{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:08:31Z","timestamp":1792426111701,"version":"4.5.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Nurs Res"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:italic toggle=\"yes\">Period of PURPLE Crying<\/jats:italic>\n                      Program\u00ae (\n                      <jats:italic toggle=\"yes\">PURPLE<\/jats:italic>\n                      ) is a universal parent education program that is delivered by nurses and health care providers to all parents\/caregivers of newborns in British Columbia (B.C.). The aim of the program is to reduce the incidence of Traumatic Head Injury -Child Maltreatment (THI-CM), a form of child physical abuse.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To determine if the\n                      <jats:italic toggle=\"yes\">PURPLE<\/jats:italic>\n                      program had an impact on the rate of physical abuse hospitalizations for children less than or equal to 24 months of age in B.C. since implementation in 2009.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The analysis measured physical abuse hospitalization rates for the period January 1, 1999 to December 31, 2019 and excluded any cases of confirmed Traumatic Head Injury-Child Maltreatment. Data were divided into pre-implementation period January, 1999 to December, 2008, and post-implementation period January, 2009 to December, 2019. Data were obtained from the Discharge Abstract Database and B.C. THI-CM Surveillance System to capture information on infant child abuse. Poisson regression and ANCOVA was applied to model the change in rates pre and post program implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Physical abuse hospitalization rates decreased by 30% post-implementation period (95% CI: \u221214%, 57%, p\u2009\u2009=\u2009\u20090.1561). The decreasing linear trend in the post-implementation period was significantly different than the increasing linear trend in the pre-implementation period (F\n                      <jats:sub>1,17<\/jats:sub>\n                      \u2009\u2009=\u2009\u20094.832, p\u2009\u2009=\u2009\u20090.042).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Nurses\u2019 role in engaging parents in conversations about\n                      <jats:italic toggle=\"yes\">PURPLE<\/jats:italic>\n                      messages over multiple timepoints within a structured universal program model resulted in a decrease in physical abuse hospitalization rates since the implementation of\n                      <jats:italic toggle=\"yes\">PURPLE<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08445621231222527","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T02:18:31Z","timestamp":1703038711000},"page":"109-116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Impact of a Parent Education Program Delivered by Nurses and Health Care Providers in Reducing Infant Physical Abuse Hospitalization Rates in British Columbia, Canada"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9106-3880","authenticated-orcid":false,"given":"Karen","family":"Sadler","sequence":"first","affiliation":[{"name":"BC Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahra","family":"Rajabali","sequence":"additional","affiliation":[{"name":"BC Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Zheng","sequence":"additional","affiliation":[{"name":"BC Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nita","family":"Jain","sequence":"additional","affiliation":[{"name":"BC Children's Hospital"},{"name":"BC Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Pike","sequence":"additional","affiliation":[{"name":"BC Children's Hospital"},{"name":"BC Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2015.05.001"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2018.02.001"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1108\/17466660200600020"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2018.07.004"},{"issue":"1","key":"e_1_3_3_6_1","first-page":"14","article-title":"Prolonged and unsoothable crying bouts in infants with and without colic","volume":"26","author":"Barr R.","year":"2005","unstructured":"Barr R., Paterson J., Macmartin L., Lehtonen L., Young S. 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