Stay One Step Ahead Implementation Study

• Research type

  Research Study

• Full title

  Stay One Step Ahead: Research Study Evaluating the Implementation of Systematic Evidence-Based Child Home Safety Promotion (part of the Small Steps Big Changes Programme)

• IRAS ID

  218243

• Contact name

  Hannah Carpenter

• Contact email

  hannah.carpenter@nottingham.ac.uk

• Sponsor organisation

  University of Nottingham

• Duration of Study in the UK

  4 years, 0 months, 0 days

• Research summary

  In 2014, Nottingham Citycare partnership, was awarded a 10 year grant from the Big Lottery Fund as part of the “A Better Start” programme to improve the lives and outcomes of young children via the Small Steps Big Changes (SSBC) Project. As part of the SSBC project, Nottingham CityCare are delivering evidence-based child home safety promotion in 4 wards in Nottingham. The Stay One Step Ahead research study is evaluating the implementation of this home safety promotion.
  This research study aims to identify whether implementing systematic evidence-based home safety promotion improves key home safety practices (having at least one fitted and working smoke alarm, a safety gate on stairs (where applicable) and poisons stored out of reach). There are also a number of secondary outcomes including injury rates, acceptability to parents and service providers, implementation factors and economic outcomes.

  This is a non-randomised, controlled before and after research study (CBA), with nested interviews, observations of home safety promotion and an economic evaluation.

  As a controlled before and after study, the research will compare four electoral wards that currently receive the Small Steps Big Change programme, and five control wards that are not receiving the programme.

  The study will recruit approximately 400-500 SSBC ward families and 400-500 control ward families who will complete questionnaires. In addition, we will ask families if they are interested in taking part in other parts of the study:
  - Economic evaluation - consenting to access to medical records
  - Face-to-face or telephone interviews
  - Observations of 9-12 month and 2 year reviews

  The study will recruit staff members for interviews and to take part in observations of the child reviews.

  There is also a service evaluation being conducted by the study team, running concurrently with this study. The service evaluation assesses service provider home safety activities and in-service training. Ethical approval for the service evaluation will be sought from the University of Nottingham ethics committee.

  The study will derive new knowledge about the impact, acceptability, implementation facilitators and barriers and cost-effectiveness of evidence based home safety promotion. Given the similarity of health visiting and children’s centre service provision across the UK, study findings should be generalisable across the country. Findings will inform child home safety promotion across Nottingham city wards in the later years of the Small Steps Big Changes programme, and importantly, they will inform development and commissioning of child home safety promotion in other areas of the UK.

• REC name

  East Midlands - Leicester Central Research Ethics Committee

• REC reference

  17/EM/0240

• Date of REC Opinion

  31 Jul 2017

• REC opinion

  Further Information Favourable Opinion