Protecting the Little Ones: Empowering Mothers to Prevent Home Hazards ‑ A Quasi‑Experimental Study
Abstract
Background: Children under the age of 5 years are most vulnerable to injuries. The mother is the best person to pass on learning to children, and mothers’ knowledge of home injuries and preventive behaviors is an important factor in reducing these hazards. The present study examined the role of maternal education in the prevention of home hazards in children. Materials and Methods: This quasi‑experimental study was performed on 70 mothers of 2‑ to 5‑year‑old children, who were referred to the community health centers of Shahid Beheshti University of Medical Sciences in 2019. The participants were randomly selected and assigned to two groups. Data related to mothers’ demographic information, knowledge, and performance were collected, and the Injury Behavior Checklist for children was filled. Results: The findings of this study revealed that the mean (SD) of mothers’ knowledge 99.80 (1.12) and performance 61.71 (21.75) increased significantly in the intervention group after the training course (p < 0.05). Moreover, the mean score obtained based on the children’s risky behavior assessment checklist decreased significantly after the intervention (F = 181.35, p < 0.001). Conclusions: Based on the findings of this study, establishing the role of educational intervention in preventing home hazards in 2‑ to 5‑year‑old children, it has been advised to conduct training courses for mothers to improve their performance in childcare.
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Dorney K, Dodington JM, Rees CA, Farrell CA, Hanson HR, Lyons TW, et al.; and the Injury Free Coalition for Kids®. Preventing injuries must be a priority to prevent disease in the twenty first century. Pediatr Res 2020;87:282 92.
Qian LF, Cheng TT, Chen HX, He DH, Peng XM, Zhao QH. Evaluation of the community involvement of nursing experts in reducing unintentional injuries in children. BMC Pediatr 2023;23:42.
Kumari P, Sharma S. Knowledge of mothers about the risk of domestic accident among toddlers: Effectiveness of strategy for teaching about home safety. Res Rev J Med 2018;7:1 7.
Khan S, Tauheed N, Nawab S, Afzal S, Khalique N. Domestic accidents among under 5 year children: A study on the modern day epidemic. Int J Community Med Public Health 2019;6:1529 35.
Rezayat AA, Zarifian A, Maamouri G, Imani B, Tork MA, Ebrahimi N, et al. Child injury mortality in Iran: A systematic review and meta analysis. J Transp Health 2020;16:100816.
West BA, Rudd RA, Sauber Schatz EK, Ballesteros MF. Unintentional injury deaths in children and youth, 2010 2019. J Safety Res 2021;78:322 30.
Bayomy HE, Alshalan MM, Alanazi WK, Alanazi AF, Alanazi FS, Alenazi YS, et al. Domestic injuries among children: Knowledge, attitudes, and practices of first aid among mothers in Arar, Saudi Arabia. BMC Pediatr 2025;25:300.
Younesian S, Mahfoozpour S, Ghaffari Shad E, Kariman H, Hatamabadi HR. Unintentional home injury prevention in preschool children; a study of contributing factors. Emerg (Tehran) 2016;4:72 7.
Kouli O, Morela E, Papanikolaou E, Dalakis A, Karageorgopoulou M, Kambas A. Determinant factors and characteristics of injuries among preschool children in public daycare centers. Children (Basel) 2025;12:251.
Banerjee S, Paul B, Bandyopadhyay K, Dasgupta A. Domestic unintentional injury of 1 to 5 year old children in a rural area of West Bengal, India: A community based study. Tanzania J Health Res 2016;18:1 8.
Silva EC, Fernandes MN, Sá MC, Mota de Souza L, Gordon AS, Costa AC, et al. The effect of educational intervention regarding the knowledge of mothers on prevention of accidents in childhood. Open Nurs J 2016;10:113 21.
Lael Monfared E, Rakhshanderou S, Ramezankhani A, Ghaffari M. Behavioural and environmental risk factors for household injuries: Semistructured interviews with health professionals and mothers in Iran. BMJ Paediatr Open 2023;7:e001762.
Wati AP, Sahid S. Factors influencing parents’ awareness of children’education investment: A systematic review. Sustainability 2022;14:8326.
Aktürk Ü, Erci B. Determination of knowledge, attitudes and behaviors regarding factors causing home accidents and prevention in mothers with a child aged 0 5 Years. J Educ Pract 2016;7:142 53.
Zahedinia F, Akaberian S, Mirzaei K, Azodi P, Dowlatkhah HR, Jahanpour F. Mothers• knowledge, attitudes, and performance toward household accidents at home in children 1•5 years old: An intervention study. Natl J Physiol Pharm Pharmacol. 2018;8:658-63.doi:10.5455/njppp.2018.8.1248103012018.
Amoah A, Asamoah MK. Child survival: The role of a mother’s education. Heliyon 2022;8:e11403.
Zahedinia F, Akaberian S, Mirzaei K, Azodi P, Dowlatkhah H, Jahanpour F. Mothers’ knowledge, attitudes, and performance toward household accidents at home in children 1 5 years old: An intervention study. Natl J Physiol Pharm Pharmacol 2018;8:658-63.
Meimanat Abadi S, Ghofranipour F, Yousefi F, Moradpour F. The effect of educational intervention based on health belief model on the damage caused by accidents among children less than 5 year old of women referred to health centers in Qorveh in 1392. Jorjani Biomed J 2016;4:30 41.
Jullien S. Prevention of unintentional injuries in children under five years. BMC Pediatr 2021;21(Suppl 1):311.
Estebsari F, Filabadi ZR, Matbouei M, Nasiri M. Application of a risk management program based on the health belief model for preventing home accidents. Iran J Nurs Midwifery Res 2023;28:78 84.
Nejatifar M, Soori H, Ghaffari M. Validation of the persian version of the Injury Behavior Checklist (IBC). Iran J Epidemiol 2017;13:110 8.
Alamr F, Alzahrani HM, Alghamdi AM, Alzhrani AS, Alzahrani FA, Alkhediwi LM, et al. Prevalence and risk factors of home accidents among children under five years of age in Al Baha, Saudi Arabia. Cureus 2023;15:e46846.
Gheshlaghi LA, Rastegar A, Binabaj MM, Shoraka HR, Fallahi M. Analysis of the home accidents and their risk factors in Iran: A systematic review and meta analysis. Iran J Public Health 2023;52:1855 65.
Cheraghi P, Poorolajal J, Hazavehi SM, Rezapur Shahkolai F. Effect of educating mothers on injury prevention among children aged<5 years using the Health Belief Model: A randomized controlled trial. Public Health 2014;128:825 30.
Fathi M, Shamsi M, Khorsandi M. Effect of theory based education on the promotion of preventive behaviors of accidents and injuries among mothers with under 5 years old children. Iran J Health Educ Health Promot 2016;4:184 93.
Morrongiello BA, McArthur BA, Bell M. Managing children’s risk of injury in the home: Does parental teaching about home safety reduce young children’s hazard interactions?. Accid Anal Prev 2014;71:194 200.
Morrongiello BA, Corbett M, McCourt M, Johnston N. Understanding unintentional injury risk in young children II. The contribution of caregiver supervision, child attributes, and parent attributes. J Pediatr Psychol 2006;31:540 51.
Morrongiello BA, Zdzieborski D, Sandomierski M, Munroe K. Results of a randomized controlled trial assessing the efficacy of the Supervising for Home Safety program: Impact on mothers’ supervision practices. Accid Anal Prev 2013;50:587 95.
Mahendra RR, Roehler DR, Degutis LC. NCIPC’s contribution to global injury and violence prevention: Past, present, and future. J Safety Res 2012;43:271 7.
Strid EN, Wåhlin C, Ros A, Kvarnström S. Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: A critical incident technique analysis. BMC Health Serv Res 2021;21:511.
Shaban M, Mohammed HH, Hassan S. Role of community health nurse in the prevention of elderly dehydration: A mini review. J Integr Nurs 2022;4:166 71.
Lewis SL, Dirksen SR, Heitkemper MM, Bucher L, Camera I. Medical Surgical Nursing E Book: Assessment and Management of Clinical Problems, Single Volume. Elsevier Health Sciences; 2015.
Saadati M, Tabrizi JS, Rezapour R, Alaei Kalajahi R. Home injury prevention attitude and performance: A community based study in a designated safe community. J Inj Violence Res 2020;12. doi: 10.5249/jivr.vo112i2.1506.
Bagahirwa I, Mukeshimana M, Cherian T, Nkurunziza T, El Khatib Z, Byiringiro JC, et al. Presentation of Pediatric Unintentional Injuries at Rural Hospitals in Rwanda: A Retrospective Study. Ann Glob Health 2020;86:116.
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