Home Safety Research Articles

Examining the Perceptions Among Undergraduate Nursing Students Using Virtual Reality in a Community Course: A Mixed-Methods Explanatory Study

ABSTRACT Purpose This study investigated undergraduate nursing students’ perceptions of integrating virtual reality (VR) technology into a community nursing course, specifically home and environmental patient safety assessments. Design This study used a mixed-methods approach with an explanatory design. Methods Participants were recruited from a community health course. The students engaged in a VR simulation involving home visits using the vizHome platform. Quantitative and qualitative data were gathered using the Technology Acceptance Model (TAM) and the System Usability Scale (SUS). Semi-structured interviews were conducted. Quantitative data were collected through Qualtrics and secure Zoom connections for the interviews. The data were analyzed with SPSS and MAXQDA. Findings The results indicated that participants perceived VR as valuable and easy to use for learning home assessment skills. The System Usability Scale (SUS) score revealed room for improvement. Technical limitations were identified as challenges that must be addressed to enhance the user experience. Conclusion Participants acknowledged VR’s potential to supplement traditional learning methods, providing safe and realistic exposure to diverse home environments. While VR was seen as beneficial, it was not considered a replacement for actual home visits in community nursing education. Clinical evidence This study provided clinical teaching evidence on the usability and student perceptions of VR in community courses.

Parental Home Safety Practices for Domestic Accident Prevention: How Prepared Were Parents for COVID-19 Confinement? A Cross-Sectional Study.

(1) Background: Children are susceptible to home injuries. How prepared parents were to protect their children from accidents before and during the COVID-19 quarantine is uncertain. (2) Methods: We conducted a community-based, cross-sectional study in Greece between November and December 2021. We asked parents to complete an anonymous questionnaire voluntarily. Questions focused on accident-preventive measures taken at home during the COVID-19 quarantine. (3) Results: A greater proportion of parents took protective measures for a safer home before the lockdown than during the quarantine, while an interesting percentage of parents never utilized preventive measures for their children. Slightly more than half (58.6%) of parents did not seem to worry about a possible increase in domestic accidents during the quarantine. It was observed that those who had one or two children took more protective measures than those with more than two children. Older parents seemed to explain to their children how to access emergency services more often. Mothers stayed at home with the children more often, and their education affected the presence of some of the assessed measures. In our logistic regression modeling, parental concern about accidents was more related to the incidence of an accident during the pandemic and attendance at seminars. (4) Conclusions: Although the COVID-19 lockdowns disorganized family life, parents were aware of the importance of their parenting role in creating a safe environment for children, but according to the study, there is room for improvement.

IOT based Intelligent Home Safety Control Centre

This research focuses on the development of an IOT (IoT) intelligent home safety control centre. System consists of a user side, a safety control centre, and a terminal node, with each component having specific functionalities to enhance the safety and safety of the intelligent home environment. Key modules include data encrypting/decrypting, safety communication, control centre of user access and verification of node identity, reliable platform for credibility verification, and log inspect and alarm. The system ensures data safety, authentication, credibility analysis, and system monitoring, thereby improving the safety performance and running efficiency of the intelligent home system.

Development and evaluation of a theory-based health promotion programme aimed at improving retirees’ psychological well-being and quality of life: a protocol for a mixed-method study

IntroductionThe changes that retirees experience during their retirement years will challenge their ability to cope, potentially endangering their health and quality of life. This study aims to design and evaluate...

Burn and Trauma Burden and Screening for Interpersonal Violence During the COVID-19 Pandemic

IntroductionNationwide shelter-in-place (SIP) orders during the pandemic have had long-lasting effects, including increased rates of domestic violence and interpersonal violence. Screening for violence varies by institution, which tool is used, and when. Given increases in burn and trauma admissions over the course of the pandemic, we sought to examine trends at our institution during this time period to better guide care and anticipate system-level effects. MethodsWe performed a retrospective cohort study of pediatric burn and adult burn and trauma patients at our level 1 trauma/burn center between March-May 2019 and March-May 2020. Home safety screening was performed by nursing staff using a 1-part screening questionnaire. Patients presenting before March 15, 2020, were defined as “pre-SIP; ” between March 16-May 19, 2020, were “during SIP; ” and those after May 19, 2020, were designated as “post-SIP.” Descriptive and chi-square statistics were used. Demographic, injury patterns, and screening information were collected. ResultsBlunt trauma comprised 60% of injuries, followed by burns (30%) then penetrating injury (7%). Over the entire time period analyzed, 1822 patients had documented home safety screening; ∼2% of patients screened reported a safety concern pre-SIP, compared to 3% of patients during SIP. There were higher rates of burns and penetrating injury during SIP compared to other periods (P ≤ 0.0001). Home safety screening rates were 94%-95% pre- and during SIP, but dropped to 85% post-SIP (P < 0.0001). Home safety concerns were reported almost 2% of the time pre-SIP and 3% during SIP (P = 0.016). ConclusionsWe noted an increase in trauma and burns during and after SIP orders, consistent with the experiences of other institutions. Implementation of a nurse-driven screening process demonstrated high compliance with appropriate referrals. The burden of burn and traumatic injury remains significant, highlighting a need for continued psychosocial screening and the provision of psychosocial support resources in the acute trauma setting.

Non-interventional, 5-year retrospective data of home parenteral nutrition in patients with benign chronic intestinal failure: Analysis of an Italian nurse registry (SERECARE II)

ObjectiveThis study is an assessment of home parenteral nutrition service performance and safety and efficacy outcomes in patients with benign chronic intestinal failure. MethodsThis is a retrospective, non-interventional, and multicenter study. Data were collected by trained nurses and recorded in a dedicated registry (SERECARE). ResultsFrom January 1, 2013 to June 30, 2018, data from a total of 683 patients with benign chronic intestinal failure were entered in the registry. Patients included 208 pediatric (53.8% male; median age = 4.0 y) and 475 adult (47.6% male; median age = 59.0 y) participants. On average, patients were visited 5.4 ± 4.5 times and received 1.4 ± 0.8 training sessions. Retraining was not common and mostly due to change of therapy or change of caregiver. Of 939 complications, 40.9% were related to the central venous catheter and were mostly infectious (n = 182) and mechanical (n = 187). The rate of infectious and mechanical complications per 1000 catheter days decreased over 5 y (0.30–0.15 and 0.33 –0.19, respectively). The rate of complications per 1000 catheter days and the mean complications per patient were higher in pediatric than in adult patients. The hospitalization rate was 1.01 per patient throughout the study period. These data were similar to those registered in a previous study period (2002–2011) (n = 1.53 per patient). Changes over time in the efficacy variables were mostly small and non-significant. ConclusionsThis study confirms the importance of setting up and maintaining structured registries to monitor and improve home parenteral nutrition care. Safety outcomes have improved over the years, most likely due to the underlying efficient nursing service.

81 Assessment of Functional Capacity Interview (AFCI): A New Informant- Report Measure to Detect Disability Risk in Older Adults

Objective:Functional disability is a foreseeable consequence of neurodegenerative diseases affecting cognition, yet there are few validated instruments that assess functional capacity for use in pre-clinical and clinical dementia conditions. To our knowledge, the existing instruments do not comprehensively assess decision-making capacity across the numerous functional domains of daily life. We developed and evaluated the utility of an informant-report measure, the Assessment of Functional Capacity Interview (AFCI), within a sample of cognitively unimpaired and preclinical dementia groups.Participants and Methods:Based on a comprehensive literature review, analysis of existing measures, and clinical experience, we generated &gt;40 items consisting of open-ended questions assessing crucial aspects of daily functioning. These items were presented to 12 experts in the field of geriatrics and neuropsychology, through a graded approach (4 rounds of feedback and alterations), resulting in item modification or rejection, as well as addition of new items. The remaining items were piloted on three informants at the time of outpatient clinical evaluations, leading to further item refinement. The final version of the AFCI evaluated capacity across domains of financial affairs and management, medical affairs and healthcare management, home and personal safety, and social behaviors and community functioning. The AFCI contained 6 items per domain with response items that ranged from 0=no difficulty to 3=severe difficulty (scores ranged from 0 to 72).Results:Participants (N = 58; Agemean = 76; Educationmean = 16) were classified as cognitively unimpaired (CU, n = 17), subjective cognitive decline (SCD, n = 24), or mild cognitive impairment (MCI, n = 17) based on established criteria. All participants had a knowledgeable informant who completed the AFCI. We found statistically significant moderate to large correlations between the AFCI total score and an informant report measure of cognitive functioning (Brief Informant Form of Neurobehavioral Symptomatology total score), rs(42) = .73, p &lt; .001, Test of Practical Judgment-informant total score rs(42) = .87, p &lt; .001, and Montreal Cognitive Assessment total score rs(41) = -.34, p = .027. A Kruskal-Wallis H test revealed significant differences in AFCI total score between the three diagnostic groups, H(2) = 12.30, p = .002. Pairwise post-hoc analysis with Bonferroni correction showed a significant difference between CU and MCI (p = .001). The difference in AFCI total score between SCD and MCI was in the expected direction, but did not achieve statistical significance with correction, (p = .068). As expected, there was no statistically significant difference between CU and SCD (p =.353).Conclusions:In this pilot sample (data collection is ongoing), the AFCI showed promise as a brief, clinically useful functional capacity instrument that is easily administered during a clinical interview or completed by knowledgeable informants. Results can help identify compromised decision-making in at-risk older adults to aid the prevention of common safety issues within this vulnerable population. Ongoing research will extend preliminary investigation of validity and further inform the utility of AFCI in both diagnostic and interventional contexts

Helpline-Informed Approaches to Remote Learning Needs for Students at Risk of Maltreatment

Remote schooling during the COVID-19 pandemic offered a window into unique concerns regarding student well-being, particularly for students lacking a safe and supportive home environment. We sought to identify school-related concerns voiced by youth under age 25 who reported distress to a hotline via text or chat while in remote school during the pandemic. Qualitative thematic analysis was conducted on 60 transcripts. Help-seekers were an average age of 15.4 years (range: 10-21 years), from 25 states and Canada, and mostly female (57%). Our results yielded five student concerns: feeling trapped, school as escape, isolation, distress from parental schoolwork enforcement, and accommodation challenges for students with disabilities. We identified needs regarding novel methods for abuse reporting, social support, and access to services for student mental health, students with disabilities, and parents. This work demonstrates the importance of incorporating the voices of vulnerable youth in interventions to support students during remote learning.

CHASE (Children’s Housing Assessment for a Safe Environment): a protocol for the inspection and modification of injury risks in children’s homes

BackgroundDecades of research and practice experience have led to an extensive body of evidence about effective home safety modifications. However, the benefits of safety modifications have not reached all segments of society. Poor quality housing in low-income neighborhoods, along with limited access to safety products and injury prevention information, can be significant barriers to child safety.MethodsThis is a longitudinal study of 300 low-income families in Baltimore City and Baltimore County with children under 7 years of age who are referred from existing Green & Healthy Homes Initiative (GHHI) home visiting programs. Three home visits will be completed to assess home injury hazards using a previously developed tool, the Children’s Housing Assessment for a Safe Environment (CHASE), and provide a Scope of Work that includes home modifications specific to the identified home injury hazards. An Assessor will also provide do-it-yourself education materials and injury prevention supplies to assist residents in completing the modifications. If the parent or caregiver is unable to complete the home modifications, a professional Housing Intervention Services team will complete the home modifications necessary to prevent injury in the home. This study will involve both quantitative and qualitative data analysis methods. Paired and regression analyses will be conducted to examine the maintenance of modifications and the variables associated with positive outcomes. A thematic analysis of staff and participant interviews will be used to identify perceived barriers and facilitators of successful program implementation.DiscussionBetter data on residential injuries of children and an improvement in the overall surveillance of home injuries are necessitated. This study will set a strong foundation for a larger future study of health and cost effectiveness outcomes and will advance our understanding of the feasibility, costs, and potential benefits of addressing and preventing home injuries to children.

Application of wireless sensor network technology based on artificial intelligence in security monitoring system

Abstract The safety monitoring system has been used to monitor and manage engineering safety operation. The application scope of the safety monitoring system is very wide. It has a wide range of applications in the fields of pipeline safety monitoring, electrical safety monitoring and household safety monitoring. This article studied the application process of the household safety monitoring system. Many home safety accidents are caused by inadequate monitoring of safety problems. Therefore, it is very important to establish a household safety monitoring system. Traditional home safety monitoring systems only rely on cameras for safety monitoring, and the traditional home safety monitoring system uses too few sensors. With the continuous development of wireless sensor network (WSN) technology, it is possible to build a sensor node network, but provides real-time information for home security monitoring to the greatest extent. This article compared the home safety monitoring system based on the WSN technology of artificial intelligence (AI) with the traditional home safety monitoring system. The experimental results showed that in the large-scale home environment, the average monitoring accuracy of the traditional home security monitoring system and the home security monitoring system based on the WSN technology of AI was 77.76 and 89.36%, respectively. In the small-scale home environment, the average monitoring accuracy of the traditional home safety monitoring system and the home safety monitoring system based on the WSN technology of AI were 87.63 and 94.43%, respectively. Monitoring accuracy refers to the accuracy of the household safety monitoring system in detecting safety issues. Therefore, the application of the WSN technology based on artificial intelligence to the home safety monitoring system can effectively improve the accuracy of home safety monitoring.

Evolution of Food Protein-Induced Enterocolitis Syndrome (FPIES) Index Trigger Foods and Subsequent Reactions After Initial Diagnosis.

Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy treated by trigger food avoidance and supportive care. Whether the prevalence of different trigger foods is changing with evolving food introduction patterns is unknown. The rate and nature of subsequent reactions after initial diagnosis have not been fully studied. We sought to characterize how trigger foods have changed over time and investigate the nature of subsequent reactions after initial diagnosis. We collected data regarding patients' FPIES reactions from 347 patients seen in the University of Michigan Allergy and Immunology clinic for FPIES from 2010 to 2022. Inclusion criteria consisted of pediatric patients diagnosed with FPIES by an allergist based on international consensus guidelines. Most foods including less commonly cited FPIES triggers increased in frequency over time. The most common index trigger was oat. A total of 32.9% (114 of 347) patients experienced a subsequent reaction after education on trigger avoidance and safe home introduction of new foods, with 34.2% (41 of 120) of subsequent reactions to new triggers at home and 45% (54 of 120) to known triggers at home. Of patients reacting subsequently, 28% (32 of 114) experienced a subsequent reaction necessitating an emergency department visit. The most common new subsequent reaction triggers were egg and potato, whereas peanut most commonly triggered reactions on oral food challenge. The risk profile of FPIES triggers may be evolving over time, though high-risk FPIES foods remain common. The subsequent reaction rate after counseling indicates that home food introduction poses risk. This study highlights the need for improved safety of new food introduction and/or prediction methods for FPIES to help prevent potentially dangerous home FPIES reactions.

Features of the introduction of smart home systems to ensure the safety of housing

Comfort, safety and economy — that's what distinguishes a smart home from standard housing. For many people, it is very important that their home is as comfortable and safe as possible. This is especially necessary for those who have hearing, vision, musculoskeletal disorders, as well as for elderly and disabled citizens. Specialists of the Istok-Audio Group have designed the Istok-Smart smart home system, which contains the best technical solutions in the field of creating a safe and comfortable home.

Tracheostomy in Severe Bronchopulmonary Dysplasia-How to Decide in the Absence of Evidence.

Infants with the most severe forms of bronchopulmonary dysplasia (BPD) may require long-term invasive positive pressure ventilation for survival, therefore necessitating tracheostomy. Although life-saving, tracheostomy has also been associated with high mortality, postoperative complications, high readmission rates, neurodevelopmental impairment, and significant caregiver burden, making it a highly complex and challenging decision. However, for some infants tracheostomy may be necessary for survival and the only way to facilitate a timely and safe transition home. The specific indications for tracheostomy and the timing of the procedure in infants with severe BPD are currently unknown. Hence, centers and clinicians display broad variations in practice with regard to tracheostomy, which presents barriers to designing evidence-generating studies and establishing a consensus approach. As the incidence of severe BPD continues to rise, the question remains, how do we decide on tracheostomy to provide optimal outcomes for these patients?

Co-Circle: Energy-Efficient Collaborative Neighbor Discovery for IoT Applications

Device discovery or neighbor discovery, which enables devices to detect other devices in the vicinity, plays an important role in many IoT applications as it is a prerequisite for wireless communication and interaction with each other. In this paper, we study collaborative neighbor discovery, where multiple sensors connected to a gateway collaborate to discover another mobile device. Such a scenario can be found in many applications such as automotive keyless access system, smart home monitoring, asset tracking, and safety monitoring. We first build an analytical model called Co-Circle for collaborative neighbor discovery. Based on Co-Circle, we derive the lower bound of the expected discovery latency. Then, we show how the lower bound of the expected discovery latency varies with the energy budget (or duty cycle). Finally, we propose an optimal collaboration scheme that can achieve the lower bound of the expected discovery latency. Experimental results verify the performance of proposed collaboration scheme.

269 Profiling frail patients assessed by the rapid access frailty team in the emergency Department of a Level 3 hospital

Abstract Background The Rapid Access Frailty Team (RAFT) in the Emergency Department (ED) currently consists of 2 physiotherapists. The aim of the team is to review frail patients presenting to the ED during core working hours. Key roles of the team include facilitating a safe discharge and providing early intervention to assist patient flow and a safer, more positive patient experience. Methods For the purpose of this study, frail patients were defined as those with a score of 4 or greater on the Clinical Frailty Scale (CFS). Data was manually recorded after each episode of care using data entry points including demographic details, interventions, outcome etc. Data was analysed from a 5 month period between January–May 2023. Results The RAFT Team reviewed an average of 100 patients per month. (Age range 44-98 yrs). 51% were over 75 years old. Gender distribution was not significantly different. 57% were female versus 43% male. The main presenting complaint of frail patients assessed by RAFT was falls. 69% of those reviewed were discharged. Approximately 36% of this group lived alone. 61% were female (Mean age 81y). 39% were males (Mean age 77y). CFS scores of those living alone ranged from 4–7. 37.5% of those reviewed had formal care in place at home. 10% of carers showed evidence of carer stress. 88% of patients had a falls assessment and equipment was provided to 65%. Physiotherapy (65%), Occupational Therapy (28%) and PHN were the most common community referrals required. 30% were referred to our Rapid Access Frailty Hub. Conclusion The number of frail patients presenting to our ED is growing. Increasing numbers of frail under 75yo patients are requiring RAFT input. Many frail patients continue to live at home alone. The RAFT team play a vital role in improving quality of care for this patient group and facilitate rapid, safe discharge home where possible.

18 Early supported discharge for older adults admitted to hospital with medical complaints: a qualitative study exploring the views of stakeholders

Abstract Background Early Supported Discharge (ESD) is well established as a model of health service delivery for people with stroke. Emerging evidence indicates that ESD reduces length of stay for older medical inpatients. There is a dearth of evidence exploring the views of stakeholders on ESD as a model of care for older medical inpatients. The overall aim of this study is to explore the views and perceptions of older adults, family carers and healthcare professionals on the potential role of ESD for older adults admitted to hospital with medical complaints. Methods We conducted a qualitative interview and focus group study at University Hospital Limerick (UHL) from November 2021 to January 2022. Purposeful sampling was used to recruit older adults and family carers for interview. For Healthcare Professionals (HCPs), snowball purposeful sampling was used for focus groups. Braun and Clarke’s approach to thematic analysis was used. Ethical approval was granted by the HSE Mid-Western Area Regional Ethics Committee in November 2021 (REC Ref. 096/2021). Results Fifteen HCPs took part across three focus groups, with six older adults and two family members participating in one-to-one interviews. Three themes were identified: (1) Pre-ESD experiences of providing and receiving older adult inpatient care, (2) Navigating discharge procedures from acute hospital services and (3) A vision for more integrated model of care and a medical ESD team. Conclusion This qualitative study was the first to explore the views and perceptions of older adults and healthcare professionals on the potential role of ESD for older adults admitted to hospital with medical complaints. The current experiences and barriers to efficient and safe discharge home from hospital were highlighted by stakeholders. The potential role for ESD in this population group was discussed, as well as the key factors to be considered in running an ESD service for medical older adults.

Health and wellbeing among the empty nest and non-empty nest elderly in China-Results from a national cross-sectional study.

The number of empty nest elderly in China has gradually increased in recent years. There is growing concern about the physical and mental health of this population as empty nest elderly are commonly at the risk of compromising health, home safety and quality of life. This study reported the health and well-being of empty nest elderly with regards to their health status, depression and satisfaction, lifestyle as compared to non-empty nest elderly in China. Data was collected from the 2018 follow-up interviews of China Health and Retirement Longitudinal Survey. We included 4,630 empty nest elderly and 6,188 non-empty nest elderly. Chi-square Test and Logistic Regression were used to compare the differences between these two groups. As compared to the non-empty nest elderly, there was higher proportion of empty nest elderly who suffered from dyslipidemia, diabetes, chronic lung diseases, heart attack (27.0% vs. 25.0%; 16.6% vs. 15.1%; 19.4% vs. 16.4%; 26.3% vs. 23.4%, P < 0.05). The empty nest elderly had higher proportion of participants who drank more than once a month (25.3% vs. 23.9%, P < 0.05), who felt satisfied with their marriage (71.6% vs. 66.2%, P < 0.001), who were satisfied with their children's relationship (85.2% vs. 83.2%, P < 0.001). However, these significances disappeared in the Logistic Regression analysis (P > 0.05). Our study showed that significant between-group difference was found between empty nest elderly and non-empty nest elderly in their health and wellbeing. However, disappearance of such difference in the multivariable analysis may indicate improved health and wellbeing among the empty nest elderly. Even though our study still suggested the importance of improving the health, lifestyles and family dynamics of the elderly and promoting the integration of health and social care for the elderly, especially among the empty nest elderly.

Effectiveness of care bundle approach on neuropathic pain and knowledge on home safety measures

The experience of pain in cancer is widely accepted as a major threat to the quality of life, and the relief of pain has emerged as a priority in oncology care. The study aimed to analyze the effectiveness of the care bundle approach on neuropathic pain and the knowledge of home safety measures using chemotherapy-induced peripheral neuropathy. A true experimental repeated measure design was used for this study. One hundred and twenty cancer patients receiving cancer chemotherapy were selected in this study. In the present study, health teaching was given on home safety measures by handout presentation among patients receiving chemotherapy drugs. The neuropathic pain in the pre-test and post-test in control and experimental groups were analyzed by the Mann-Whitney rank sum test. It is the responsibility of the oncology nurse to develop a plan of care to manage the symptoms of Chemotherapy-induced peripheral neuropathy, keep the patient safe, and allow them to continue cancer treatment.&#x0D; Keywords: Care bundle; cancer; chemotherapy; neuropathic pain.

In Search of a Meaningful Story Art Psychotherapy and Adopted Children

Due to its nature, art psychotherapy can offer adopted children the capacity and opportunity to face problems that might occur at a young age. This paper examines what adoption means to children and how it impacts their mental, social, and emotional well-being. It goes on to provide an insight into how art psychotherapy can address emotional conflict, foster coping mechanisms, reduce anxiety, improve problems solving skills, and integrate traumatic experiences in ways that are not feasible through verbal therapy. A series of guidelines and activities are proposed in order to stimulate the creative therapeutic process. The conclusion is that art psychotherapy, together with the safety of a stable home and caring family, can allow adopted children to face past problems and live a more balanced life.

Evaluating the effect of child home safety training upon three family support practitioner groups: a mixed-methods study.

Unintentional injuries in the home contribute substantially to preschool child morbidity and mortality. Practitioners such as health visitors, family mentors and children's centre staff are well-positioned to facilitate child injury prevention by providing home safety advice to families, and training may enhance their ability to do so. We aimed to assess the impact of child home safety training for these practitioners. An explanatory mixed-methods design was used. Practitioners completed questionnaires before, and up to 7 months after, receiving child home safety training and took part in interviews. Seventy-eight health visitors, 72 family mentors and 11 children's centre staff members completed questionnaires. Items were used to calculate scores on home safety knowledge, confidence to provide home safety advice and belief that child home safety promotion is important. Thematic analysis of interviews with seven health visitors and nine family mentors, open-ended responses to the questionnaires and an additional evaluation form was conducted to explore attendees' perceptions of the training and its impact. In addition, seven health visitors and six children's centre staff who had received no training were interviewed. Knowledge was greater post-training than pre-training across all participants (p < .001). When practitioner groups were analysed separately, there were significant increases in family mentors' knowledge (p < .001) and belief (p = .016), and health visitors' confidence (p = .0036). Qualitative findings indicated that most training session attendees valued the training, believed their practice relating to child home safety had improved as a result, and felt further similar training sessions would be beneficial. Those who had not attended the sessions described a need for more child home safety training. Delivering training to practitioners providing child home safety promotion to families with preschool children can enhance injury prevention knowledge, beliefs and confidence and positively impact on home safety promotion by practitioners.