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Asia-Pacific Journal of Public Health
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Effectiveness of Nurse Counselling in Discouraging the Use of the infant Walkers

N.C. Tan, MMed, FCFP

SingHealth Polyclinics, Pasir Ris, Singapore, Tan.Ngiap.Chuan{at}singhealth.com.sg

N.M.L.H. Lim

SingHealth Polyclinics, Queenstown, Singapore

K. Gu, PhD

Clinical Trial and Epidemiology Research Unit, Singapore

Infant walkers are widely used by caregivers in Singapore despite being recognized as a household hazard. The study determined the effectiveness of nurse counselling in dissuading caregivers from using the walker. Caregivers of children 4 months of age were recruited and divided into the intervention group (nurse's advice and illustrated pamphlets), a conventional group (questionnaire alone) and a control group (without any intervention in a separate polyclinic). The percentage of the caregivers, who used the walkers in each group when their child was 9 months old, was taken as a surrogate indicator of effectiveness of nurse's intervention. The study analyzed 708 caregivers. Fewer caregivers (62.7% intervention vs. 80.4% questionnaire alone vs. 83.0% control) used the walker after nurse's advice with illustrated pamphlets. 8% of the users reported walker-related injuries (n=43). Nurses' counselling could be a simple yet effective method to discourage the use of walkers. Asia Pac J Public Health 2004; 16(2): 104-108.

Key Words: Infant walker • nurse counselling • pamphlet.

Asia-Pacific Journal of Public Health, Vol. 16, No. 2, 104-107 (2004)
DOI: 10.1177/101053950401600205


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