Elementary School Injury Prevention Toolkit

Why focus on preventing childhood injuries?

In Canada, 25 children die from injury every month; that's the equivalent of one classroom of children per month.1 Every year, over 15,000 Canadian children are hospitalized due to unintentional injury.2 In Alberta every year, 127 children and youth die due to an injury; 3,915 are hospitalized and 160,720 are treated in  emergency departments.3 Treatment for these injuries costs Albertans approximately $100 million a year.4

While fatal injuries result in unbearable suffering for families and communities, thousands of children who survive life-altering injuries deal with a lifetime of chronic pain, disability, and radically different futures.

These injuries are preventable. Research has identified a variety of strategies that can be implemented to reduce the risk of childhood injuries. Through combinations of education and training, enforcement of laws and policies, as well as engineering and environmental solutions, we can reduce childhood injury.5

This Elementary School Injury Prevention Toolkit is designed to assist educators in teaching children about the importance of safety and injury prevention to reduce their risk of injury. Developing early positive attitudes towards safety, and becoming empowered to take actions to protect themselves and others from injury, instills children with confidence and an injury prevention mindset that will remain with them as they grow to become employees, parents, business owners, voters, and community decision makers in Alberta.

Every year, nearly 130 children in Alberta die due to injury.3

Changing Attitudes & Behaviours

One of the primary objectives of this toolkit is to shift the attitudes of children in Alberta towards embracing safety and injury prevention. By using interactive educational activities, making safety fun, and building connections to the home and to the community, we want to support children so that they can make choices to keep themselves free from life-altering injury. By encouraging children to practice a culture of safety from a young age, it is expected that students will adopt and apply these values throughout their lives. When children make informed decisions about how to protect themselves from unintentional injuries, the incidence and severity of injuries will decrease and lessen the impact on individuals, family members, and society at large.

Through education and by creating encouraging and motivating environments, people can be persuaded to change their attitudes, and ultimately, their behaviours. Attitudes are the ways in which we evaluate things in the world around us.6 The attitudes we hold can have an impact on the things we believe and on the things we do; that is, our attitudes can influence our behaviours.

The developers of this toolkit considered two theoretical models regarding behaviour change:

According to the Health Belief Model,7 people are motivated to adopt prevention behaviours by the beliefs and perceptions they hold about their risk of a health problem - for example, an injury - and their perceptions about how they will benefit from taking action to avoid it. The Health Belief Model can be used to determine which variables the educational messages and strategies should be aimed at to influence behaviour change.

The Social Cognitive Theory7,8 is based on the premise that behaviour change occurs in a social context in which an individual is continually receiving feedback from other people and the environment. People gather this feedback by observing what others around them are doing. Individuals then process this information together with beliefs about their ability to exert control over their own behaviour, motivation and social environment, and their self-efficacy. This then allows them to make the changes and alter expectations about how the behaviour change will impact them.

The toolkit uses observational learning in its hands-on activities in the different topic areas to enable students to experience the ways to prevent injuries. The students become more likely to perform the described actions to avoid injuries as they see important opportunities to choose safer ways to enjoy their activities. Students come away with a framework to engage in conversations with friends and families and to become role models for peers regarding preventing injuries.

References

1. MacKay M, Vincenten J, Brussoni M, Towner E, Fuselli, P. Child Safety Good Practice Guide: Good investments in unintentional child injury prevention and safety promotion - Canadian Edition. Toronto: The Hospital for Sick Children, 2011.
2. Parachute (2016). Unintentional Injury Trends for Canadian Children, June 2016. Toronto: Parachute.
3. Injury Prevention Centre, Edmonton AB. Database held by Injury Prevention Centre (November 2021 database, unpublished data, available upon request).
4. Alberta Health, Analytics and Performance Reporting Branch. Received 13 May, 2020.
5. Children's Safety Network, Children's Safety Now Alliance. Evidence-based and evidence-informed strategies for child and adolescent injury prevention. May 2019. Education development Centre. Accessed from https://www.childrenssafetynetwork.org/resources/evidence-based-evidence-informed-strategies-child-adolescent-injury-prevention
6. Petty, R. E. & Briñol, P. (2010). Attitude change. In R. F. Baumeister & E. J. Finkel (Eds.), Advanced social psychology: The state of the science (pp. 217-259). Oxford: Oxford University Press.
7. Kahan S, Gielen AC, Fagan PJ, Green LW. Health behavior change in populations. Baltimore: Johns Hopkins University Press; 2014. Chapter 1.
8. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.

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