Frederick 2000.
Methods | CBA | |
Participants | 1292 children aged between 10 and 11 years from Oxfordshire UK. Number of participants: 657 students in the intervention group and 635 students in the control group. |
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Interventions | Intervention: IMPS. Teachers were given a resource pack, available for 1 academic year, which covered basic life support training, interactional videos illustrating a range of accidents such as burns and how to respond. This was then followed by a hospital visit, whereby children were given a tour of the accident and emergency department by IMPS trainers. Control: schools with no prior exposure to IMPS. Normal curriculum. |
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Outcomes | Safety knowledge assessed using a specially developed quiz 5 months after the intervention. A hypothetical basic life support scenario was used to measure observed safety skills and behaviour retained after the intervention. Self‐reported behaviour and safety practices assessed using a validated 'draw and write' test. |
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Injury mechanisms | Road safety, accidents in the home, fire, electricity, poisons, waterways. | |
Notes | Control schools were matched on location, size and Standard Assessment Test results. Intervention schools were those that were already enrolled in the IMPS programme. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation to intervention/control (selection bias) (for non‐RCT and CBA studies) | High risk | Schools self‐selected an intervention. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No blinding. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | For observed outcomes, the trainers were unblinded. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition was < 20% for all outcomes and in both intervention and control groups. |
Selective reporting (reporting bias) | Unclear risk | Some inconsistencies in the reporting of findings (e.g. between tables and the text). |
Other bias | Unclear risk | Tables comparing the characteristics of schools were not included. |
Risk of bias due to confounding (for non‐RCTs and CBA studies) | Low risk | Control schools were matched on location, size and Standard Assessment Test results. |