Objective
Unintentional injuries remain a leading cause of death for children and adolescents
older than 1 year. Injury prevention has long been a cornerstone of anticipatory guidance.
Previous studies have established the sustained efficacy of injury prevention anticipatory
guidance in pediatric primary care. This study examines the topical emphasis of injury
prevention anticipatory guidance by patient age, with special attention given to the
rate of water safety anticipatory guidance across four patient age groups.
Methods
A nationwide, random sample of AAP member pediatricians were surveyed on their experiences,
attitudes, and practices related to injury prevention anticipatory guidance, including
barriers to delivering anticipatory guidance.
Results
Of the respondents who reported providing direct patient care, 92% considered injury
prevention anticipatory guidance a priority issue. The content of that injury prevention
guidance varied considerably by patient age. Roughly half (53%) reported counseling
families with adolescents on water safety/drowning prevention, which represents a
statistically significant decrease relative to other patient age groups.
Conclusions
Reported injury prevention anticipatory guidance is high across different mechanisms
of injury. However, fewer pediatricians deliver drowning prevention anticipatory guidance
to adolescents than to younger patients. Targeted outreach and education to increase
injury prevention anticipatory guidance, especially for adolescent patients, should
be part of a multi-pronged approach to decrease drowning and other injury deaths.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Academic PediatricsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
Centers for Disease Control and Prevention, National Centers for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). Leading Causes of Death Reports, 1981-2020. Accessed March 2022. [https://wisqars.cdc.gov/fatal-leading].
- Childhood injury prevention counseling in primary care settings: a critical review of the literature, 1993.Pediatrics. 1993; 92: 544-550https://doi.org/10.1542/peds.92.4.544
- Is office-based counseling about media use, timeouts, and firearm storage effective? Results from a cluster-randomized, controlled trial.Pediatrics. 2008; 122: e15-e25https://doi.org/10.1542/peds.2007-2611
- Randomized trial of enhanced anticipatory guidance for injury prevention, 2001.Arch Pediatr Adolesc Med. 2001; 155: 42-49https://doi.org/10.1001/archpedi.155.1.42
- Drowning prevention counselling by paediatricians to educate caregivers on water safety, 2022.J Paediatr Child Health. 2022; 58: 1584-1593https://doi.org/10.1111/jpc.16049
Bright Futures Periodicity Schedule Workgroup. 2022 Recommendations for Preventative Pediatric Health Care, July 2022.
- Use of lethal means restriction counseling for suicide prevention in pediatric primary care, 2020.Preventive Medicine. 2020; 130e105855https://doi.org/10.1016/j.ypmed.2019.105855
- Pediatric resident firearm-related anticipatory guidance: why are we still not talking about guns?, 2019.Preventive Medicine. 2019; 124: 29-32https://doi.org/10.1016/j.ypmed.2019.04.020
- Assessment of pediatric residents’ attitudes toward anticipatory counseling on gun safety, 2019.Children. 2019; 6: 122https://doi.org/10.3390/children6110122
- Injury prevention counseling in an urban pediatric clinic: analysis of audiotaped visits, 1997.Arch Pediatr Adolesc Med. 1997; 151: 146-151https://doi.org/10.1001/archpedi.1997.02170390036007
- Injury-prevention counseling among residents of internal medicine, 2000.Am J Prev Med. 2000; 19: 63-65https://doi.org/10.1016/s0749-3797(00)00156-2
- Pediatric injury prevention counseling priorities, 1997.Pediatrics. 1997; 99: 704-710https://doi.org/10.1542/peds.99.5.704
- Exposure to and compliance with pediatric injury prevention counseling–United States, 1994.Pediatrics. 1998; 102: e55https://doi.org/10.1542/peds.102.5.e55
- Injury-prevention counseling and behavior among US children: results from the second injury control and risk survey, 2007.Pediatrics. 2007; 119: e958-e965https://doi.org/10.1542/peds.2006-1605
- Prevention of pediatric drowning and near-drowning: a survey of members of the American Academy of Pediatrics, 1997.Pediatrics. 1997; 99: 169-174https://doi.org/10.1542/peds.99.2.169
- IBM SPSS Statistics for Windows, Version 25.0.IBM Corp, Armonk, NY2017
The American Board of Pediatrics, Data and Workforce. Continuing Certification Enrollment Surveys for 2018 to 2020. Accessed August 2022. [www.abp.org/content/results-continuing-certification-moc-enrollment-surveys-2018-2020].
- Incidence trends and predictors of in-hospital mortality in drowning in children and adolescents in the United States: A national inpatient database analysis, 2020.Clin Pediatr. 2020; 59: 134-141https://doi.org/10.1177/0009922819886871
- Pediatric health care provider perspectives on injury prevention counseling in acute and primary care settings, 2020.Clin Pediatr. 2020; 59: 1150-1160https://doi.org/10.1177/0009922820941237
- Child passenger safety laws in the United States, 1978-2010: Policy diffusion in the absence of strong federal intervention.Soc Sci Med. 2014; 100: 30-37https://doi.org/10.1016/j.socscimed.2013.10.035
National Child Passenger Safety Board. Board History. Accessed July 2022. [www.cpsboard.org/learn-about-the-board/history/].
- Council on Injury, Violence, and Poison Prevention et al. Child passenger safety.Pediatrics. 2018; 142e20182460https://doi.org/10.1542/peds.2018-2460
- Response rates and response bias for 50 surveys of pediatricians, 2005.Health Serv Res. 2005; 40: 213-226https://doi.org/10.1111/j.1475-6773.2005.00350.x
Article info
Publication history
Accepted:
January 16,
2023
Received:
September 22,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Conflict of Interest Disclosures (includes financial disclosures): The authors have no conflicts of interest relevant to this article to disclose.
Funding/Support: Funding was provided by the American Academy of Pediatrics (AAP). The research presented in this paper is that of the authors and may not reflect the official policy of the AAP.
Abbreviations: AAP, American Academy of Pediatrics.
Identification
Copyright
© 2023 Published by Elsevier Inc. on behalf of Academic Pediatric Association
