Empirically derived injury prevention rules.
A dozen data-driven safety rules prevent most child injuries, but parents need quick payoffs to follow them.
01Research in Context
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.
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.
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.
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.
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02At a glance
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