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A systematic review of farm safety interventions.

Authors
DeRoo-LA; Rautiainen-RH
Source
Am J Prev Med 2000 May; 18(4S):51-62
NIOSHTIC No.
20000802
Abstract
The main objective of this study was to systematically review the existing evidence for the effectiveness of farm injury prevention interventions. We used a systematic approach to search the following electronic databases: MEDLINE, EMBASE, ERIC, PsycInfo, Sociofile, NTIS, Agricola, Expanded Academic Index, Dissertation Abstracts, and Occupational Safety and Health (NIOSHTIC). Proceedings and technical papers of the National Institute for Farm Safety were reviewed. We also checked the references of potentially eligible studies and consulted with experts in the field to identify other relevant information sources. Papers had to involve a farm safety intervention to be included in the review. To best characterize the current state of farm safety research, all study designs were accepted, including those without comparison groups and those with absent or inadequate evaluation methods. We identified 25 studies for the review. Eleven of the studies involved farm safety education programs, five consisted of multifaceted interventions that included environmental Revisions, a farm visit, or both; nine papers described farm safety interventions but did not report results from an evaluation. Farm safety education interventions included safety fairs, day camps; certification programs; workshops; and courses for farm families, youth, and agricultural workers. Multifaceted interventions were targeted to farm operators and generally involved farm safety audits, followed by environmental or equipment changes and/or safety education. Program evaluations assessed changes in safety attitudes, knowledge, and/or behaviors and generally involved pre- and post-test methodology. Only three studies examined changes in the incidence of farm injuries. Of the studies evaluated, most reported positive changes following the interventions. However, limitations in the design of evaluations make the results of many of the studies difficult to interpret. There is a need for more rigorous evaluations of farm safety intervention programs. Suggested study design improvements include randomization of study subjects when appropriate, use of control groups and the objective measurement of outcomes such as behavior change and injury incidence.
Keywords
Accident-prevention; Literature-review; Farm-workers; Injury-prevention; Accidents; Occupational-accidents; Agricultural-industry; Injuries; Agricultural-workers; Agriculture; Farmers; Traumatic-injuries
Contact
Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, Washington
CODEN
AJPMEA
Publication Date
20000501
Document Type
Journal Article
Email Address
lderoo@u.washington.edu
Funding Amount
73500
Funding Type
Grant
Fiscal Year
2000
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R03-OH-003929
ISSN
0749-3797
NIOSH Division
DSR
Source Name
American Journal of Preventive Medicine
State
TX; WV; IA
Performing Organization
Department of Occupational and Environmental Health, The University of Iowa, Iowa City, IA 52242-5000
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