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Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?

BACKGROUND: Door-to-door canvassing and installation of smoke alarms have been found to be effective at increasing the number of homes protected. This analysis reports on how smoke alarm coverage changes six months after a home visiting program in a large urban sample, and how this change varies by...

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Autores principales: Gielen, Andrea C, Perry, Elise C, Shields, Wendy C, McDonald, Eileen, Frattaroli, Shannon, Jones, Vanya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005669/
https://www.ncbi.nlm.nih.gov/pubmed/27747662
http://dx.doi.org/10.1186/s40621-014-0030-3
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author Gielen, Andrea C
Perry, Elise C
Shields, Wendy C
McDonald, Eileen
Frattaroli, Shannon
Jones, Vanya
author_facet Gielen, Andrea C
Perry, Elise C
Shields, Wendy C
McDonald, Eileen
Frattaroli, Shannon
Jones, Vanya
author_sort Gielen, Andrea C
collection PubMed
description BACKGROUND: Door-to-door canvassing and installation of smoke alarms have been found to be effective at increasing the number of homes protected. This analysis reports on how smoke alarm coverage changes six months after a home visiting program in a large urban sample, and how this change varies by characteristics of the residents and characteristics of the services delivered during the home visit. METHODS: Fire department Standard and Enhanced home visiting programs were compared. During the home visit, fire fighters installed lithium battery smoke alarms. Residents in the Enhanced program received tailored education about fire safety. Six months after the home visit, participating residences were visited to complete a follow-up survey and to have the installed alarms checked. RESULTS: 81% of the 672 homes that had a working smoke alarm on every level of the home at the end of the home visit remained safe at follow-up, and 87% of the residents found the home visit was very useful, and these rates did not differ between the Enhanced and Standard programs. The degree to which firefighters delivered their services varied, although households in which the resident’s engagement with the fire department team was rated as excellent were 3.96 times as likely to be safe at follow-up compared to those with poor or fair resident engagement (p=0.03). CONCLUSIONS: There is a need to better understand how to maximize the time spent with residents during smoke alarm home visiting programs. This study helps with the development of methods needed for implementing and evaluating such programs in real-world settings. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40621-014-0030-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-50056692016-08-31 Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success? Gielen, Andrea C Perry, Elise C Shields, Wendy C McDonald, Eileen Frattaroli, Shannon Jones, Vanya Inj Epidemiol Original Contribution BACKGROUND: Door-to-door canvassing and installation of smoke alarms have been found to be effective at increasing the number of homes protected. This analysis reports on how smoke alarm coverage changes six months after a home visiting program in a large urban sample, and how this change varies by characteristics of the residents and characteristics of the services delivered during the home visit. METHODS: Fire department Standard and Enhanced home visiting programs were compared. During the home visit, fire fighters installed lithium battery smoke alarms. Residents in the Enhanced program received tailored education about fire safety. Six months after the home visit, participating residences were visited to complete a follow-up survey and to have the installed alarms checked. RESULTS: 81% of the 672 homes that had a working smoke alarm on every level of the home at the end of the home visit remained safe at follow-up, and 87% of the residents found the home visit was very useful, and these rates did not differ between the Enhanced and Standard programs. The degree to which firefighters delivered their services varied, although households in which the resident’s engagement with the fire department team was rated as excellent were 3.96 times as likely to be safe at follow-up compared to those with poor or fair resident engagement (p=0.03). CONCLUSIONS: There is a need to better understand how to maximize the time spent with residents during smoke alarm home visiting programs. This study helps with the development of methods needed for implementing and evaluating such programs in real-world settings. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40621-014-0030-3) contains supplementary material, which is available to authorized users. Springer International Publishing 2014-11-24 /pmc/articles/PMC5005669/ /pubmed/27747662 http://dx.doi.org/10.1186/s40621-014-0030-3 Text en © Gielen et al.; licensee Springer. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Original Contribution
Gielen, Andrea C
Perry, Elise C
Shields, Wendy C
McDonald, Eileen
Frattaroli, Shannon
Jones, Vanya
Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
title Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
title_full Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
title_fullStr Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
title_full_unstemmed Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
title_short Changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
title_sort changes in smoke alarm coverage following two fire department home visiting programs: what predicts success?
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005669/
https://www.ncbi.nlm.nih.gov/pubmed/27747662
http://dx.doi.org/10.1186/s40621-014-0030-3
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