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Family Practice Advance Access published online on April 1, 2005
Family Practice, doi:10.1093/fampra/cmi016
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© The Author (2005). Published by Oxford University Press. All rights reserved.
Received October 11, 2004
Accepted December 28, 2004

Article

A randomized controlled trial of the effect of providing information on accidental injury admissions and their costs to Primary Care Groups and Trusts

Carol A. C. Coupland 1*, Boki S. P. Savelyich 1, Julia Hippisley-Cox 1, Denise Kendrick 1, Lindsay Groom 1, and Elizabeth Cross 2

1 Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham, NG7 2RD, UK
2 Medical Care Research Unit, School of Health & Related Research (ScHARR), Regent Court, 30 Regent Street, Sheffield S1 4DA, UK

* To whom correspondence should be addressed.
Carol A. C. Coupland, E-mail: carol.coupland{at}nottingham.ac.uk


  Abstract

Background. Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention.

Objective. To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of accident prevention strategies.

Methods. The study is a randomized controlled trial in PCG/Ts in the former Trent Region. Intervention PCG/Ts were sent profiles containing PCG/T specific information on hospital admissions for accidental injury and their costs and on accident prevention interventions. Health promotion leads were surveyed at baseline and three and fifteen months. The primary outcome was whether the PCG/T had a written accident prevention strategy. Secondary outcome measures included other accident prevention activities, prioritization of accident prevention, and knowledge and attitudes towards accident prevention.

Results. At three months 38% of PCG/Ts in the intervention arm had a written accident prevention strategy, compared with 42% in the control arm [difference -4%, 95% confidence interval (CI) -31% to 25%]. At fifteen months these values were 55% in the intervention arm and 50% in the control arm (difference 5%, CI -24% to 33%). There were no statistically significant differences between the groups for any outcome measures.

Conclusions. Providing profiles containing information on accidental injuries to PCG/Ts did not significantly increase the development of accident prevention strategies, however this study only had sufficient power to detect substantial changes. Larger national studies would be required to detect moderate effects of tailored packages in changing PCG/T behaviour.

Keywords: Accidents; education; injuries; prevention; primary care.
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