Table 2 Families' changes to the home and barriers they reported in implementing safety guidance (n = 98)
From: Keeping our children safe: piloting a hospital-based home-visitation program in Israel
Recommendationa | No. of recommendations implemented | Parents’ comments regarding barriers to implementationb | ||
|---|---|---|---|---|
1st visit | 2nd visit | p valuec | ||
Falls | ||||
Anti-slamming devices installed on the doors | 3 (3.1%) | 62 (63.3%) | p = 0.000 | Device perceived as low quality Useless because the doors are always open Not perceived as a danger |
Cabinets and bookcases fixed to the wall | 28 (29.8%) | 59 (62.1%) | p = 0.000 | Time needed to make change Cannot fix alone- waiting for husband/ professional Not practical/possible Not perceived as a danger |
Stair rails without bars or elements that allow climbing | 18 (81.8%) | 20 (100%) | p = 0.10 | Too expensive |
Furniture far from balcony railing | 29 (74.4%) | 31 (91.2%) | p = 0.06 |  |
Porch rail without bars or elements that allow climbing | 33 (84.6%) | 34 (97.1%) | p = 0.11 |  |
Gates at both ends of the stairs | 4 (23.5%) | 6 (40%) | p = 0.45 | Too expensive Not practical/possible |
Windows barred or have devices that limit opening | 27 (48.2%) | 32 (58.2%) | p = 0.29 | Rental residence change Too expensive Time needed to make change |
Rail surrounds the entire porch | 37 (94.9%) | 34 (97.1%) | p = 1.00 | Too expensive |
Safety rail on the child's bed | 67 (98.5%) | 66 (97.1%) | p = 1.00 |  |
Rails down the length of staircases | 22 (88%) | 20 (90.9%) | p = 1.00 | Too expensive |
Burns and scalds | ||||
Smoke detector installed | 22 (22.4%) | 69 (70.4%) | p = 0.000 | Rental residence Moving to new apartment soon and plan to install there Device perceived as low quality Not perceived as a danger |
Kettle or electric water pot close to the wall and out of child's reach | 81 (88%) | 90 (98.9%) | p = 0.003 |  |
Hot drinks served out of child's reach | 80 (83.3%) | 92 (94.8%) | p = 0.01 |  |
Flammable materials kept high or locked | 11 (55%) | 15 (75%) | p = 0.18 |  |
Cooking on gas burners at a distance from children | 68 (70.1%) | 78 (81.3%) | p = 0.07 | Not practical/possible Hard and uncomfortable to cook only on far burners The burners for regular cooking are in front |
Hot pots kept out of reach during cooking and mealtimes, | 87 (88.8%) | 92 (93.9%) | p = 0.20 | Lack of out of reach areas due to small residence |
Electrocution | ||||
Electrical wires and sockets intact | 89 (90.8%) | 94 (95.9%) | p = 0.15 | Cannot fix alone-waiting for husband/professional |
Safety circuit breaker at home | 97 (99%) | 98 (100%) | p = 1.0 |  |
Poisoning | ||||
Detergents kept in high or locked storage areas | 48 (49%) | 80 (81.6%) | p = 0.000 | Lack of high storage area Accessibility Not perceived as a danger |
Pesticides kept in high or locked storage | 53 (72.6%) | 76 (96.2%) | p = 0.000 |  |
Detergents and pesticides stored in their original packaging | 95 (96.9%) | 98 (100%) | p = 0.24 |  |
Medicines and vitamins kept high or locked storage | 88 (90.7%) | 91 (92.9%) | p = 0.58 | Not perceived as a danger Accessibility "I know it is dangerous but need it accessible and cannot put it away" |
Drowning | ||||
Paddling /plastic pools drained after use; large pools covered and fenced | 60 (95.2%) | 69 (100%) | p = 0.10 | Not practical/possible |
Tubs or bathtubs emptied after use | 84 (97.7%) | 83 (96.5%) | p = 1.0 |  |
Chocking/suffocation | ||||
No playing with balloons/ plastic bags | 49 (53.3%) | 68 (73.9%) | p = 0.004 |  |
Adult supervision while children eat | 76 (88.4%) | 80 (92%) | p = 0.42 | Not practical/possible Not perceived as a danger "I know it is not safe, but it is not practical to supervise every time they eat" "I trust the kid's instincts not to choke" |
Car injury | ||||
Yard fence that separates parking area and children's play area | 32 (72.7%) | 36 (78.3%) | p = 0.54 | Cannot fix alone- waiting for husband/ professional Rental residence Too expensive |