
@article{ref1,
title="Increasing awareness of food-choking and nutrition in children through education of caregivers: the CHOP community intervention trial study protocol",
journal="BMC public health",
year="2019",
author="Lorenzoni, Giulia and Azzolina, Danila and Baldas, Solidea and Messi, Gianni and Lanera, Corrado and French, Megan A. and Da Dalt, Liviana and Gregori, Dario",
volume="19",
number="1",
pages="e1156-e1156",
abstract="BACKGROUND: Choking is one of the leading causes of death among unintentional injuries in young children. Food choking represents a considerable public health burden, which might be reduced through increased effective preventative education programs. We present a protocol for a community intervention trial termed CHOP (CHOking Prevention project) that aimed to teach Italian families how to prevent food choking injuries and increase knowledge relating to nutrition. <br><br>METHODS: Italian educational facilities were enrolled. Stratified randomization blocked by geographical area was performed. Each stratum was randomized to one of three different intervention strategies or to a control group. Educational intervention was delivered in the schools by experts and certified trainers as per the following three intervention strategies: directly to families (Strategy A); to teaching staff only, who subsequently delivered the same educational intervention to families (Strategy B); to health service staff only, who then delivered the educational intervention to teaching staff, who subsequently delivered the intervention to families (Strategy C). Participants completed a questionnaire about their knowledge on the topics presented during the educational interventions (pre-, post-, and follow-up of intervention). Information from the questionnaires was synthetized into 6 indicators in order to measure how effective each intervention strategy was. <br><br>DISCUSSION: The issue of food choking injuries in children is relevant to public health. The protocol we present provides an opportunity to progress towards overcoming such challenges through a working model that can be implemented also in other countries. TRIAL REGISTRATION: ClinicalTrials.gov NCT03218618. The study was registered on 14 July 2017.<p /> <p>Language: en</p>",
language="en",
issn="1471-2458",
doi="10.1186/s12889-019-7469-7",
url="http://dx.doi.org/10.1186/s12889-019-7469-7"
}