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. 2012 Sep 12;2012(9):CD005014. doi: 10.1002/14651858.CD005014.pub3

Guyer 1989.

Methods CBA (C)
 Allocation at level of cities and towns
Participants Population of 14 cities and towns in Massachusetts
Interventions I = Community injury prevention programme including injury counselling by paediatricians to parents of young children, school and community burn prevention education, home safety inspections + community wide promotion of poison centre service
 C = no community injury prevention programme
Outcomes Outcomes measured over 22 months:
Rate of medically attended poisonings ‐ poisoning rate I = 36.14/10,000 person years C = 92.71/10,000 person years, OR 0.95 (0.57 to 1.58) (adjusted for socio‐economic group)
 Rate of medically attended fall injuries ‐ I = 175.02/10,000 person years C = 262.44/10,000 person years OR 0.78 (0.61 to 1.00) (adjusted for socio‐economic group)
 Medically attended thermal injuries ‐ I = 59.68/10000 person years C = 106.03/10000 person years OR 1.26 (0.84 to 1.90) (adjusted for socio‐economic group)
Possession of smoke alarm
 Preventive behaviour score comprising behaviours for preventing poisonings (14 items), burns (12 items), falls (6 items) ‐ Mean score:
 Burns: I = 49.2, C = 46.8
 Falls I = 30.3, C = 30.7
 Poisoning I =34.3, C = 30.5. P values not reported
Notes Blinding ‐ u
 Outcomes 80% ‐ y
 Balance ‐ n
 Control communities had higher baseline injury rates, a greater proportion of Hispanic residents and lower household income than intervention communities
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Not applicable ‐ non‐randomised study