5174.0: Wednesday, October 24, 2001 - 3:45 PM

Abstract #25864

The Guide to Community Preventive Services: Systematic reviews and evidence-based recommendations for interventions to reduce motor vehicle occupant injury

Stephanie Zaza, MD, MPH1, David A. Sleet, PhD2, Ruth A. Shults, PhD, MPH2, and Robert S. Thompson, MD3. (1) Epidemiology Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K-73, Atlanta, GA 30341, , N/A, (2) National Center for Injury Prevention and Control, CDC, 4770 Buford Highway, N.E. MS K-63, Atlanta, GA 30341, (3) Task Force on Community Preventive Services

Introduction: The Guide to Community Preventive Services, led by the independent Task Force on Community Preventive Services, will summarize what is known about the effectiveness of population-based interventions designed to promote health, prevent disease, injury, disability and premature death. It will review the evidence of effectiveness and make recommendations regarding the use of interventions in major topic areas including motor vehicle occupant injuries (MVOI). The MVOI chapter includes reviews and recommendations to increase child safety seat and safety belt use; and reduce impaired driving.

Methods: The MVOI chapter development team selected interventions to be reviewed by polling an outside team of experts regarding their perception of the importance and practicality of interventions to reduce MVOI. Strength of evidence is summarized based on the number of studies, design suitability, quality, consistency and effect size. For each intervention, the generalizability of the recommendation, potential harms, and cost-effectiveness (when available) are described.

Results: The Task Force either strongly recommended or recommended 11 of the 12 interventions evaluated. These 11 interventions include four to increase use of child safety seats, three to increase safety belt use, and four to reduce alcohol-impaired driving. Reviews for additional interventions-alcohol beverage server training and incentive programs to increase safety belt use-are underway and will be included in the chapter.

Conclusion: Decision makers should consider these recommendations and local needs when choosing interventions to reduce motor vehicle occupant injury. The recommendations will be published in a Morbidity and Mortality Weekly Report (MMWR) and the full chapter is scheduled for publication in November.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to: 1. Describe the Guide to Community Preventive Services 2. Describe the methods used to conduct systematic reviews of the effectiveness of population-based injury prevention interventions. 3. Describe the motor vehicle occupant injury interventions that are recommended by the Task Force on Community Preventive Services. 4. Articulate how public health planners, traffic safety professionals, legislators, and others can use the recommendations

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA