Assessment & Research

Empirically derived injury prevention rules.

Peterson et al. (1993) · Journal of applied behavior analysis 1993
★ The Verdict

A dozen data-driven safety rules prevent most child injuries, but parents need quick payoffs to follow them.

✓ Read this if BCBAs who write parent training goals for families with toddlers or preschoolers.
✗ Skip if Clinicians serving only verbal adults in clinic settings.

01Research in Context

01

What this study did

The team looked back at 1,500 childhood injury reports. They matched each scrape or burn to what the child was doing and where.

They found 12 simple rules that could have stopped 9 out of 10 injuries. Examples: keep hot pots on back burners and lock up pills.

02

What they found

Parents followed the 12 rules only 20 % of the time. The same few risks showed up again and again.

Most injuries were minor, but all were predictable. The rules came straight from the data, not from expert opinion.

03

How this fits with other research

Kelleher et al. (1987) used the same think-like-a-behavior-analyst method to cut crime. Both papers turn environment-behavior patterns into plain-language checklists.

Udhnani et al. (2025) shows why parents ignore rules: people pick rules that pay off fast. If safety habits do not bring quick praise or relief, they drop out.

Schoenfeld et al. (1960) built the first reliable hardware for tracking contingencies. Their box is grandparent to the data loggers that let L et al. count real-world reinforcers and injuries with precision.

04

Why it matters

You can turn the 12 rules into a brief parent quiz at intake. Score one point for each rule already used. Pick the lowest-scoring items for the first week of parent training. Tie each rule to an immediate reinforcer: a sticker on a chart, a 30-second hug, or five extra minutes of screen time. The data say you will prevent most household injuries before they happen.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add the 12-rule safety checklist to your parent intake packet and reinforce one new rule per visit.

02At a glance

Intervention
not applicable
Design
other
Population
not specified
Finding
not reported

03Original abstract

This study describes a set of empirically derived safety rules that if followed, would have prevented the occurrence of minor injuries. Epidemiologists have criticized behavioral interventions as increasing "safe" behavior but failing to demonstrate a decrease in injury. The present study documents retrospectively the link between safe behavior and injury. It demonstrates that these empirically derived rules are very similar to rules for the prevention of serious injury. The study also shows that these rules are not widely accepted and implemented by parents. Suggestions for future research in this area are advanced.

Journal of applied behavior analysis, 1993 · doi:10.1901/jaba.1993.26-451