{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T05:47:50Z","timestamp":1794462470898,"version":"4.9.1"},"reference-count":52,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:sec><jats:title\/><\/jats:sec><jats:sec><jats:title>BACKGROUND AND OBJECTIVES<\/jats:title><jats:p>The American Academy of Pediatrics designed The Injury Prevention Program (TIPP) in 1983 to help pediatricians prevent unintentional injuries, but TIPP\u2019s effectiveness has never been formally evaluated. We sought to evaluate the impact of TIPP on reported injuries in the first 2 years of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We conducted a stratified, cluster-randomized trial at 4 academic medical centers: 2\u00a0centers trained their pediatric residents and implemented TIPP screening and counseling materials at all well-child checks (WCCs) for ages 2 to 24 months, and 2 centers implemented obesity prevention. At each WCC, parents reported the number of child injuries since the previous WCC. Proportional odds logistic regression analyses with generalized estimating equation examined the extent to which the number of injuries reported were reduced at TIPP intervention sites compared with control sites, adjusting for baseline child, parent, and household factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 781 parent\u2013infant dyads (349 TIPP; 432 control) were enrolled and had sufficient data to qualify for analyses: 51% Hispanic, 28% non-Hispanic Black, and 87% insured by Medicaid. Those at TIPP sites had significant reduction in the adjusted odds of reported injuries compared with non-TIPP sites throughout the follow-up (P = .005), with adjusted odds ratios (95% CI) of 0.77 (0.66\u20130.91), 0.60 (0.44\u20130.82), 0.32 (0.16\u20130.62), 0.26 (0.12\u20130.53), and 0.27 (0.14\u20130.52) at 4, 6, 12, 18, and 24 months, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>In this cluster-randomized trial with predominantly low-income, Hispanic, and non-Hispanic Black families, TIPP resulted in a significant reduction in parent-reported injuries. Our study provides evidence for implementing the American Academy of Pediatrics\u2019 TIPP in routine well-child care.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2023-062966","type":"journal-article","created":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T08:06:01Z","timestamp":1711958761000},"source":"Crossref","is-referenced-by-count":30,"title":["The Injury Prevention Program to Reduce Early Childhood Injuries: A Cluster Randomized Trial"],"prefix":"10.1542","volume":"153","author":[{"given":"Eliana M.","family":"Perrin","sequence":"first","affiliation":[{"name":"aDepartment of Pediatrics, Johns Hopkins University Schools of Medicine and Nursing, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asheley C.","family":"Skinner","sequence":"additional","affiliation":[{"name":"bDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee M.","family":"Sanders","sequence":"additional","affiliation":[{"name":"cDepartments of Pediatrics and Health Policy, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell L.","family":"Rothman","sequence":"additional","affiliation":[{"name":"dInstitute for Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan S.","family":"Schildcrout","sequence":"additional","affiliation":[{"name":"eDepartments of Biostatistics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aihua","family":"Bian","sequence":"additional","affiliation":[{"name":"eDepartments of Biostatistics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari L.","family":"Barkin","sequence":"additional","affiliation":[{"name":"gDepartment of Pediatrics, Virginia Commonwealth University, Richmond, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamera","family":"Coyne-Beasley","sequence":"additional","affiliation":[{"name":"hDepartments of Pediatrics and Internal Medicine, University of Alabama-Birmingham, Birmingham, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan M.","family":"Delamater","sequence":"additional","affiliation":[{"name":"iDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kori B.","family":"Flower","sequence":"additional","affiliation":[{"name":"jDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Heerman","sequence":"additional","affiliation":[{"name":"fPediatrics, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Steiner","sequence":"additional","affiliation":[{"name":"jDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. 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