Author:
Sullivan Emily,Fuller Daniel,Paterson Quinten S.,Huffman Shelby,Challa Satyadeva,Woods Rob
Abstract
ABSTRACT
Objectives
The objective of this study was to evaluate the impact of a novel injury
prevention intervention designed to prompt patients to initiate an injury
prevention discussion with the ED physician, thus enabling injury prevention
counselling and increasing bicycle helmet use among patients.
Methods
A repeated measures 2 x 3 randomized controlled trial design was used.
Fourteen emergency physicians were observed for two shifts each between June
and August 2013. Each pair of shifts was randomized to either an injury
prevention shift, during which the emergency physician would wear a customized
scrub top, or a control shift. The outcomes of interest were physician time
spent discussing injury prevention, current helmet use, and self-reported
change in helmet use rates at one year. Logistic regression analyses were used
to examine the impact of the intervention.
Results
The average time spent on injury prevention for all patients was 3.3
seconds. For those patients who actually received counselling, the average time
spent was 17.0 seconds. The scrub top intervention did not significantly change
helmet use rates at one year. The intervention also had no significant impact
on patient decisions to change or reinforcement of helmet use.
Conclusions
Our study showed that the intervention did not increase physician injury
prevention counselling or self-reported bicycle helmet use rates among
patients. Given the study limitations, replication and extension of the
intervention is warranted.
Publisher
Springer Science and Business Media LLC
Cited by
3 articles.
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