@article{ref1,
title="Varying effect of a randomized toddler home safety promotion intervention trial by initial home safety problems",
journal="Maternal and child health journal",
year="2019",
author="Wang, Yan and Gielen, Andrea C. and Magder, Laurence S. and Hager, Erin R. and Black, Maureen M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: Toddlers are vulnerable to unintentional injuries. A safety intervention targeting low-income families of toddlers, was effective at improving home safety. The current study examined whether the effect varies by initial home safety problems. <br><br>METHODS: 277 mother-toddler dyads recruited in the Mid-Atlantic region of the United States during 2007-2010 were randomized into safety promotion (n = 91) or attention-control groups (n = 186). Observers rated participants' homes with a 9-item safety problem checklist at baseline, and at 6- and 12-months follow-up. Initial home safety problems were categorized as multiple (≥ 4 problems) and none/few (< 4). Linear mixed models assessed the moderating effect with a three-way interaction (time, intervention, and initial safety problems). <br><br>RESULTS: At 12 months, the intervention effect was stronger among families with multiple initial problems than no/few initial problems, with a reduction of 1.55 more problems among the families with multiple problems, compared to the families with no/few problems (b = - 1.55, SE = 0.62, p = 0.013). <br><br>CONCLUSIONS: Interventions targeting families with multiple safety problems may be more effective than universal programming.<p /> <p>Language: en</p>",
language="en",
issn="1092-7875",
doi="10.1007/s10995-019-02845-x",
url="http://dx.doi.org/10.1007/s10995-019-02845-x"
}