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Patient Educ Couns. 2001 Aug;44(2):141-9. doi: 10.1016/s0738-3991(00)00179-8.

Pediatric injury prevention counseling: an observational study of process and content.

Patient education and counseling

L C Barrios, C W Runyan, S M Downs, J M Bowling

Affiliations

  1. The University of North Carolina Injury Prevention Research Center, Chapel Hill, NC, USA. [email protected]

PMID: 11479054 DOI: 10.1016/s0738-3991(00)00179-8

Abstract

OBJECTIVES: To describe routine injury prevention counseling; to observe how three visit components - printed prompts, parent remarks, and parent behaviors - affect such counseling; to describe the process and content of discussions about car seats as an example of routine injury prevention.

METHODS: A total of 128 well-child visits of children under 7 months of age to a university pediatric clinic were videotaped (76% of eligible visits).

RESULTS: Three injury topics were mentioned, on an average, per visit. Parents or caregivers rarely introduced injury topics (5%). Physicians frequently introduced those topics listed on age-specific prompting sheets (73%). Car seat counseling typically began with a physician's question (82%). Most asked simply about ownership or use (93%). Few addressed difficult issues, such as consistency of use (11%).

CONCLUSIONS: Physicians bring up the injury topics that are prompted. However, most discussion is superficial. Printed prompts that address counseling process as well as content might be beneficial.

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