Promoting a safer household environment: A volunteer-based home visit programme (Health Care & Promotion Fund #216027)

Background

Unintentional childhood injury is one of the major health problems and leading cause of death in Hong Kong among population aged 1-14, and it is estimated that approximately half of it took place at home. The need to prevent Unintentional Residential Childhood Injuries (URCI), thus, is immense.

Objectives

To reduce the impact of Unintentional Residential Childhood Injuries (URCI) by:

  1. increasing knowledge about the severity, consequences, and first-aid procedures
  2. modifying preventive behavior concerning URCI
  3. modifying the household environment when necessary to prevent URCI

Design

An experimental design with a baseline group in which participants receive information leaflet, video material, and stickers concerning URCI prevention. In the intervention group, participants, on top of receiving traditional educational package, receive home visitation and telephone follow-ups from a group of supervised volunteers.

Participants

Families in Kwai Tsing and Shatin districts with newborn to 3-year-old children, who were admitted into A&E department Princess of Margaret or Prince of wales Hospital for an URCI episode in a 6-month bracket, will be recruited for this study.

Major outcome measures

Gain in knowledge by injury knowledge test; self-reported behavioral changes by behavioral checklist; change in injury and health beliefs, occurrences of URCI through self-reported and hospital-based measures, and home modification related to residential injury prevention.

Implications to the field

This programme could enhance caregiver's control over environment, in particular with respect to the prevention of URCI, which should reap rewards of reduction in occurrences and impact of URCI. Meanwhile, it is expected that the proposed programme and evaluation would provide the framework for an effecitve and evidence-based injury prevention programme.

Publications

Programme Brochure
Interim Programme Results (Draft)
Training Manual - Chinese (Draft)
Quality Assurance Manual - Chinese (Draft)
Chan, C.C., Chow, C.B., and Kevin Chan. (2003). The Volunteer Home Visitation Program (VHVP) - A childhood injury prevention initiative in Hong Kong. Manuscript submitted to Injury Prevention.Funding Sources

Funding Sources

Health Care & Promotion Fund

Researchers

Dr. Chun Bong Chow, the Principal Investigator, is a Consultant Paediatrician at the Department of Pediatrics, Princess Margaret Hospital, Hong Kong; and Chairman of Hong Kong Childhood Injury Prevention and Research Association (CIPRA).

Dr. Charles C. Chan, is an Associate Professor at the APSS, HKPU; Convenor of the Network for Health & Welfare Studies of the APSS, HKPU, and the Honorary Secretary of CIPRA.

Dr. Wai Lun Cheung, is a Cluster Chief Executive of the Hospital Authority New Territories West Cluster; and an Executive Committee Member of CIPRA.

Dr. Yuk Chung Chan, is an Associate Professor at the APSS, HKPU.

Prof. Jack C. Y. Cheng, is the Pro-Vice-Chancellors and University Dean of Students, the Chinese University of Hong Kong; Chair Professor at the Department of Orthopedics & Traumatology, the Chinese University of Hong Kong and the Vice-chairman / Clinical coordinator of CIPRA.

Mr. P. K. Luis, is a Principal Lecturer at APSS, HKPU.

Mr. Kevin Chan, is a Research Associate at the APSS, HKPU; and Scientific Officer of CIPRA.

Miss. Astor Kwok was a Project Assistant at the NHWS of APSS, HKPU; and Research Officer of CIPRA. She is now a Research Assistant at the APSS, CityU, Hong Kong.

Contact

The Principal Investigator: Dr. Chun Bong Chow
Tel: (852) 2990 3311
E-mail: chowcb@netvigator.com

Appendix

1. Research and Community Practice October 2002
2. Research and Professional Practice October 2002

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