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Eight-year outcome of implementation of abusive head trauma prevention

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dc.contributor.author Barr, R. G., Barr, M., Rajabali, F., Humphreys, C., Pike, I., Brant, R., ... & Singhal, A.
dc.date.accessioned 2019-04-02T17:30:16Z
dc.date.available 2019-04-02T17:30:16Z
dc.date.issued 2018
dc.identifier.citation Barr, R. G., Barr, M., Rajabali, F., Humphreys, C., Pike, I., Brant, R., ... & Singhal, A. (2018). Eight-year outcome of implementation of abusive head trauma prevention. Child abuse & neglect, 84, 106-114. en_US
dc.identifier.uri https://www.injuryresearch.bc.ca/wp-content/uploads/2018/08/1-s2.0-S0145213418302734-main.pdf
dc.identifier.uri http://hdl.handle.net/11212/4286
dc.description.abstract Low incidence rates and economic recession have hampered interpretation of educational prevention efforts to reduce abusive head trauma (AHT). Our objective was to determine whether the British Columbia experience implementing a province-wide prevention program reduced AHT hospitalization rates. A 3-dose primary, universal education program (the Period of PURPLE Crying) was implemented through maternal and public health units and assessed by retrospectiveprospective surveillance. With parents of all newborn infants born between January 2009 and December 2016 (n = 354,477), nurses discussed crying and shaking while delivering a booklet and DVD during maternity admission (dose 1). Public health nurses reinforced Talking Points by telephone and/or home visits post-discharge (dose 2) and community education was instituted annually (dose 3). During admission, program delivery occurred for 90% of mothers. Fathers were present 74.4% of the time. By 2–4 months, 70.9% of mothers and 50.5% of fathers watched the DVD and/or read the booklet. AHT admissions decreased for < 12-month-olds from 10.6 (95% CI: 8.3–13.5) to 7.1 (95% CI: 4.8–10.5) or, for < 24-month-olds, from 6.7 (95% CI: 5.4–8.3) to 4.4 (95% CI: 3.1–6.2) cases per 100,000 person-years. Relative risk of admission was 0.67 (95% CI: 0.42–1.07, P = 0.090) and 0.65 (95% CI: 0.43-0.99, P = 0.048) respectively. We conclude that the intervention was associated with a 35% reduction in infant AHT admissions that was significant for < 24-month-olds. The results are encouraging that, despite a low initial incidence and economic recession, reductions in AHT may be achievable with a system-wide implementation of a comprehensive parental education prevention program. en_US
dc.language.iso en en_US
dc.publisher Child Abuse & Neglect en_US
dc.subject prevention en_US
dc.subject abusive head trauma en_US
dc.subject shaken baby syndrome en_US
dc.subject parental education en_US
dc.subject crying en_US
dc.subject infants en_US
dc.title Eight-year outcome of implementation of abusive head trauma prevention en_US
dc.type Article en_US


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