The impact of behavioral risk assessments and tailored health information on pediatric injury

Clin Pediatr (Phila). 2014 Dec;53(14):1383-9. doi: 10.1177/0009922814549544. Epub 2014 Sep 4.


Background: Integrating age appropriate injury prevention messages during a well-child visit is challenging in the face of competing demands.

Purpose: To describe a 7-month pilot using technology to facilitate injury prevention risk assessment and education integration.

Methods: We prospectively tracked responses to the computer-based injury prevention self-assessment tool, safety product distribution, and any subsequent contact with the local hospital system for related unintentional injuries.

Results: A total of 2091 eligible visits by 1368 unique patients were assessed. Eight hundred forty-three unique patients completed the Safe N' Sound assessment and 7 were subsequently injured, with an injury related to a Safe N' Sound target area.

Conclusions: A kiosk-based tailored injury assessment tool can be successfully integrated into a busy pediatric practice. Unintentional injury outcomes can be linked to the tailored anticipatory guidance and can identify the effectiveness of this electronic integration of injury prevention messaging into well-child examinations.

Keywords: anticipatory guidance; children; prevention; unintentional injury.

MeSH terms

  • Accident Prevention*
  • Adolescent
  • Child
  • Child, Preschool
  • Cohort Studies
  • Directive Counseling*
  • Female
  • Health Education*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Pilot Projects
  • Program Evaluation
  • Risk Assessment
  • Risk-Taking
  • User-Computer Interface*
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / prevention & control*
  • Young Adult