Table 2.
Educational initiatives—community-based
| Year | Authors | Country of origin | Population studied | Actual sample size | Study design | Intervention method | Follow-up time (post-intervention) | Outcome types | Estimated burn incidence (baseline rates/100,000) | Outcomes |
|---|---|---|---|---|---|---|---|---|---|---|
| 2019 | Hasibuan et al. [32] | Indonesia (Bandung) | Residents in subdistricts with history of multiple major fires | 61 | Pre-post | One-day community health promotion event: lecture and discussion session (lecture topics: burn prevention in the home, burns incidence, first aid and initial management of burns and burn complications), burn first aid demonstration and discussion session | Unclear | Knowledge of burn prevention and management (measured by pre and post questionnaire) | NA | Significant improvement of knowledge regarding burns prevention and management (pre-test median score = 2, post-test median score = 9, p < 0.001) |
| 2018 | Kahriman et al. [33] | Turkey | Mothers of children aged 0–6 years | 300 mothers | Pre-post | Training of mothers on dangerous situations in the home, posters and brochures. Theoretical training lasted for 16 h, practical training was conducted through a simulation setting, where mothers were asked to identify as many environmental risk factors as possible | Unclear | Knowledge and attitudes towards paediatric injuries including burns (measured by pre and post questionnaire) and environment change (risk assessment form completed by researcher, scoring hazardous situations in the home) | NA | Scores on the identification scale for paediatric injuries increased significantly (p = 0.00). Risk assessment form indicated that there was no significant improvement in overall average score across all paediatric injuries (p = 0.362) but the post intervention burn-specific risk assessment form score was significantly lower (p = 0.00) |
| 2017 | Afshari et al. [22] | Iran (Twiserkan) | Mothers of children <5 years | 72 | Randomized control (individual) | Training programme about the prevention of home-related injuries, formed using the PRECEDE model (Predisposing, Reinforcing & Enabling Constructs in Educational/Ecological Diagnosis & Evaluation). Training manuals were provided, and training consisted of four sessions of 2 weeks and each for 1 hour | 2 months | Knowledge of accidental injury prevention, including burns (measured by pre and post questionnaire) and burns incidence (measured by self-reported pre and post questionnaires) | 5/72 = 6.94%, 6944 per 100 k | Number of burn injuries in intervention group decreased (3 baseline, 1 follow-up) compared to control group (2 baseline, 4 follow-up). Score of knowledge increased statistically significantly in the intervention vs control group |
| 2009 | Schwebel et al. [20] | South Africa | Households in two informal settlement communities—Phillipi and Du Noon | 238 (baseline) 206 (follow-up), intervention = 106, control = 100) | Randomized control (individual) | Intervention: expert trainers trained local professionals to deliver educational materials to the community regarding safe use of kerosene and kerosene-powered appliances | 4 weeks | Knowledge (measured by pre and post questionnaire) and environment change (risk assessment form completed by researcher, scoring kerosene safety in the home) | NA | Significant increase in kerosene-related knowledge in the intervention group compared to the control (p < 0.01) Significant increase in safe kerosene practices in the home and recognition of kerosene injury risk in the intervention group compared to the control group (p < 0.05) |
| 2009 | Gimeniz-Paschoal et al. [31] | Brazil | Families with children <4 years old | 40 relatives of children <four years old | Non-randomized control | Educational talk (30 min), information about the contents of an educational folder about the prevention of childhood burns and a copy of the educational materials | 1 week | Knowledge of burn prevention and management (measured by frequency analysis of interview data) | NA | Prior to the intervention, 62 interview responses on burn risk situations were registered in the intervention group and 60 in the control group. Post-intervention, this increased to 80 and 61 respectively |
| 1998 | Sunder and Bharat [34] | India | Industrial workers at Tata Steel in Jamshedpur, 1993–1996 | 815 patients (142 inpatients, 673 outpatients) with industrial burns treated at a burn centre. The patients were industrial workers at Tata Steel | Pre-post | 75-min audio-visual session for instructors who then distribute safety messages to other employees. Videos were used to highlight burns safety devices, prevention and first aid; annual lectures and discussions were led by instructors; first aid pamphlets and posters were distributed | Incidence first reported in 1993, intervention applied each year from 1994. Incidence rates reported until 1996 | Burns incidence and mortality (measured using hospital records) | Unclear population size | Decline in the incidence of inpatient and outpatient burns admissions after the intervention; no mortality from burns and no burns with >20% total body surface area (TBSA) after the intervention; increase in the number of patients who used water for first aid |