• L C Barrios, C W Runyan, S M Downs, and J M Bowling.
• The University of North Carolina Injury Prevention Research Center, Chapel Hill, NC, USA. lbarrios@cdc.gov
• Patient Educ Couns. 2001 Aug 1; 44 (2): 141-9.

ObjectivesTo describe routine injury prevention counseling; to observe how three visit components - printed prompts, parent remarks, and parent behaviors - affect such counseling; to describe the process and content of discussions about car seats as an example of routine injury prevention.MethodsA total of 128 well-child visits of children under 7 months of age to a university pediatric clinic were videotaped (76% of eligible visits).ResultsThree injury topics were mentioned, on an average, per visit. Parents or caregivers rarely introduced injury topics (5%). Physicians frequently introduced those topics listed on age-specific prompting sheets (73%). Car seat counseling typically began with a physician's question (82%). Most asked simply about ownership or use (93%). Few addressed difficult issues, such as consistency of use (11%).ConclusionsPhysicians bring up the injury topics that are prompted. However, most discussion is superficial. Printed prompts that address counseling process as well as content might be beneficial.

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