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. 2015 Jun 15;2015(6):CD009905. doi: 10.1002/14651858.CD009905.pub2

Davidson 1994.

Methods Study design: interrupted time series with control group
Sampling frame: Central Harlem, NYC, USA
Sampling method: entire population (5‐ through 16‐year‐olds)
Collection method: hospital and death records
Description of the community coalition: The Safe Kids/Healthy Neighborhoods Coalition was initiated by the Harlem Hospital Injury Prevention Program in response to a request from parents and educators for a program in playground safety. The original coalition consisted of hospital, public health, public school, law enforcement, fire and emergency medical service, municipal government, parents, and community volunteers. Initial funding for the coalition was received from Robert Wood Johnson
Participants Communities: low‐income, predominantly African American Central Harlem and predominantly Hispanic Washington Heights Districts of New York City
Country: USA
Ages included in assessment: 5 through 16
Reasons provided for selection of intervention community: high risk of serious injury for youth in Central Harlem
Intervention community (population size): 19,254 (5 to 16 years —1990 census)
Comparison community (population size): 44,535 (5 to 16 years — 1990 census)
Interventions Name of intervention: Safe Kids/Healthy Neighborhoods
Theory: not reported
Aim: to reduce the rate of serious injury for 5‐ to 16‐year‐olds
Description of costs and resources: cost unknown, funding from RWJ, CDC, and municipal government
Components of the intervention: improvement to parks and playgrounds, playground supervision, traffic and bicycle safety education, bicycle helmets, activities for youth including sports, arts, and dance
Start date: 1989
Duration: 36 months
Outcomes Outcomes and measures: risk ratio for serious injury after intervention compared with before the intervention
Time points: pre‐intervention (1983 to 1988), intervention (1989 to 1991)
Notes Outcomes measured at population level using vital statistics records and hospital records
Funding source: Robert Wood Johnson Foundation, Centers for Disease Ccontrol and Prevention, and municipal government
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk  
Allocation concealment (selection bias) Low risk  
Baseline outcome measurement similar High risk EPOC criteria for ITS study designs
Independent of other change: High‐risk injury defines trends at both intervention and control sites
Baseline characteristics similar Low risk Point of analysis at intervention: low risk — annual surveillance data collected
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Intervention effect on data collection: low risk — population‐based injury surveillance system
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Incomplete outcome data: low risk — population‐based injury surveillance system
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Intervention effect on data collection: low risk — population‐based injury surveillance system
Protection against contamination High risk Independent of other change: high risk — injury defines trends at both intervention and control sites
Selective reporting (reporting bias) Low risk Selective reporting: low risk — population‐based injury surveillance system