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Inj Prev. Dec 2005; 11(6): 373–377.
PMCID: PMC1730291

Understanding parental motivators and barriers to uptake of child poison safety strategies: a qualitative study


Objectives: To develop an understanding of factors acting as barriers and motivators to parental uptake of child poison safety strategies.

Design: A qualitative study involving semistructured interviews and focus groups. A grounded theory approach was used for the collection and analysis of data.

Participants: Sixty five parents of children under 5 years of age, some of whom had experienced an unintentional child poisoning incident.

Results: A range of knowledge based, environmental, and behavioral barriers to comprehensive parental uptake of poison safety practices were identified. As a result there tended to be only partial implementation of safety initiatives in the home. Selection of safety practices was often guided by the interests and behaviors of the child. This made the child vulnerable to changes in the home environment, inadequate supervision, and/or shifts in their own behavior and developmental ability. Personal or vicarious exposure of a parent to a child poisoning incident was a significant motivator for parental review of safety practices.

Conclusion: Environmental measures targeting child resistant containers, warning labels, and lockable poisons cupboards will support parents' efforts to maintain poison safety. Additional education campaigns using stories of actual poisoning incidents may help to increase awareness of risk and encourage increased uptake.

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Selected References

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  • Ozanne-Smith J, Day L, Parsons B, Tibballs J, Dobbin M. Childhood poisoning: access and prevention. J Paediatr Child Health. 2001 Jun;37(3):262–265. [PubMed]
  • Petridou E, Kouri N, Polychronopoulou A, Siafas K, Stoikidou M, Trichopoulos D. Risk factors for childhood poisoning: a case-control study in Greece. Inj Prev. 1996 Sep;2(3):208–211. [PMC free article] [PubMed]
  • McIntire MS, Angle CR, Grush ML. How effective is safety packaging? Clin Toxicol. 1976;9(3):419–425. [PubMed]
  • Woolf A, Lewander W, Filippone G, Lovejoy F. Prevention of childhood poisoning: efficacy of an educational program carried out in an emergency clinic. Pediatrics. 1987 Sep;80(3):359–363. [PubMed]
  • Woolf AD, Saperstein A, Forjuoh S. Poisoning prevention knowledge and practices of parents after a childhood poisoning incident. Pediatrics. 1992 Dec;90(6):867–870. [PubMed]
  • Clamp M, Kendrick D. A randomised controlled trial of general practitioner safety advice for families with children under 5 years. BMJ. 1998 May 23;316(7144):1576–1579. [PMC free article] [PubMed]
  • DiGuiseppi C, Roberts IG. Individual-level injury prevention strategies in the clinical setting. Future Child. 2000 Spring-Summer;10(1):53–82. [PubMed]
  • Kreuter MW, Oswald DL, Bull FC, Clark EM. Are tailored health education materials always more effective than non-tailored materials? Health Educ Res. 2000 Jun;15(3):305–315. [PubMed]
  • Nansel Tonja R, Weaver Nancy, Donlin Maureen, Jacobsen Heather, Kreuter Matthew W, Simons-Morton Bruce. Baby, Be Safe: the effect of tailored communications for pediatric injury prevention provided in a primary care setting. Patient Educ Couns. 2002 Mar;46(3):175–190. [PMC free article] [PubMed]
  • Rey S, Courtois X, Zmirou D, François M, Oberle D, Navet J. Evaluation d'une action éducative contre les accidents d'enfants. Pediatrie. 1993;48(10):727–733. [PubMed]
  • Liller KD, Craig J, Crane N, McDermott RJ. Evaluation of a poison prevention lesson for kindergarten and third grade students. Inj Prev. 1998 Sep;4(3):218–221. [PMC free article] [PubMed]
  • Wiseman HM, Guest K, Murray VS, Volans GN. Accidental poisoning in childhood: a multicentre survey. 2. The role of packaging in accidents involving medications. Hum Toxicol. 1987 Jul;6(4):303–314. [PubMed]
  • Breault HJ. Five years with 5 million child-resistant containers. Clin Toxicol. 1974;7(1):91–95. [PubMed]
  • Rodgers GB. The safety effects of child-resistant packaging for oral prescription drugs. Two decades of experience. JAMA. 1996 Jun 5;275(21):1661–1665. [PubMed]
  • Sibert JR, Craft AW, Jackson RH. Child-resistant packaging and accidental child poisoning. Lancet. 1977 Aug 6;2(8032):289–290. [PubMed]
  • Rodgers Gregory B. The effectiveness of child-resistant packaging for aspirin. Arch Pediatr Adolesc Med. 2002 Sep;156(9):929–933. [PubMed]
  • Clarke A, Walton WW. Effect of safety packaging on aspirin ingestion by children. Pediatrics. 1979 May;63(5):687–693. [PubMed]
  • Schieber RA, Gilchrist J, Sleet DA. Legislative and regulatory strategies to reduce childhood unintentional injuries. Future Child. 2000 Spring-Summer;10(1):111–136. [PubMed]
  • Walton WW. An evaluation of the Poison Prevention Packaging Act. Pediatrics. 1982 Mar;69(3):363–370. [PubMed]

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