Systematic Review: Interventions to Educate Children About Dog Safety and Prevent Pediatric Dog-Bite Injuries: A Meta-Analytic Review.

Academic Article


  • Objective: Dog-bite injury posits a significant threat to children globally. This review evaluated efficacy of cognitive/behavioral interventions for improving children's knowledge and behaviors around dogs. Methods: Manuscripts published before January 3, 2014 evaluating cognitive/behavioral interventions for dog-bite prevention among children <18 years of age were eligible for inclusion. Among 2,270 abstracts screened, 123 full texts were retrieved. Twelve studies were included in the qualitative synthesis; nine were included in the meta-analysis. Risk of bias and quality of evidence were evaluated. Results: Cognitive/behavioral interventions had a moderate effect in improving children's knowledge and a larger effect in improving children's behavior with dogs. The most effective intervention strategies were video for knowledge and instruction with live dogs for behaviors. Quality of evidence was poor. Conclusions: Cognitive/behavioral interventions have potential to improve both children's knowledge and behaviors around dogs. Future interventions should include multiple follow-ups on dog-bite rates from an international perspective using rigorous randomized controlled trials.
  • Authors

    Published In


  • children, dog-bite, injury, meta-analysis, prevention, review, Accident Prevention, Adolescent, Animals, Bites and Stings, Child, Child Behavior, Child, Preschool, Dogs, Health Education, Health Knowledge, Attitudes, Practice, Humans
  • Digital Object Identifier (doi)

    Author List

  • Shen J; Rouse J; Godbole M; Wells HL; Boppana S; Schwebel DC
  • Start Page

  • 779
  • End Page

  • 791
  • Volume

  • 42
  • Issue

  • 7