By the same authors

From the same journal

Network meta-analysis to evaluate the effectiveness of interventions to prevent falls in children under age 5 years

Research output: Contribution to journalArticle

Published copy (DOI)

Author(s)

  • Stephanie Hubbard
  • Nicola Cooper
  • Denise Kendrick
  • Ben Young
  • Persephone M Wynn
  • Zhimin He
  • Philip Miller
  • Felix Achana
  • Alex Sutton

Department/unit(s)

Publication details

JournalInjury Prevention
DateAccepted/In press - 1 Jul 2014
DateE-pub ahead of print (current) - 25 Jul 2014
Issue number2
Volume21
Number of pages11
Pages (from-to)98-108
Early online date25/07/14
Original languageEnglish

Abstract

BACKGROUND: This study aimed to simultaneously evaluate the effectiveness of a range of interventions to increase the possession of safety equipment or behaviours to prevent falls in children under 5 years of age in the home.

METHODS: A recently published systematic review identified studies to be included in a network meta-analysis; an extension of pairwise meta-analysis that enables comparison of all evaluated interventions simultaneously, including comparisons not directly compared in individual studies.

RESULTS: 29 primary studies were identified, of which 16 were included in at least 1 of 4 network meta-analyses. For increasing possession of a fitted stair gate, the most intensive intervention (including education, low cost/free home safety equipment, home safety inspection and fitting) was the most likely to be the most effective, with an OR versus usual care of 7.80 (95% CrI 3.08 to 21.3). For reducing possession or use of a baby walker: education only was most likely to be most effective, with an OR versus usual care of 0.48 (95% CrI 0.31 to 0.84). Little difference was found between interventions for possession of window locks (most intensive intervention versus usual care OR=1.56 (95% CrI 0.02 to 89.8)) and for not leaving a child alone on a high surface (education vs usual care OR=0.89 (95% CrI 0.10 to 9.67)). There was insufficient evidence for network meta-analysis for possession and use of bath mats.

CONCLUSIONS: These results will inform healthcare providers of the most effective components of interventions and can be used in cost-effectiveness analyses.

    Research areas

  • Accident Prevention/methods, Accidental Falls/prevention & control, Accidents, Home/prevention & control, Child Health Services/organization & administration, Child, Preschool, Cost-Benefit Analysis, Female, Health Education/methods, Humans, Infant, Male, Protective Devices/utilization

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