An adolescent injury intervention: selecting targeted behaviours with implications for program design and evaluation.

OBJECTIVES This paper sought to identify the behaviour change targets for an injury prevention program; Skills for Preventing Injury in Youth (SPIY). The aim was to explore how such behaviours could subsequently be implemented and evaluated in the program. METHODS AND DESIGN The quantitative procedure involved a survey with 267 Year 8 and 9 students (mean age 13.23 years) regarding their engagement in risk-taking behaviours that may lead to injury. The qualitative study involved 30 students aged 14 to 17 years reporting their experiences of injury and risk-taking. RESULTS Injury risk behaviours co-occurred among three-quarters of those who reported engaging in any alcohol use or transport or violence related risk behaviour. Students described in detail some of these experiences. CONCLUSIONS The selection process of identifying target behaviours for change for an injury prevention program is described. Adolescents' description of such risk behaviours can inform the process of operationalising and contextualising program content and deciding on evaluation methodology. The design of an effective injury prevention program involves considerable preparatory work and this paper was able to describe the process of identifying the behavioural targets for change that can be operationalised and evaluated in the injury prevention program, SPIY.