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A randomized controlled trial of the effect of providing information on accidental injury admissions and their costs to Primary Care Groups and Trusts.

Abstract：

BACKGROUND:Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention. OBJECTIVE:To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of accident prevention strategies. METHODS:The study is a randomized controlled trial in PCG/Ts in the former Trent Region. Intervention PCG/Ts were sent profiles containing PCG/T specific information on hospital admissions for accidental injury and their costs and on accident prevention interventions. Health promotion leads were surveyed at baseline and three and fifteen months. The primary outcome was whether the PCG/T had a written accident prevention strategy. Secondary outcome measures included other accident prevention activities, prioritization of accident prevention, and knowledge and attitudes towards accident prevention. RESULTS:At three months 38% of PCG/Ts in the intervention arm had a written accident prevention strategy, compared with 42% in the control arm [difference -4%, 95% confidence interval (CI) -31% to 25%]. At fifteen months these values were 55% in the intervention arm and 50% in the control arm (difference 5%, CI -24% to 33%). There were no statistically significant differences between the groups for any outcome measures. CONCLUSIONS:Providing profiles containing information on accidental injuries to PCG/Ts did not significantly increase the development of accident prevention strategies, however this study only had sufficient power to detect substantial changes. Larger national studies would be required to detect moderate effects of tailored packages in changing PCG/T behaviour.

journal_name

Fam Pract

journal_title

Family practice

authors

Coupland CA,Savelyich BS,Hippisley-Cox J,Kendrick D,Groom L,Cross E

doi

10.1093/fampra/cmi016

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

249-52

issue

eissn

0263-2136

issn

1460-2229

pii

cmi016

journal_volume

pub_type

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A randomized controlled trial of the effect of providing information on accidental injury admissions and their costs to Primary Care Groups and Trusts.