Abstract
BackgroundThe Health Behaviour in School-aged Children Survey is one of very few cross-national health surveys that includes information on injury occurrence and prevention within adolescent populations. A collaboration to develop a Canadian youth injury report using these data resulted in, Injury among Young Canadians: A national study of contextual determinants. The objective of this study was to develop specific evidence-based, policy-oriented recommendations arising from the national report, using a modified-Delphi process with a panel of expert stakeholders.MethodEight injury prevention experts and a 3-person youth advisory team associated with a Canadian injury prevention organization (Parachute Canada) reviewed, edited and commented on report recommendations through a three-stage iterative modified-Delphi process.ResultsFrom an initial list of 27 draft recommendations, the modified-Delphi process resulted in a final list of 19 specific recommendations, worded to resonate with the group(s) responsible to lead or take the recommended action. Two recommendations were rated as “extremely important” or “very important” by 100 % of the expert panel, two were deleted, a further two recommendations were deleted but the content included as text in the report, and four were merged with other existing recommendations.ConclusionsThe modified-Delphi process was an appropriate method to achieve agreement on 19 specific evidence-based, policy-oriented recommendations to complement the national youth injury report. In providing their input, it is noted that the injury stakeholders each acted as individual experts, unattached to any organizational position or policy. These recommendations will require multidisciplinary collaborations in order to support the proposed policy development, additional research, programming and clear decision-making for youth injury prevention.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-2600-x) contains supplementary material, which is available to authorized users.
Highlights
The Health Behaviour in School-aged Children Survey is one of very few cross-national health surveys that includes information on injury occurrence and prevention within adolescent populations
This set of draft recommendations formed the basis for expert review within the modified-Delphi process
Two recommendations were rated as resonating with the intended audience, and as “extremely important” or “very important” by 100 % of the expert panel: 1) Federal and provincial Health Ministries as well as regional and communitylevel health organizations are urged to make investments to establish and continue surveillance efforts to identify new and emerging patterns of injury, and 2) School districts, schools and Parent Advisory Councils are encouraged to implement evidence-based peer-mentorship programs that address the social context of the school environment and improve feelings of belonging and safety
Summary
The Health Behaviour in School-aged Children Survey is one of very few cross-national health surveys that includes information on injury occurrence and prevention within adolescent populations. A collaboration to develop a Canadian youth injury report using these data resulted in, Injury among Young Canadians: A national study of contextual determinants. One of the only cross-national health surveys that includes information on injury occurrence and prevention within adolescent populations is the Health Behaviour in School-aged Children Survey (HBSC) [4]. HBSC is an international survey conducted every four years in 43 countries that informs understanding of the behaviours and attitudes of youth ages 11–15 years, and the factors. HBSC provides a rare and comprehensive glimpse into health problems, including injury, in the early adolescent years in Canada
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