Supervision in childhood injury cases: A reliable taxonomy

Karen E. Wills*, Robert R. Tanz, Katherine K. Christoffel, Joseph L. Schofer, John V. Lavigne, Mark Donovan, Kristin Kalangis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

This paper describes the development of the "Chicago Children's Supervision Taxonomy" which operationally defines supervision based on the age of an injured child and the ages, familiarity, and proximity of that child's companions. The reliability, coverage, and utility of this taxonomy are illustrated by its application to 142 cases of urban childhood pedestrian injury. All cases were unambiguously classified with good interrater reliability. Most injured children were in unsupervised groups (42%) but 36% had supervisors nearby; thus, supervisor presence does not guarantee protection. Supervising more than one child (especially likely when the supervisor was a teenager) may increase injury risk compared with one-to-one supervision. The taxonomy provides a needed framework adaptable for describing direct supervision in most child injury situations and can facilitate studies of more complex aspects of supervision.

Original languageEnglish (US)
Pages (from-to)133-137
Number of pages5
JournalAccident Analysis and Prevention
Volume29
Issue number1
DOIs
StatePublished - Jan 1997

Funding

Acknowledgements-The Kids ‘n’ Cars ResearchT eam( Children’s Memorial Hospital,C hicago,I L, U.S.A.) contributeds ignificantly to collecting,a nalyzing,a nd integratingt he data upon which this paperi s based.M emberso f this team,i n additiont o the authors, were Martha Barthel, Flavia Buergo, Jeffrey H. Jenq, Cecilia Klinger, SusanL eBailly, PatriciaM cGuire, Nancia Shawver,K im Stewart,a nd Barbara White. Penny Haney and Laura Kenealy (Loyola UniversityC hicago)a ssistedw ith reviewingt he literature on supervisiono f children.W e also appreciateth e commentso f three anonymousr eviewers.T his work was supportedu nder a grant from the National Institute of Child Health and Human Development( NIH # 5 ROI HD25412-05)a nd a Loyola UniversityC hicagoR esearchS upportG rant (#333-71-226).

Keywords

  • Child pedestrian
  • Injury prevention
  • Supervision

ASJC Scopus subject areas

  • Human Factors and Ergonomics
  • Safety, Risk, Reliability and Quality
  • Public Health, Environmental and Occupational Health
  • Law

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