The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
A Randomized Controlled Trial of Home Injury Hazard Reduction: The HOME Injury Study
Open accessAbstract
OBJECTIVE: To test the efficacy of installing safety devices in the homes of young children on total injury rates and on injuries deemed a priori modifiable by the installation of these devices. DESIGN: A nested, prospective, randomized controlled trial. SETTING: Indoor environment of housing units. PARTICIPANTS: Mothers and their children from birth to 3 years old participating in the Home Observation and Measures of the Environment study. Among 8878 prenatal patients, 1263 (14.2%) were eligible, 413 (32.7%) agreed to participate, and 355 were randomly assigned to the intervention (n = 181) or control (n = 174) groups. INTERVENTION: Installation of multiple passive measures (eg, stair gates, cabinet locks, and smoke detectors) to reduce exposure to injury hazards. Injury hazards were assessed at home visits by teams of trained research assistants using a validated survey. MAIN OUTCOME MEASURE: Modifiable and medically attended injury (ie, telephone calls, office visits, and emergency visits for injury). RESULTS: The mean age of children at intervention was 6.3 months. Injury hazards were reduced in the intervention homes but not in the control homes at 1 and 2 years (P < .004). There was no difference in the rate for all medically attended injuries in intervention children compared with controls: 14.3 injuries (95% confidence interval [CI], 9.7-21.1 injuries) vs 20.8 injuries (95% CI, 14.4-29.9 injuries) per 100 child-years (P = .17); but there was a significant reduction in the rate of modifiable medically attended injuries in intervention children compared with controls: 2.3 injuries (95% CI, 1.0-5.5 injuries) vs 7.7 injuries (95% CI, 4.2-14.2 injuries) per 100 child-years (P = .03). CONCLUSION: An intervention to reduce exposure to hazards in homes led to a 70% reduction in the rate of modifiable medically attended injury. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00129324.
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The same RCT found a significant 70% reduction in the rate of modifiable medically attended injuries in intervention children compared with controls: 2.3 injuries versus 7.7 injuries per 100 child-years.
“investigators found a significant 70% reduction in the rate of modifiable medically attended injuries in intervention children compared with controls: 2.3 injuries versus 7.7 injuries per 100 child-years (126).”
From Review of the Impact of Housing Quality on Inequalities in Health and Well-Being (2023) · cites this paper as [126]
A two-year RCT in the United States showed that injury hazards were significantly reduced in intervention homes but not in control homes.
“A two-year RCT in the United States showed that injury hazards were significantly reduced in intervention homes but not in control homes”
From Review of the Impact of Housing Quality on Inequalities in Health and Well-Being (2023) · cites this paper as [126]
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Citations
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- [12]Phelan KJ Khoury JC Kalkwarf HJ Lanphear BP Residential Injuries in US Children and Adolescents Public Health Rep 2005 120 1 63 70 15736333 PMC1497684
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Review of the Impact of Housing Quality on Inequalities in Health and Well-Being
Howden-Chapman, P., Bennett, J., Edwards, R., Jacobs, D., Nathan, K., & Ormandy, D. (2023) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-071521-111836 · Cited by 153
Metadata
- Authors
- Phelan, K. J., Khoury, J., Xu, Y., Liddy, S., Hornung, R., & Lanphear, B. P.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2011-04-01
- Volume
- 165
- Issue
- 4
- Pages
- 339-45
- ISSN
- 1072-4710 (ISSN-L)
- PMC
- PMC3693223
- OpenAlex
- W2019200604
- Cited by
- 83
- References
- 29
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 9 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 6 · 2015: 9 · 2014: 4 · 2013: 9 · 2012: 3
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Environmental Protection Agency
- Cincinnati Children's Hospital Medical Center
- National Institutes of Health
- Centers for Disease Control and Prevention
- U.S. Public Health Service (R49CCR523141-01)
- National Institute of Environmental Health Sciences (R01ES014575, P01 ES11261, P01ES011261)
- National Center for Injury Prevention and Control
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD045770)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Keywords
- home injury prevention, safety equipment, young children, smoke detectors
- MeSH terms
- Accidents, Home, Adult, Age Factors, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Protective Devices, Residence Characteristics, Socioeconomic Factors, Wounds and Injuries, Cohort Studies, Treatment Outcome, Young Adult
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