Abstract
Objectives—To determine the effect of different methods of administering a diary to collect information from parents on near miss and minor injuries on responses, completeness and accuracy, the number of incidents reported, the effect of a financial incentive on response, and the cost of administering each method.
Setting—The study was set within the context of a cluster randomised controlled trial of injury prevention in 36 practices in Nottingham.
Methods—The study population comprised the 1594 parents who responded to the baseline questionnaire. Parents were allocated systematically to one of four groups: postal administration, with and without financial incentive, telephone administration, with and without financial incentive (102 in each group). A clinic visit method with and without financial incentive (50 in each group) was also used.
Results—A significant trend was found, with decreasing response rates with increasing degree of contact with the parent, such that administering the diary in the clinic had the lowest response (χ2 for trend = 5.54, 1 df, p = 0.02). Offering a financial incentive increased responses from 47% to 59% (χ2=5.78, 1 df, p = 0.016). The most complete recording was found in the diaries handed out at clinic visits. Importantly, parents were accurate in their recording of near miss and minor injuries, suggesting they understood the differences between the two types of incident. Postal methods were the least expensive method of administering the diary in terms of average cost per returned diary. Using a financial incentive resulted in a lower cost per returned diary for telephone and clinic visit methods.
Conclusions—Parents can accurately and reliably complete diaries recording near miss and minor injuries occurring to their preschool children. More work is needed to investigate methods of increasing response. Postal diaries achieve the highest response but have the least complete recording of data. Diaries administered through child health clinics were most complete but achieved the lowest response. The administration method chosen in future work should be influenced both by the response and completeness of recording that is required by the research.
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Selected References
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- Beattie T. F., Currie C. E., Williams J. M., Wright P. Measures of injury severity in childhood: a critical overview. Inj Prev. 1998 Sep;4(3):228–231. doi: 10.1136/ip.4.3.228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bijur P., Golding J., Haslum M., Kurzon M. Behavioral predictors of injury in school-age children. Am J Dis Child. 1988 Dec;142(12):1307–1312. doi: 10.1001/archpedi.1988.02150120061041. [DOI] [PubMed] [Google Scholar]
- Freer C. B. Health diaries: a method of collecting health information. J R Coll Gen Pract. 1980 May;30(214):279–282. [PMC free article] [PubMed] [Google Scholar]
- Guyer B., Gallagher S. S. An approach to the epidemiology of childhood injuries. Pediatr Clin North Am. 1985 Feb;32(1):5–15. doi: 10.1016/s0031-3955(16)34752-6. [DOI] [PubMed] [Google Scholar]
- Harel Y., Overpeck M. D., Jones D. H., Scheidt P. C., Bijur P. E., Trumble A. C., Anderson J. The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health. 1994 Apr;84(4):599–605. doi: 10.2105/ajph.84.4.599. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jarman B. Identification of underprivileged areas. Br Med J (Clin Res Ed) 1983 May 28;286(6379):1705–1709. doi: 10.1136/bmj.286.6379.1705. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kendrick D., Marsh P., Fielding K., Miller P. Preventing injuries in children: cluster randomised controlled trial in primary care. BMJ. 1999 Apr 10;318(7189):980–983. doi: 10.1136/bmj.318.7189.980. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lyons R. A., Lo S. V., Heaven M., Littlepage B. N. Injury surveillance in children--usefulness of a centralised database of accident and emergency attendances. Inj Prev. 1995 Sep;1(3):173–176. doi: 10.1136/ip.1.3.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peterson L., Harbeck C., Moreno A. Measures of children's injuries: self-reported versus maternal-reported events with temporally proximal versus delayed reporting. J Pediatr Psychol. 1993 Feb;18(1):133–147. doi: 10.1093/jpepsy/18.1.133. [DOI] [PubMed] [Google Scholar]
- Stewart-Brown S., Peters T. J., Golding J., Bijur P. Case definition in childhood accident studies: a vital factor in determining results. Int J Epidemiol. 1986 Sep;15(3):352–359. doi: 10.1093/ije/15.3.352. [DOI] [PubMed] [Google Scholar]
- Taylor B., Wadsworth J., Butler N. R. Teenage mothering, admission to hospital, and accidents during the first 5 years. Arch Dis Child. 1983 Jan;58(1):6–11. doi: 10.1136/adc.58.1.6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Verbrugge L. M. Health diaries. Med Care. 1980 Jan;18(1):73–95. doi: 10.1097/00005650-198001000-00006. [DOI] [PubMed] [Google Scholar]
- Wadsworth J., Burnell I., Taylor B., Butler N. Family type and accidents in preschool children. J Epidemiol Community Health. 1983 Jun;37(2):100–104. doi: 10.1136/jech.37.2.100. [DOI] [PMC free article] [PubMed] [Google Scholar]