The Impact of Lectures (Given to Children from 9–11 Years) on the Recognition of Risk Situations for the Occurrence of Traumatic Brain InjuryArticle in several languages: English | português
24 July 2015
21 October 2015
04 February 2016 (online)
Introduction It is believed that the prevention of head trauma (TBI) can be achieved with campaigns to raise awareness about safety measures.
Methods Longitudinal, observational and analytical cohort study. Standardized questionnaires were administered to students from 4th to 6th grade elementary school, before and immediately after the intervention. Items on habits//exposure to TCEs were analyzed categorically as theoretical knowledge were evaluated semi-continuously. A randomly selected subgroup was subjected to the same questionnaires past 9 months of educational lectures.
Results A total of 117 students (55 girls) were interviewed initially (4th [n ¼ 14/117], 5th [n ¼ 54/117] and 6th [n ¼ 49/117] series, average age of 9.8, 10, 7 and 11.8 years). Of these, 22 students were submitted to the late posttest (7th grade, 12.7 years on average). Among the participants, 37% (43/116) students had already suffered/knew someone who suffered TBI, 58% (18/31) were involved in traffic accidents and 42% (13/31) were involved in accidents with bicycle, skates or skateboard. Among these subjects, 90.3% reported occasional use or never having used protection during play. A significant discrepancy was detected between safety habits and theoretical knowledge related to helmet use and the use of seat belts (effective use versus hits on knowledge of respectively 37% versus 61%, and 70% versus 92%). In the theoretical evaluation, improvement was observed only with regard to the importance of helmet usage (61% in the pretest, 72% in the immediate posttest and 95% in the late posttest).
Conclusion The high rate of experience with TBI coupled with the significant discrepancy between habits and knowledge regarding trauma prevention stress the need for effective measures leading to their actual implementation. The intervention increased awareness about the importance of helmet usage, suggesting partial effectivity from a theoretical standpoint.
- 1 NAEMT. Atendimento pré-hospitalar ao traumatizado - PHTLS; [translated by Renata Scavone et al.] 7.ed. Rio de janeiro: Elsevier; 2011
- 2 Salvarani CP. Impacto de um projeto de intervenção de acidentes de trânsito em um município no interior do Brasil [thesis]. Faculdade de Medicina de Ribeirão Preto/USP, 2006
- 3 Greene A, Barnett P, Crossen J, Sexton G, Ruzicka P, Neuwelt E. Evaluation of the THINK FIRST For KIDS injury prevention curriculum for primary students. Inj Prev 2002; 8 (03) 257-258
- 4 Lopez FA, Júnior DC. Tratado de pediatria: sociedade brasileira de pediatria. 2.ed. Barueri, SP: Manole; 2012
- 5 Farage L, Colares VS, Capp Neto M, Moraes MC, Barbosa MC, Branco Jr JdeA. As medidas de segurança no trânsito e a morbimortalidade intra-hospitalar por traumatismo craniencefálico no Distrito Federal. Rev Assoc Med Bras (1992) 2002; 48 (02) 163-166
- 6 Brasileira de Neurocirurgia S. (SBN). See: http://www.sbn.com.br/index/institucional/pense-bem Last access: 26 de abr. 2014
- 7 Falavigna A, Teles AR, Velho MC. , et al. Impact of an injury prevention program on teenagers' knowledge and attitudes: results of the Pense Bem-Caxias do Sul Project. J Neurosurg Pediatr 2012; 9 (05) 562-568
- 8 Falavigna A, Medeiros GS, Canabarro CT. , et al. How can we teach them about neurotrauma prevention? Prospective and randomized “Pense Bem-Caxias do Sul” study with multiple interventions in preteens and adolescents. J Neurosurg Pediatr 2014; 14 (01) 94-100
- 9 Silveira AG. Trauma cranioencefálico na criança: uma revisão integrativa. Trabalho de conclusão de curso da escola de enfermagem da Universidade federal do Rio Grande do Sul, Porto Alegre, 2013
- 10 Martins CBG, Andrade SM. Causas externas entre menores de 15 anos em cidade do sul do Brasil: atendimentos em pronto-socorro, internações e óbitos. Rev Bras Epidemiol 2005; 8 (02) 194-204