Characteristics and Popularity of Videos of Abusive Head Trauma Prevention: Systematic Appraisal.

SBS; abusive head trauma; caregivers; child physical abuse; communication; digital tools; head trauma; infant; internet; morbidity; mortality; parent; prevention; primary prevention; shaken baby syndrome; video; web-based videos; Humans; Infant; Internet; Craniocerebral Trauma/prevention & control; Child Abuse/prevention & control; Child Abuse/statistics & numerical data; Video Recording; Child Abuse; Craniocerebral Trauma; Health Informatics

Abstract :

[en] [en] BACKGROUND: Numerous strategies for preventing abusive head trauma (AHT) have been proposed, but controlled studies failed to demonstrate their effectiveness. Digital tools may improve the effectiveness of AHT prevention strategies by reaching a large proportion of the adult population. OBJECTIVE: This study aimed to describe the characteristics of videos of AHT prevention published on the internet, including their quality content, and to study their association with popularity. METHODS: From a systematic appraisal performed in June 2023, we identified videos addressing the primary prevention of AHT in children younger than 2 years that were published in English or French on the internet by public organizations or mainstream associations. We analyzed the characteristics of the videos; their quality with the Global Quality Scale (GQS); and their association with an index of popularity, the Video Power Index, using multivariable quasi-Poisson modeling. RESULTS: We included 53 (6.6%) of the 804 videos identified. Videos were mainly published by public organizations (43/53, 81%). The median time spent on the web was 6 (IQR 3-9) years, the median length was 202 (IQR 94-333) seconds, and the median GQS score was 4 (IQR 3-4). Infants were often depicted (42/53, 79%), including while crying (35/53, 66%) and being shaken (21/53, 40%). The characterization of shaking as an abuse and its legal consequences were cited in 47% (25/53) and 4% (2/53) of videos, respectively. The main prevention strategies in the videos were to raise awareness of the noxious outcome of shaking (49/53, 93%) and convince viewers of the effectiveness of coping strategies for infants' cries (45/53, 85%). The Video Power Index was positively correlated with the GQS (r=0.38; P=.007) and was independently associated with depicting an infant being shaken (P=.03; β=1.74, 95% CI 1.06-2.85) and the use of text or headers (P=.04; β=2.15, 95% CI 1.08-4.26). CONCLUSIONS: AHT prevention videos had high quality but did not frequently deal with parental risk factors. The characteristics identified as being associated with the popularity of AHT prevention videos could help improve the impact of future prevention programs by enhancing their popularity.

Disciplines :

Pediatrics

Author, co-author :

Goethals, Luc ; Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Centre of Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Inserm, Paris, France ; Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France

Prokofieva Nelson, Victoria ; Learning, Physical Activity and Health, Interdisciplinary Laboratory in Neuroscience, Physiology and Psychology, Université Paris Nanterre, Nanterre, France

Fenouillet, Fabien ; Learning, Physical Activity and Health, Interdisciplinary Laboratory in Neuroscience, Physiology and Psychology, Université Paris Nanterre, Nanterre, France

Chevreul, Karine ; Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France ; Kastafiore, Paris, France

Bergerat, Manon ; Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Centre of Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Inserm, Paris, France ; Child protection unit, Department of General Pediatrics, Necker-Enfants malades hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Université Paris Cité, Paris, France

Lebreton, Christine ; Synakène, Ivry-sur-Seine, France

REFES, Yacine Marc ; University of Luxembourg ; Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Centre of Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Inserm, Paris, France

Blangis, Flora ; Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Centre of Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Inserm, Paris, France ; Child protection unit, Department of General Pediatrics, Necker-Enfants malades hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Université Paris Cité, Paris, France

Chalumeau, Martin ; Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Centre of Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Inserm, Paris, France ; Child protection unit, Department of General Pediatrics, Necker-Enfants malades hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Université Paris Cité, Paris, France

Le Roux, Enora ; Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France ; Unit of Clinical Epidemiology (CIC-EC 1426), Hôpital Universitaire Robert-Debré, Assistance Publique des Hôpitaux de Paris (AP-HP), Inserm, Paris, France

External co-authors :

yes

Language :

English

Title :

Characteristics and Popularity of Videos of Abusive Head Trauma Prevention: Systematic Appraisal.

Publication date :

10 December 2024

Journal title :

Journal of Medical Internet Research

ISSN :

1439-4456

eISSN :

1438-8871

Publisher :

JMIR Publications Inc., Canada

Volume :

Pages :

e60530

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBilu :

since 12 December 2025

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1 (0 by Unilu)

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