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Meta-Analysis
. 2009 Apr 15;2009(2):CD004726.
doi: 10.1002/14651858.CD004726.pub2.

Education of children and adolescents for the prevention of dog bite injuries

Olivier Duperrex  1 , Karen Blackhall, Mafalda Burri, Emilien Jeannot
Affiliations
Meta-Analysis

Education of children and adolescents for the prevention of dog bite injuries

Olivier Duperrex et al. Cochrane Database Syst Rev. .

Abstract

Background: Dog bites can have dramatic consequences for children and adolescents. Educating young people on how to interact with dogs could contribute to reducing dog bite injuries.

Objectives: To determine the effectiveness of educational interventions that target children and adolescents in reducing dog bite injuries and their consequences.

Search strategy: We searched the following databases: The Cochrane Injuries Group's Specialised Register, CENTRAL (The Cochrane Library Issue 3, 2008), CAB Abstracts, Zetoc, SIGLE, MEDLINE, EMBASE, ERIC, PsycInfo, SPECTR, CINAHL, National Research Register, LILACs, African Healthline, Science Citation Index, Social Science Citation Index, CurrentClinicalTrials.Gov, Centrewatch, Controlledtrials.com, Vetgate and the WHO database. We checked the bibliographies of relevant reviews and trials and also contacted experts in the field. The searches were carried out to 18 July 2008.

Selection criteria: We included randomised controlled trials and controlled before-after studies that evaluated the effectiveness of educational interventions, in populations under 20 years old, for preventing dog bites.

Data collection and analysis: Two review authors selected eligible studies based on information from the title and abstract. Two review authors decided on the inclusion of eligible trials and extracted data from the trial reports. We contacted authors of eligible studies to obtain more information.

Main results: Two studies met the inclusion criteria. No study looked at our main outcome: dog bite rates. The included studies were randomised controlled trials conducted in kindergarten and primary schools. Their methodology was of moderate quality. One study showed that the intervention group showed less 'inappropriate behaviour' when observed in the presence of a dog after a 30-minute educational intervention. Another study showed an increase in knowledge and in caution after an information programme.

Authors' conclusions: There is no direct evidence that educational programmes can reduce dog bite rates in children and adolescents. Educating children who are less than 10 years old in school settings could improve their knowledge, attitude and behaviour towards dogs. Educating children and adolescents in settings other than schools should also be evaluated. There is a need for high quality studies that measure dog bite rates as an outcome. To date, evidence does not suggest that educating children and adolescents is effective as a unique public health strategy to reduce dog bite injuries and their consequences.

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Conflict of interest statement

OD has contributed to the development of an educational leaflet for children on dog bite prevention (Truf' viens...) and has evaluated the feasibility and acceptability of introducing an educational programme on dog bite prevention in primary schools in Geneva.

None known for the other authors.

Figures

1
1
Funnel plot of comparison: 1 Education vs no education, outcome: 1.1 Inappropriate behaviour (observed).
2
2
Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies. Please note: there are only two studies included in this review.
3
3
Methodological quality summary: review authors' judgements about each methodological quality item for each included study. Please note: there are only two studies included in this review.
4
4
Forest plot of comparison: 1 Education vs no education, outcome: 1.1 Inappropriate behaviour (observed).
1.1
1.1. Analysis
Comparison 1 Education vs no education, Outcome 1 Inappropriate behaviour (observed).
See this image and copyright information in PMC

Update of

References

References to studies included in this review

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Wilson 2003 {published data only (unpublished sought but not used)}
    1. Wilson F, Dwyer F, Bennett PC. Prevention of dog bites: Evaluation of a brief educational intervention program for preschool children. Journal of Community Psychology Jan 2003;31(1):75‐86.

References to studies excluded from this review

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