Impact of In-hospital and Outreach models for regional P.A.R.T.Y. Program participants.
adolescent
preventative programme
regional health outcome
risk reduction behaviour
wounds and injury
Journal
Emergency medicine Australasia : EMA
ISSN: 1742-6723
Titre abrégé: Emerg Med Australas
Pays: Australia
ID NLM: 101199824
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
09
11
2020
received:
04
03
2020
accepted:
12
11
2020
pubmed:
20
12
2020
medline:
28
10
2021
entrez:
19
12
2020
Statut:
ppublish
Résumé
This retrospective observational study aimed to compare the impact of the Prevent Alcohol and Risk-Related Trauma Youth (P.A.R.T.Y.) Program when delivered as In-hospital or Outreach models to rural and regional students. The study population were consented participants from regional areas between 2013 and 2017 who completed pre-programme, immediately post-programme and 3-5 months post-programme surveys. Responses from the metropolitan In-hospital programme participants and regional Outreach programme participants were analysed within groups across the three time points. The primary outcome variable was a change in self-reported perception of driving after drinking alcohol. Secondary outcome variables were designating a safe driver after drinking, perception of risk of injury if not wearing a seatbelt, risks of injury if undertaking physical risk-taking activities and likelihood of the programme changing perceptions. There were 1314 participants invited to participate and 547 (42%) sets of complete surveys were received, of whom 296 (54%) were Outreach participants. Pre-programme, a significantly lower proportion of Outreach participants reported 'definitely not' to driving after drinking (84% vs 91%), and perceived a 'definite' likelihood of sustaining injury if not wearing a seatbelt (57% vs 66%). Outreach participants displayed improvements in likelihood to drive after drinking alcohol immediately post-programme and on follow up (P = 0.028). Responses to all other secondary outcome measures demonstrated some improvement. Although demographically similar, baseline perceptions toward alcohol, risk-taking and injury differed between groups. Improvements in perception were demonstrated across both models. These findings support P.A.R.T.Y. as an injury prevention initiative for regional youth.
Identifiants
pubmed: 33340262
doi: 10.1111/1742-6723.13693
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
640-646Informations de copyright
© 2020 Australasian College for Emergency Medicine.
Références
World Health Organization. Injuries and Violence: The Facts 2014. Geneva: World Health Organization, 2014.
Mitchell R, Chong S. Comparison of injury-related hospitalised morbidity and mortality in urban and rural areas in Australia. Rural Remote Health 2010; 10: 1326.
Boland M, Staines A, Fitzpatrick P, Scallan E. Urban-rural variation in mortality and hospital admission rates for unintentional injury in Ireland. J. Epidemiol. Community Health 2005; 59: 557.
Kmet L, Macarthur C. Urban-rural differences in motor vehicle crash fatality and hospitalization rates among children and youth. Accid. Anal. Prev. 2006; 38: 122-7.
Jarman MP, Castillo RC, Carlini AR, Kodadek LM, Haider AH. Rural risk: geographic disparities in trauma mortality. Surgery 2016; 160: 1551-9.
Peek-Asa C, Zwerling C, Stallones L. Acute traumatic injuries in rural populations. Am. J. Public Health 2004; 94: 1689-93.
Coben JH, Tiesman HM, Bossarte RM, Furbee PM. Rural-urban differences in injury hospitalizations in the US, 2004. Am. J. Prev. Med. 2009; 36: 49-55.
Macpherson AK, To TM, Parkin PC et al. Urban/rural variation in children's bicycle-related injuries. Accid. Anal. Prev. 2004; 36: 649-54.
Senate Standing Committee on Rural and Regional Affairs and Transport. Aspects of road safety in Australia. Interim report. Canberra: Department of the Senate, Parliament House, 2016.
Monash University: Victorian State Trauma Outcome Registry and Monitoring Group. Victorian State Trauma System and Registry Annual Report. 1 July 2016 to 30 June 2017. Melbourne: Victorian Government, 2018.
Smith KB, Humphreys JS, Wilson MG. Addressing the health disadvantage of rural populations: how does epidemiological evidence inform rural health policies and research? Aust. J. Rural Health 2008; 16: 56-66.
Palamara P, Kaura K, Fraser M. An Investigation of Serious Injury Motor Vehicle Crashes across Metropolitan, Regional and Remote Western Australia. Western Australia: Curtin-Monash Accident Research Centre (C-MARC), 2013.
National Public Health Partnership (NPHP). The National Injury Prevention and Safety Promotion Plan: 2004-2014. Canberra: NPHP, 2005.
Department of Health and Human Services. Victorian Health Priorities Framework 2012-2022: Metropolitan Health Plan. Melbourne: Victorian Government, Department of Health, 2015.
Johnson SB, Jones VC. Adolescent development and risk of injury: using developmental science to improve interventions. Inj. Prev. 2011; 17: 50-4.
Banfield JM, Gomez M, Kiss A, Redelmeier DA, Brenneman F. Effectiveness of the PARTY (Prevent Alcohol and Risk-related Trauma in Youth) program in preventing traumatic injuries: a 10-year analysis. J. Trauma 2011; 70: 732-5.
Gunn A, McLeod J, Chapman R et al. Effect of the Prevent Alcohol and Risk-Related Trauma in Youth (PARTY) Program among senior school students. Emerg. Med. Australas. 2018; 30: 209-13.
Kershaw T, Marko J. The Prevent Alcohol and Risk-related Trauma in Youth (PARTY) program: evaluation results from Saskatoon, Canada. Can. J. Public Health 2013; 104: E92.
Wilson DM, Chamberland C, Hewitt JA. Educating youths to make safer choices: results of a program evaluation study. Global J. Health Sci. 2012; 4: 77.
Zask A, van Beurden E, Brooks LO, Dight R. Is it worth the RRISK? Evaluation of the RRISK (Reduce Risk Increase Student Knowledge) program for adolescents in rural Australia. J. Adolesc. Health 2006; 38: 495-503.
Vassallo S, Smart D, Cockfield S, Gunatillake T, Harris A. In the Driver's Seat II: Beyond the Early Driving Years. Melbourne: Australian Institute of Family Studies, 2010.
Smart D, Vassallo S, Sanson A et al. In the Driver's Seat: Understanding Young Adults' Driving Behaviour. Canberra: Australian Institute of Family Studies, 2005.
Transport Accident Commission. Seatbelt Statistics Transport Accident Commission. [Cited 25 Aug 2019.] Available from URL: http://www.tac.vic.gov.au/road-safety/statistics/summaries/seatbelt-statistics
Taverner P, Zipparo L, Goldsworthy J. Survey on speeding and enforcement. CR 214a, Canberra: Australian Transport Safety Bureau, 2003.
Merzel C, D'Afflitti J. Reconsidering community-based health promotion: promise, performance, and potential. Am. J. Public Health 2003; 93: 557-74.
Moore T, McDonald M, McHugh-Dillon H, West S. Community Engagement: A Key Strategy for Improving Outcomes for Australian Families (Child Family Community Australia Paper No. 39). Melbourne: Australian Institute of Family Studies, 2016.
Transport Accident Commission. TAC campaigns Transport Accident Commission. [Cited 25 May 2019.] Available from URL: http://www.tac.vic.gov.au/road-safety/tac-campaigns#top
Victoria State Goverment. Drug education teaching materials Australia: State Government of Victoria; 2019. [Cited 10 Feb 2020.] Available from URL: https://www.education.vic.gov.au/school/teachers/teachingresources/discipline/physed/Pages/drugedulearn.aspx
Victorian Curriculum and Assessment Authority. Victorian Curriculum Foundation-10 Victoria State Government; 2015. [Cited 25 Aug 2019.] Available from URL: https://victoriancurriculum.vcaa.vic.edu.au/level9
Howat P, Sleet D, Elder R, Maycock B. Preventing alcohol-related traffic injury: a health promotion approach. Traffic Inj. Prev. 2004; 5: 208-19.
Ho KM, Litton E, Geelhoed E et al. Effect of an injury awareness education program on risk-taking behaviors and injuries in juvenile justice offenders: a retrospective cohort study. PLoS One 2012; 7: e31776.
Reniers RL, Murphy L, Lin A, Bartolomé SP, Wood SJ. Risk perception and risk-taking behaviour during adolescence: the influence of personality and gender. PLoS One 2016; 11: e0153842.