Safe Play Areas for Ross County Kids Project

Study Overview
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Brief Summary
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Specific Aim 1 - In collaboration with partners in Ross County, renovate and develop playgrounds in Chillicothe. Specific Aim 2 - In collaboration with partners in Ross County, promote safe play and play areas for children on farms.

Detailed Description
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Injury is the leading cause of mortality and morbidity among children in the United States. Because children spend much of their time playing, it is important that they have safe play environments where they can challenge themselves and develop physically, mentally, and socially. The SPARK Project will focus its intervention in Ross County, Ohio, an area with more than 930 farms. Prior to this project, relatively little has been done to promote the prevention of injuries to children who live and play on farms. The specific aims of this project are as follows: In collaboration with partners in Ross County, renovate and develop playgrounds in Chillicothe, Ohio. In collaboration with partners in Ross County, promote safe play areas for children on farms. The SPARK Project will employ a multi-faceted approach to injury prevention, centered on community partnership and collaboration. Utilizing methodology that was successfully developed and implemented as part of the Community Action for Playground Safety (CAPS) Program in Columbus, the SPARK Project will combine both active and passive injury prevention strategies to reduce playground and play-related farm injuries to children in Ross County.

Official Title
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Safe Play Areas for Ross County Kids Project

Conditions
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Other Specified Personal Exposures and History Presenting Hazards to Health, Knowledge, Attitudes, Practice, Fall Involving Playground Equipment, Occurrence on Farm

Intervention / Treatment
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* Other: Playground renovation and development
* Behavioral: Educational campaign


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For playgrounds must be seen at Adena Medical Center or Pickaway Pediatrics must be the parent of a child younger than 6 years of age must live in Chillicothe (if recruited at Adena) or Circleville (if recruited at Pickaway Peds) must be English speaking must be at least 18 years old For farms must self-identify as living on a farm must have a child younger than 6 years of age must live in Ross county or Pickaway county must be English speaking must be at least 18 years old Exclusion Criteria: Participants can only enroll in one study at a time

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Playground<br>The playground arm of the study will consist of playground audits and KAP surveys about playground safety in both Chillicothe and Circleville, Ohio. The intervention is Playground Safety Renovations and Development. | Other: Playground renovation and development<br>* Playgrounds in Chillicothe will be renovated based on priorities determined by audits.<br>Behavioral: Educational campaign<br>* Educational materials will be developed and distributed in Ross County.<br>|
| Other: Farms<br>The Farm Arm will consist of farm audits with safety checklists and KAP surveys about farm safety. The intervention is a Safety Educational Campaign. | Behavioral: Educational campaign<br>* Educational materials will be developed and distributed in Ross County.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Playground Hazards | The investigators hypothesize that the decrease in the number of identified playground hazards (comparing each playground to itself from the year 1 baseline survey to the year 3 follow-up survey utilizing a playground hazards checklist) will be significantly greater for the intervention playgrounds compared with non-intervention playgrounds in Circleville, Pickaway Co. The percentage increase in the number of playgrounds with adequate safety surfacing will be used as a proxy for playground hazardousness. | Year 1 baseline to year 3 follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Playground and Farm Safety Knowledge, Attitudes and Practices Composite Scores | The investigators hypothesize that the improvement in the playground safety Knowledge, Attitudes, and Practices (KAP) survey composite scores and farm audits from the baseline in year 1 to the follow-up in year 3 will be significantly greater for parents residing in Ross County than for parents in the non-intervention counties (Morrow and Pickaway).The playground safety KAP survey consisted of 7 items and individuals could receive a summed score of 0-7, with a score of 7 indicating mastery of the material. | Year 1 baseline to Year 3 follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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playgrounds, farms, injury prevention, safety knowledge, attitudes and practices, safe play, rural