Citation

Schwebel DC, Swart D, Simpson J, Hobe P, Hui SK. Health Psychol. 2009; 28(4): 493-500.

Affiliation

Department of Psychology.

Copyright

(Copyright © 2009, American Psychological Association)

DOI

10.1037/a0014531

PMID

19594274

Abstract

Objective: Unintentional injury rates in low- and middle-income countries are up to 50 times higher than high-income nations. In South Africa, kerosene (paraffin) is a leading cause of poisoning and burns, particularly in low-income communities where it serves as a primary fuel for light, cooking, and heating. This study tested a community-based intervention to reduce kerosene-related injury risk. The intervention used a train-the-trainers model, whereby expert trainers train local paraprofessionals, who in turn deliver educational materials to community residents. The intervention was theory-driven, pragmatically motivated, and culturally sensitive. Design: Prospective quasi-experimental intervention design with nonequivalent case versus control groups. Main Outcome Measures: Three primary outcome measures were considered: self-reported knowledge of kerosene safety, observed practice of safe kerosene use, and self-reported recognition of risk for kerosene-related injury. Results: ANOVA models suggest a large and significant increase in self-reported kerosene-related knowledge in the intervention community compared to the control community. There were smaller, but statistically significant changes, in kerosene-related safety practices and recognition of kerosene injury risk in the intervention community compared to the control community. Conclusion: The intervention was successful. A train-the-trainers model might be an effective educational tool to reduce kerosene-related injury risk in low-income communities within low- and middle-income countries.

Language: en