authors.forename: Ron
authors.initials: R
authors.lastname: Tompkins
mesh_terms: D000061:Accidents, Home / Q000517:prevention & control*; D006293:Health Promotion / Q000458:organization & administration*; D006792:House Calls; D006801:Humans; D007407:Interviews as Topic; D010290:Parents; D015397:Program Evaluation; D014947:Wounds and Injuries / Q000517:prevention & control*
keywords: evidence-based; home visitation; implementation; injury prevention; translation