Psychological determinants of risk taking by children: an integrative model and implications for interventions

Objectives: To draw on empirical findings of the psychological factors that cause elementary-school children to engage in risky play behaviors that can lead to injury, with the aim of developing an integrative model that can support intervention-program planning. Methods: An extensive review of literature on this topic was conducted, determinants of risk taking for which there was empirical support were identified, and results were synthesized to create an integrative model of children’s risk taking. Results: Research on risk taking in children is limited, but the findings support the importance of examining child, family and socio-environmental factors to understand children’s risk-taking behaviors. Conclusions: Development of a model outlining the determinants of risk behaviors can provide a foundation for initiatives that aim to reduce such behaviors and prevent childhood injuries.

[1]  L. Quan,et al.  Assessment of injury risk in young children: a preliminary study of the injury behavior checklist. , 1990, Journal of pediatric psychology.

[2]  T. Revenson,et al.  Handbook of Health Psychology , 2001 .

[3]  Diane Carlson Jones.  Persuasive Appeals and Responses to Appeals among Friends and Acquaintances. , 1985 .

[4]  R. Potts,et al.  Effects of television content on physical risk-taking in children. , 1994, Journal of experimental child psychology.

[5]  Elizabeth Pugzles Lorch,et al.  Sensation Seeking, Message Sensation Value, and Drug Use as Mediators of PSA Effectiveness , 1991 .

[6]  Michael R. Corbett,et al.  "Do as I say, not as I do": family influences on children's safety and risk behaviors. , 2008, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[7]  Terry E. Duncan,et al.  Family Influences on Youth Alcohol Use , 2003 .

[8]  J. Arnett.  Reckless behavior in adolescence: A developmental perspective , 1992 .

[9]  J. Towner,et al.  UNICEF: A league table of child deaths by injury in rich nations. , 2001 .

[10]  B. A. Buchele.  The Injury Fact Book , 1992, Annals of Internal Medicine.

[11]  K. Glanz,et al.  Health behavior and health education : theory, research, and practice , 1991 .

[12]  B. Morrongiello.  Children's perspectives on injury and close-call experiences: sex differences in injury-outcome processes. , 1997, Journal of pediatric psychology.

[13]  N. Tobler,et al.  Meta-Analysis of 143 Adolescent Drug Prevention Programs: Quantitative Outcome Results of Program Participants Compared to a Control or Comparison Group , 1986 .

[14]  R. Andersson,et al.  The impact of structural factors on the injury rate in different European countries. , 2001, European journal of public health.

[15]  Catherine E. Snow,et al.  Children's language , 1990 .

[16]  M. Gallaher,et al.  Children hospitalized early and increased risk for future serious injury , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[17]  B. Morrongiello,et al.  The influence of peers on children's judgments about engaging in behaviors that threaten their safety , 1997 .

[18]  J. Duby,et al.  Developmental approach to injury prevention. , 1985, Pediatric clinics of North America.

[19]  Alexander J. Rothman,et al.  Shaping perceptions to motivate healthy behavior: the role of message framing. , 1997, Psychological bulletin.

[20]  B. Morrongiello,et al.  Gender biases in children's appraisals of injury risk and other children's risk-taking behaviors. , 2000, Journal of experimental child psychology.

[21]  L. Hanvey,et al.  The Health of Canada's children : a CICH profile , 1994 .

[22]  B. Guyer.  Saving Children; A Guide to Injury Prevention , 1995 .

[23]  D. Schwebel,et al.  Unintentional injury in preschool boys with and without early onset of disruptive behavior. , 2002, Journal of pediatric psychology.

[24]  G. English,et al.  Psychological Immunization: Theory, Research, and Current Health Behavior Applications , 1990, Health education quarterly.

[25]  R. Petty,et al.  The Role of the Affective and Cognitive Bases of Attitudes in Susceptibility to Affectively and Cognitively Based Persuasion , 1999 .

[26]  Desmond K. Runyan,et al.  A content analysis of safety behaviors of television characters: implications for children's safety and injury. , 1996, Journal of pediatric psychology.

[27]  T. Glynn,et al.  Essential elements of school-based smoking prevention programs. , 1989, The Journal of school health.

[28]  W. Boyce,et al.  Recurrent injuries in schoolchildren. , 1989, American journal of diseases of children.

[29]  D. Webster,et al.  The Injury Fact Book , 1984 .

[30]  B. Morrongiello,et al.  The influence of child attributes and social-situational context on school-age children's risk taking behaviors that can lead to injury , 2005 .

[31]  Clark C. Presson,et al.  Maternal socialization of adolescent smoking: the intergenerational transmission of parenting and smoking. , 1998, Developmental psychology.

[32]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[33]  B. Morrongiello,et al.  Toddlers' and mothers' behaviors in an injury-risk situation: Implications for sex differences in childhood injuries , 1998 .

[34]  Ruth Beyth-Marom,et al.  Risk taking in adolescence: A decision-making perspective , 1992 .

[35]  D. DiLillo,et al.  Fear and exhilaration in response to risk: An extension of a model of injury risk in a real-world context*** , 1999 .

[36]  P. Bijur,et al.  Behavioral predictors of injury in school-age children. , 1988, American journal of diseases of children.

[37]  M. Conner,et al.  Predicting health behaviour : research and practice with social cognition models , 2005 .

[38]  B. Morrongiello,et al.  Identifying Factors that Relate to Children's Risk-Taking Decisions. , 2004 .

[39]  B A Morrongiello,et al.  Mothers' responses to sons and daughters engaging in injury-risk behaviors on a playground: implications for sex differences in injury rates. , 2000, Journal of experimental child psychology.

[40]  R Jessor,et al.  Risk behavior in adolescence: a psychosocial framework for understanding and action. , 1991, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[41]  M. Goldacre,et al.  Repetition of accidents in young children. , 1986, Journal of epidemiology and community health.

[42]  B. Morrongiello,et al.  Sibling power: influence of older siblings' persuasive appeals on younger siblings' judgements about risk taking behaviours. , 1997, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[43]  L. Peterson,et al.  A developmental exploration of expectations for and beliefs about preventing bicycle collision injuries. , 1995, Journal of pediatric psychology.

[44]  D. M. Jackson.  Children, the environment and accidents , 1977 .

[45]  B A Morrongiello,et al.  Why do boys engage in more risk taking than girls? The role of attributions, beliefs, and risk appraisals. , 1998, Journal of pediatric psychology.

[46]  S. Fiske,et al.  Social Psychology , 2019, Encyclopedia of Personality and Individual Differences.

[47]  B. Foss.  New Horizons in Psychology 1 , 1966 .

[48]  I. Ajzen,et al.  Predicting dishonest actions using the theory of planned behavior , 1991 .

[49]  Beverly Walpole,et al.  Risk compensation in children: Why do children show it in reaction to wearing safety gear? , 2007 .

[50]  B. Morrongiello,et al.  Mothers' Reactions to Children Misbehaving in Ways That Can Lead to Injury: Implications for Gender Differences in Children's Risk Taking and Injuries , 2004 .

[51]  Louise H. Phillips,et al.  Self-regulation and risk-taking , 2008 .

[52]  B. Morrongiello,et al.  Parental Influences on Toddlers' Injury-Risk Behaviors: Are Sons and Daughters Socialized Differently? , 1999 .

[53]  D. Schwebel,et al.  Longitudinal and concurrent relations among temperament, ability estimation, and injury proneness. , 1999, Child development.

[54]  Randy M. Page.  Role of Parental Example in Preadolescents' Use of Seat Belts , 1986 .

[55]  B Fischhoff,et al.  Traffic accident statistics and risk perceptions in Japan and the United States. , 2000, Accident; analysis and prevention.

[56]  C. Anderson,et al.  Cultural differences in young children's vulnerability to injuries: a risk and protection perspective. , 2004, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[57]  R. Potts,et al.  Effects of televised safety models on children's risk taking and hazard identification. , 1998, Journal of pediatric psychology.

[58]  D L Jaquess,et al.  Previous injuries and behavior problems predict children's injuries. , 1994, Journal of pediatric psychology.

[59]  Barbara A Morrongiello,et al.  Finding the daredevils: development of a Sensation Seeking Scale for children that is relevant to physical risk taking. , 2006, Accident; analysis and prevention.

[60]  N. Tobler.  Meta-analysis of Adolescent Drug Prevention Programs: Results of the 1993 Meta-analysis Additional Criteria for a Subset of Higher Quality Experimental Studies Pooling Effect Sizes over Test Intervals for a Single Program , 1993 .

[61]  P. Scheidt,et al.  Socioeconomic and racial/ethnic factors affecting non-fatal medically attended injury rates in US children. , 1997, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[62]  K. Stronks,et al.  A prospective cohort study investigating the explanation of socio-economic inequalities in health in The Netherlands. , 1994, Social science & medicine.

[63]  J. Dewey,et al.  50,000 child-years of accidental injuries. , 1966, Public health reports.

[64]  D. Baumrind,et al.  A developmental perspective on adolescent risk taking in contemporary America. , 1987, New directions for child development.

[65]  Elizabeth Pugzles Lorch,et al.  Program Context, Sensation Seeking, and Attention to Televised Anti-Drug Public Service Announcements , 1994 .

[66]  M. MacKay.  Systematic review of the relationship between childhood injury and socio-economic status , 2003 .

[67]  Lizette Peterson,et al.  Gender and developmental patterns of affect, belief, and behavior in simulated injury events , 1997 .

[68]  James D Westaby,et al.  Risk-taking orientation and injury among youth workers: examining the social influence of supervisors, coworkers, and parents. , 2005, The Journal of applied psychology.

[69]  J. Rise,et al.  Concordance of parental and adolescent health behaviors. , 1994, Social science & medicine.

[70]  D. Kendrick.  Accidental injury attendances as predictors of future admission. , 1993, Journal of public health medicine.

[71]  L. Peterson,et al.  Knowledge of safety of high and low active-impulsive boys: Implications for child injury prevention , 1995 .

[72]  C. Runyan.  Saving Children: A Guide to Injury Prevention , 1991 .

[73]  P. Palmgreen,et al.  Influences of Sensation Seeking, Message Sensation Value, and Program Context on Effectiveness of Anticocaine Public Service Announcements , 1995 .

[74]  S. Begley.  Do as I say, not as I do. , 2008, Newsweek.

[75]  B. Morrongiello,et al.  A community-based study of parents' knowledge, attitudes and beliefs related to childhood injuries. , 1996, Canadian journal of public health = Revue canadienne de sante publique.

[76]  B A Morrongiello,et al.  Age and gender differences in school-age children's appraisals of injury risk. , 1998, Journal of pediatric psychology.

[77]  B. Morrongiello,et al.  Determinants of Children's Risk-Taking in Different Social-Situational Contexts: The Role of Cognitions and Emotions in Predicting Children's Decisions. , 2004 .

[78]  D. Schwebel,et al.  Social and temperamental influences on children's overestimation of their physical abilities: links to accidental injuries. , 1997, Journal of experimental child psychology.

[79]  A. Matheny.  Psychological Characteristics of Childhood Accidents , 1987 .

[80]  J. Lewko,et al.  The Social Rules that Children use: Close Friends, Other Friends, and "Other Kids" compared to Parents, Teachers, and Siblings , 1992 .

[81]  P Conrad,et al.  Helmets, injuries and cultural definitions: motorcycle injury in urban Indonesia. , 1996, Accident; analysis and prevention.

[82]  K. Lloyd.  Do As I Say, Not As I Do , 1994, The Behavior analyst.

[83]  F. Rivara,et al.  Epidemiology of childhood injuries. II. Sex differences in injury rates. , 1982, American journal of diseases of children.