Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai

Abstract Background Unintentional injuries to children are a major public health problem. The online social media is a potential way to implement health education for caregivers in online communities. Using WeChat, a free and popular social media service in China, this study evaluated the effectiven...

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Main Authors: Yuheng Feng, Xueqi Ma, Qi Zhang, Ruo Jiang, Jun Lu, Kaiyue Chen, Huiping Wang, Qinghua Xia, Jicui Zheng, Jingwei Xia, Xiaohong Li
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14462-5
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author Yuheng Feng
Xueqi Ma
Qi Zhang
Ruo Jiang
Jun Lu
Kaiyue Chen
Huiping Wang
Qinghua Xia
Jicui Zheng
Jingwei Xia
Xiaohong Li
author_facet Yuheng Feng
Xueqi Ma
Qi Zhang
Ruo Jiang
Jun Lu
Kaiyue Chen
Huiping Wang
Qinghua Xia
Jicui Zheng
Jingwei Xia
Xiaohong Li
author_sort Yuheng Feng
collection DOAJ
description Abstract Background Unintentional injuries to children are a major public health problem. The online social media is a potential way to implement health education for caregivers in online communities. Using WeChat, a free and popular social media service in China, this study evaluated the effectiveness of social online community-based parental health education in preventing unintentional injuries in children aged 0–3. Methods We recruited 365 parents from two community health centers in Shanghai and allocated them into intervention and control groups randomly. Follow-up lasted for one year. The intervention group received and followed their WeChat group and a WeChat official account for dissemination of reliable medical information. The control group received only the WeChat group. Results Between the intervention and control groups, changes in unintentional injuries (OR = 1.71, 95% CI: 1.02–2.87, P = .04), preventability (β = 0.344, 95% CI: 0.152–0.537, P < .001), daily supervision behavior (β = 0.503, 95% CI: 0.036–0.970, P = .04), and behaviors for preventing specific injuries (β = 2.198, 95% CI: 1.530–2.865, P < .001) were significantly different, and change in first-aid skills for treating a tracheal foreign body were nearly significant (P = .06). Conclusions The WeChat-group-based parental health education can reduce the occurrence of unintentional child injuries by improving parents’ skills, beliefs, and behaviors. Online social communities promote health education and reduce unintentional injuries among children. Trial registration ChiCTR1900020753. Registered on January 17, 2019.
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spelling doaj.art-c2de71191bca488ba5fdf437690219302022-12-22T02:47:16ZengBMCBMC Public Health1471-24582022-11-0122111210.1186/s12889-022-14462-5Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in ShanghaiYuheng Feng0Xueqi Ma1Qi Zhang2Ruo Jiang3Jun Lu4Kaiyue Chen5Huiping Wang6Qinghua Xia7Jicui Zheng8Jingwei Xia9Xiaohong Li10Department of Health Policy and Management, School of Public Health, Fudan UniversityDepartment of Health Policy and Management, School of Public Health, Fudan UniversitySchool of Community and Environmental Health, Old Dominion UniversityDepartment of Health Policy and Management, School of Public Health, Fudan UniversityDepartment of Health Policy and Management, School of Public Health, Fudan UniversityDepartment of Health Policy and Management, School of Public Health, Fudan UniversityCommunity Health Center of Jiading Town, Jiading DistrictChangning District Center for Disease Control and PreventionAffiliated Pediatric Hospital of Fudan UniversityShanghai Huangpu District Maternal and Child Health Care InstituteDepartment of Health Policy and Management, School of Public Health, Fudan UniversityAbstract Background Unintentional injuries to children are a major public health problem. The online social media is a potential way to implement health education for caregivers in online communities. Using WeChat, a free and popular social media service in China, this study evaluated the effectiveness of social online community-based parental health education in preventing unintentional injuries in children aged 0–3. Methods We recruited 365 parents from two community health centers in Shanghai and allocated them into intervention and control groups randomly. Follow-up lasted for one year. The intervention group received and followed their WeChat group and a WeChat official account for dissemination of reliable medical information. The control group received only the WeChat group. Results Between the intervention and control groups, changes in unintentional injuries (OR = 1.71, 95% CI: 1.02–2.87, P = .04), preventability (β = 0.344, 95% CI: 0.152–0.537, P < .001), daily supervision behavior (β = 0.503, 95% CI: 0.036–0.970, P = .04), and behaviors for preventing specific injuries (β = 2.198, 95% CI: 1.530–2.865, P < .001) were significantly different, and change in first-aid skills for treating a tracheal foreign body were nearly significant (P = .06). Conclusions The WeChat-group-based parental health education can reduce the occurrence of unintentional child injuries by improving parents’ skills, beliefs, and behaviors. Online social communities promote health education and reduce unintentional injuries among children. Trial registration ChiCTR1900020753. Registered on January 17, 2019.https://doi.org/10.1186/s12889-022-14462-5WeChat-basedParentsUnintentional injuryCommunity-basedHealth education interventionRandomized controlled trial
spellingShingle Yuheng Feng
Xueqi Ma
Qi Zhang
Ruo Jiang
Jun Lu
Kaiyue Chen
Huiping Wang
Qinghua Xia
Jicui Zheng
Jingwei Xia
Xiaohong Li
Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai
BMC Public Health
WeChat-based
Parents
Unintentional injury
Community-based
Health education intervention
Randomized controlled trial
title Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai
title_full Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai
title_fullStr Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai
title_full_unstemmed Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai
title_short Effectiveness of WeChat-group-based parental health education in preventing unintentional injuries among children aged 0–3: randomized controlled trial in Shanghai
title_sort effectiveness of wechat group based parental health education in preventing unintentional injuries among children aged 0 3 randomized controlled trial in shanghai
topic WeChat-based
Parents
Unintentional injury
Community-based
Health education intervention
Randomized controlled trial
url https://doi.org/10.1186/s12889-022-14462-5
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