Journal Article

Network Meta-analysis to Evaluate the Effectiveness of Interventions to Increase the Uptake of Smoke Alarms

Nicola J. Cooper, Denise Kendrick, Felix Achana, Paula Dhiman, Zhimin He, Persephone Wynn, Elodie Le Cozannet, Pedro Saramago and Alex J. Sutton

in Epidemiologic Reviews

Published on behalf of Johns Hopkins Bloomberg School of Public Health

Volume 34, issue 1, pages 32-45
Published in print January 2012 | ISSN: 0193-936X
Published online November 2011 | e-ISSN: 1478-6729 | DOI:
Network Meta-analysis to Evaluate the Effectiveness of Interventions to Increase the Uptake of Smoke Alarms

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This study is the first known to use network meta-analysis to simultaneously evaluate the effectiveness of interventions to increase the prevalence of functioning smoke alarms in households with children. The authors identified 24 primary studies from a systematic review of reviews and of more recently published primary studies, of which 23 (17 randomized controlled trials and 6 nonrandomized comparative studies) were included in 1 of the following 2 network meta-analyses: 1) possession of a functioning alarm: interventions that were more “intensive” (i.e., included components providing equipment (with or without fitting), home inspection, or both, in addition to education) generally were more effective. The intervention containing all of the aforementioned components was identified as being the most likely to be the most effective (probability (best) = 0.66), with an odds ratio versus usual care of 7.15 (95% credible interval: 2.40, 22.73); 2) type of battery-powered alarms: ionization alarms with lithium batteries were most likely to be the best type for increasing functioning possession (probability (best) = 0.69). Smoke alarm promotion programs should ensure they provide the combination of interventions most likely to be effective.

Keywords: accident prevention; meta-analysis; smoke; wounds and injuries

Journal Article.  6561 words.  Illustrated.

Subjects: Public Health and Epidemiology

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