Childhood Injury

Lead: Elizabeth Towner, with Rebecca Carter, Alan Emond, Gail Errington, Jenny Ingram, Richard Kimberlee, Julie Mytton, Kirstie Whelan

Collaborators: Jonathan Benger, Paul Pilkington, Jane Powell UWE); Heather Ward, Sandy Robertson, Sanjay Rana (University College London); Ronan Lyons, Sinead Brophy, Sam Turner, Ceri Phillips, Tinnu Sarvotham (University of Wales Swansea); Sarah Jones (University of Cardiff); Mike Hayes (Child Accident Prevention Trust); Nicola Christie, Judith Sleney (University of Surrey); Denise Kendrick, Carol Coupland, Lindsay Groom, Caroline Mulvaney, Jane Stewart (University of Nottingham); Maggie Sims, John Sleight (Lifeskills);  Julia Verne, Paul Brown, Wendi Slater, South West Public Health Observatory; Mariana Brussoni, University of British Columbia; Joanne Vincenten, Morag Mackay (European Child Safety Alliance, Amsterdam); Maria Segui-Gomez, University of Navarre, Pamplona; Jon Heron, Kelvyn Jones (UoB); Robin Haynes and Richard Reading (University of East Anglia); Mohammad Shuaib and SURCH, Bangladesh; Dinesh Sethi, Francesca Racioppi, Christian Schweitzer, WHO Rome).

Our main interests in this area are:

Evaluation of the Neighbourhood Road Safety Initiative

UWE is a member of a consortium of organisations evaluating the programme: University College London, the Universities of Surrey and Swansea and the Child Accident Prevention Trust. The role of the UWE team is to conduct surveys in schools of children’s road behaviour and accident involvement, to conduct partnerships surveys of the agencies involved and to compile a literature review on the effects of social deprivation on road traffic injuries. The report of the evaluation study will be submitted in September 2008.

Moving from Observation to Intervention to reduce Injury risk

This project has been funded by the Department of Health. This is a programme of linked multi-site studies to measure and reduce inequalities in injury incidence and disability.  It consists of three strands; a study on the burden of injury and two randomised controlled trials. (1) The Burden of Injury project aims to accurately assess the true burden of injury through the use of repeated measures and questionnaires. (2) The Advocacy project is a randomised controlled trial of an advocacy package related to pedestrian injuries in vulnerable groups, which has been sent to councillors in four intervention areas across England and Wales.  (3) The Thermostatic Mixer Valve project is a randomised controlled trial, which is evaluating the impact on reducing bath hot tap water temperatures in the homes of families with young children in rented social housing. 

ALSPAC and childhood injuries

Funding has been obtained from the Department for Transport to examine road traffic injury risk by the ALSPAC cohort at the ages of 13/14 and 16/17 years. The aims of the project s are to explore the relationship between exposure to injury risk in the road environment, reported road traffic injuries and a range of personal and family risk factors in adolescents at these two age groups. Dr Julie Mytton is continuing this work on ALSPAC, concentrating on the primary school age children, using injury data collected by questionnaire at 4 time points between 5 and 11 years.

Reintroduction to school after significant burn injury

With support of an award from the Healing Foundation (Royal College of Surgeons), Bev Embling is undertaking an investigation of the difficulties faced by children recovering from burns in reintegrating to school, and ways to facilitate participation.  This project is being supervised by Dr Nicola Eaton.

Keeping Children Safe at Home

Funding has just been obtained from the National Institute for Health Research for a five-year programme grant, ‘Keeping Children Safe at Home’.  Working with partners from universities in Nottingham, Norwich, Newcastle and Leicester the study focuses on pre-school children and understanding the risks of how children are injured in the home, through collection of data in emergency departments and a trial of an injury programme working with Children’s Centres in England.  The programme will start in February 2009.

A parent programme for the prevention of recurrent injuries in preschool children

“Researchers at NHS Bristol, UWE and the University of Bristol have been awarded funding from the Health Technology Assessment Programme of the National Institute for Health Research to develop and assess an intervention to prevent injuries in children; the two year study started in January 2011.

The research is led by Dr Julie Mytton.  The research aims to explore the potential to reduce recurrent home injuries in preschool children through the use of a parenting programme that teaches first aid and safety awareness.  The work is being carried out in collaboration with the University of Nottingham, University of Warwick, The Institute of Education, North Bristol NHS Trust, Whoops! Child Safety Project and Parenting UK.”  What is The FAST Parent programme? (188.1 KB.pdf)

Childhood Deaths

Since 1992, Peter Fleming has been the lead clinician and principal investigator in studies of childhood deaths (CESDI and CAMACH) in the Southwest Region. He is editor of an annual report on CESDI in the Southwest, each report containing data on five years’ rolling results of perinatal mortality and infant mortality in the Region (population 5 million people).  From April 2003 CESDI was incorporated into the Confidential Enquiry into Maternal and Child Health (CEMACH).