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| Name | Class |
|---|---|
| Ohio State University | OTHER |
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Specific Aim 1 - In collaboration with partners in Ross County, renovate and develop playgrounds in Chillicothe.
Specific Aim 2 - In collaboration with partners in Ross County, promote safe play and play areas for children on farms.
Injury is the leading cause of mortality and morbidity among children in the United States. Because children spend much of their time playing, it is important that they have safe play environments where they can challenge themselves and develop physically, mentally, and socially. The SPARK Project will focus its intervention in Ross County, Ohio, an area with more than 930 farms. Prior to this project, relatively little has been done to promote the prevention of injuries to children who live and play on farms.
The specific aims of this project are as follows:
The SPARK Project will employ a multi-faceted approach to injury prevention, centered on community partnership and collaboration. Utilizing methodology that was successfully developed and implemented as part of the Community Action for Playground Safety (CAPS) Program in Columbus, the SPARK Project will combine both active and passive injury prevention strategies to reduce playground and play-related farm injuries to children in Ross County.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Playground | Other | The playground arm of the study will consist of playground audits and KAP surveys about playground safety in both Chillicothe and Circleville, Ohio. The intervention is Playground Safety Renovations and Development. |
|
| Farms | Other | The Farm Arm will consist of farm audits with safety checklists and KAP surveys about farm safety. The intervention is a Safety Educational Campaign. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Playground renovation and development | Other | Playgrounds in Chillicothe will be renovated based on priorities determined by audits. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Playground Hazards | The investigators hypothesize that the decrease in the number of identified playground hazards (comparing each playground to itself from the year 1 baseline survey to the year 3 follow-up survey utilizing a playground hazards checklist) will be significantly greater for the intervention playgrounds compared with non-intervention playgrounds in Circleville, Pickaway Co. The percentage increase in the number of playgrounds with adequate safety surfacing will be used as a proxy for playground hazardousness. | Year 1 baseline to year 3 follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Playground and Farm Safety Knowledge, Attitudes and Practices Composite Scores | The investigators hypothesize that the improvement in the playground safety Knowledge, Attitudes, and Practices (KAP) survey composite scores and farm audits from the baseline in year 1 to the follow-up in year 3 will be significantly greater for parents residing in Ross County than for parents in the non-intervention counties (Morrow and Pickaway).The playground safety KAP survey consisted of 7 items and individuals could receive a summed score of 0-7, with a score of 7 indicating mastery of the material. |
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Inclusion Criteria:
For playgrounds
For farms
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gary A Smith, MD, DrPH | Nationwide Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Research Institute at Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Playground | The playground arm of the study will consist of playground audits and KAP surveys about playground safety in both Chillicothe and Circleville, Ohio. |
| FG001 | Farms | The Farm Arm will consist of farm audits with safety checklists and KAP surveys about farm safety. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Playground | The playground arm of the study will consist of playground audits and KAP surveys about playground safety in both Chillicothe and Circleville, Ohio. |
| BG001 | Farms |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Playground Hazards | The investigators hypothesize that the decrease in the number of identified playground hazards (comparing each playground to itself from the year 1 baseline survey to the year 3 follow-up survey utilizing a playground hazards checklist) will be significantly greater for the intervention playgrounds compared with non-intervention playgrounds in Circleville, Pickaway Co. The percentage increase in the number of playgrounds with adequate safety surfacing will be used as a proxy for playground hazardousness. | Posted | Number | % increase playgrounds w/surfacing | Year 1 baseline to year 3 follow-up |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Playground | The playground arm of the study will consist of playground audits and KAP surveys about playground safety in both Chillicothe and Circleville, Ohio. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Gary Smith | Center for Injury Research and Policy | 614-355-5850 | Gary.Smith@Nationwidechildrens.org |
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| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D048788 | Growth and Development |
| ID | Term |
|---|---|
| D010829 | Physiological Phenomena |
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| Educational campaign | Behavioral | Educational materials will be developed and distributed in Ross County. |
|
| Year 1 baseline to Year 3 follow-up |
The Farm Arm will consist of farm audits with safety checklists and KAP surveys about farm safety.
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Categorical | Count of Participants | Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
|
| Farms |
The Farm Arm will consist of farm audits with safety checklists and KAP surveys about farm safety. |
|
|
| Secondary | Playground and Farm Safety Knowledge, Attitudes and Practices Composite Scores | The investigators hypothesize that the improvement in the playground safety Knowledge, Attitudes, and Practices (KAP) survey composite scores and farm audits from the baseline in year 1 to the follow-up in year 3 will be significantly greater for parents residing in Ross County than for parents in the non-intervention counties (Morrow and Pickaway).The playground safety KAP survey consisted of 7 items and individuals could receive a summed score of 0-7, with a score of 7 indicating mastery of the material. | Posted | Mean | Standard Deviation | composite score | Year 1 baseline to Year 3 follow-up |
|
|
|
| 0 |
| 151 |
| 0 |
| 151 |
| EG001 | Farms | The Farm Arm will consist of farm audits with safety checklists and KAP surveys about farm safety. | 0 | 160 | 0 | 160 |
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