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Journal of Pediatric Psychology 15(3) pp. 373-383, 1990
© 1990 Society of Pediatric Psychology


research-article

Assessment of Injury Risk in Young Children: A Preliminary Study of the Injury Behavior Checklist

Matthew L. Speltz1, Nancy Gonzales, Stephen Sulzbacher and Linda Quan

University of Washington School of Medicine

2 All correspondence and requests for copies of the Injury Behavior Checklist should be addressed to Matthew Speltz, University of Washington, ZC-10, Seattle, Washington 98185.

There is a need for practical and cost-effective measures of the behavioral characteristics that predict subsequent injury in children. Previous research has focused on the predictive power of child problem behavior (e.g., hyper-activity, aggression, noncompliance) and has found reliable, but relatively weak associations with injury frequency. In an effort to improve upon this level of prediction using child behavioral measures, a care-giver report checklist of specific "risky" behaviors was developed for toddlers and preschoolers, called the Injury Behavior Checklist (IBC). A preliminary test of the reliability and validity of this instrument was undertaken in a sample of middle-class families (N = 253). Results indicated that the IBC has acceptable reliability (internal consistency = .87; 1-month test-retest correlation = .81) and is able to significantly discriminate children with two or more injuries from those with one or none (p < .001). Multiple regression analyses indicated that the IBC was a better predictor of injury than parent-reported levels of child problem behavior using the Conners Parent Rating Scale.

Key words: childhood injury; risk taking; parent-child interaction.


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