Helping Children's Centres to Enhance Home Safety

Study Overview
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Brief Summary
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Many children have accidents, some are very serious and they are a major cause of death in children aged 1-4 years. Many accidents are preventable This study aims to find out the best way to help Children's Centres to provide home safety information about preventing fires to parents and carers of young children. 36 Children's Centres in four study centres, Nottingham, Bristol, Norwich and Newcastle will be recruited to the study. 30 families will be recruited from each Children's Centre. Children's Centres serving the most deprived populations will be eligible to take part. Families will be eligible to take part if they have attended a participating Children's Centre in the previous three months, have parents who are 16 years or older, have a child under three years old and live within the catchment area of that Children's Centre. When 30 families have been recruited that Centre will be allocated, at random, to one of three groups. Children's Centres in group one will be provided with guidance about preventing fire-related injuries (an Injury Prevention Briefing (IPB))and help and support to implement the IPB, the second group will be sent the IPB and the third group will not be provided with the IPB ('usual care'). Children's Centres will devise their own programmes of safety advice for parents based on the IPB. At recruitment and 12 months later, families and Children's Centres will complete questionnaires about fire safety practices. Children's Centres will also complete a paper-based tool about the implementation process at 12 months. Information about barriers and facilitators to implementing the IPB will be collected through interviews with Children's Centre staff. The study will run from May 2011 to March 2014.

Official Title
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Keeping Children Safe at Home: Cluster Randomised Controlled Trial of the Implementation of an Injury Prevention Briefing in Children's Centres for the Prevention of Fire-related Injuries

Conditions
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Burns, Smoke Inhalation Injury

Intervention / Treatment
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* Behavioral: Injury Prevention Briefing Plus facilitation
* Behavioral: Injury Prevention Briefing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: There are two levels of participation, Children's Centres as participants, who will be delivering the intervention, and families as participants, who will be receiving the intervention. Children's Centres: Phase 1 Children's Centres in the four study areas (Nottingham, Newcastle, Bristol and Norwich) Phase 2 Children's Centres in more disadvantaged areas (defined as those who have more than 50% of under 5 year-old children in their Centre catchment area who live in one of the 30% most disadvantaged Super Output Areas). Families Any family who has attended the participating Children's Centre in the previous three months, who have a child under three years old, and lives within the catchment area of that Children's Centres. Exclusion Criteria: Children's Centres: Phase 2 Children's Centres that are not in more disadvantaged areas as defined above and phase 3 or subsequent wave Children's Centres. Families Families who attend a participating Children's Centre who do not have any children under the age of 3 years Any parent who is under-16 years of age.

Ages Eligible for Study
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Minimum Age: 16 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: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Injury Prevention Briefing and facilitation<br>Children's Centres will be given an Injury Prevention Briefing which offers guidance on best evidence on reducing fire related injuries in the home, and facilitation by the research team to support implementation of the IPB | Behavioral: Injury Prevention Briefing Plus facilitation<br>* Injury Prevention Briefing (IPB) to provide best evidence on what works to reduce house fire injuries, and activities to get the evidence into practice. This arm will receive facilitation to support the implementation of the information in the IPB<br>|
| Active Comparator: Injury Prevention Briefing only<br>Children's Centres will be given an Injury Prevention Briefing (IPB) , which offers guidance on best evidence on reducing fire related injuries in the home. | Behavioral: Injury Prevention Briefing<br>* Children's centres will receive the Injury Prevention Briefing only.<br>|
| No Intervention: Usual Care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Families With a Fire Escape Plan (Ascertained From Self-completion Questionnaire). |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Number of Childrens Centres Providing Information and Advice on Smoke Alarms |  | 1 year | 
| The Number of Children's Centres Providing Information and Advice on How to Make a Fire Escape Plan |  | 1 year | 
| The Number of Children's Centres Providing Information and Advice on the Causes of House Fires |  | 1 year | 
| The Number of Children's Centres Providing Information and Advice on Child Behaviour and Fire Prevention |  | 1 year | 
| The Number of Children's Centres Providing Information and Advice on Bedtime Routines to Prevent Fires |  | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cluster Randomised Controlled Trial, Community Health Services, prevention & control, Accidents, Home, Child Health Services