title: Developing tailored positive parenting messages for a clinic-based communication programme.
abstract: Health care providers fill a central role in the prevention of both child abuse and neglect (CA/N) and unintentional childhood injury. Health communication interventions hold promise for promoting attitudes and behaviours among parents that increase positive parenting practices, which may be linked to decreased rates of intentional and unintentional childhood injuries. This manuscript describes the development of 'RISE Up', an ambulatory clinic-based childhood injury prevention programme that provides tailored, injury prevention print materials to parents of children ages 0-5.
  
  
  
  Fifteen semi-structured key informant interviews were conducted with clinic healthcare providers and staff to develop communication strategies and materials for caregivers. Cognitive response testing was then conducted with 20 caregivers of the priority population to assess all materials. Interviews were recorded, transcribed and analyzed using thematic coding methods.
  
  
  
  Formative research revealed that health care providers and caregivers were very responsive to messages and materials. Health care providers reported that abuse and neglect were particularly relevant to their patients and noted several benefits to implementing the RISE Up programme in a health care setting. Caregivers generally found messages on reducing the risks of injuries, as well as the graphics displayed in the RISE Up programme to be helpful.
  
  
  
  Addressing the common determinants of both intentional and unintentional childhood injury through customized print materials may be a useful component of comprehensive prevention efforts to address childhood injury risk with greater impact. Providers and parents responded favourably to this communication strategy.
authors: Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO, USA.
authors: N L
authors: NL
authors: Weaver
authors: Department of Psychology, Saint Louis University, St Louis, MO, USA.
authors: T L
authors: TL
authors: Weaver
authors: Department of Social and Public Health College of Health Sciences and Professions, Ohio University, Athens, OH, USA.
authors: S E
authors: SE
authors: Nicks
authors: Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO, USA.
authors: K A
authors: KA
authors: Jupka
authors: Department of Pediatrics, SSM Cardinal Glennon Children's Medical Center, Saint Louis University, St Louis, MO, USA.
authors: H
authors: H
authors: Sallee
authors: ClearApple Health Writing, Belleville, IL, USA.
authors: H
authors: H
authors: Jacobsen
authors: University of Wisconsin-Whitewater, Whitewater, WI, USA.
authors: W
authors: W
authors: Henley
authors: Department of Psychology, Saint Louis University, St Louis, MO, USA.
authors: M
authors: M
authors: Jaques
mesh_terms: D000061:Accidents, Home / Q000517:prevention & control; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D002648:Child; D002649:Child Abuse / Q000517:prevention & control*; D003142:Communication; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008923:Missouri; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000193:education; D011368:Professional-Family Relations; D015397:Program Evaluation; D012449:Safety; D014947:Wounds and Injuries / Q000517:prevention & control*
keywords: health communication; injury prevention; parenting