A maternity hospital-based infant car-restraint loan scheme: Public health and economic evaluation of an intervention for the reduction of road traffic injuries

Kedikoglou, Simeon; Belechri, Maria; Dedoukou, Xanthi; Spyridopoulos, Themis; Alexe, Delia-Marina; Pappa, Evanthia; Stamou, Asimoula; Petridou, Eleni

doi:10.1080/14034940410028334

Cited by 12 publications

(4 citation statements)

References 18 publications

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“…(33,34) As an example of successful implementation, in Greece, maternity hospital-based loan schemes for infant car restraints were found to be cost-effective. (35) Our qualitative research study has the potential to enhance interdisciplinary childhood injury prevention collaboration in Singapore. This not only includes advocacy and outreach, educating the general public and law enforcement officers in conjunction with distribution and/or incentive programmes to lower potential financial barriers (such as subsidised low-cost car restraints), but also further research to study trends of car restraint use following the introduction of any interventions.…”

Section: Make Child Car Restraints Available In Taxis and Provide Hosmentioning

confidence: 99%

Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Tan

Dong

Shen

et al. 2020

smedj

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INTRODUCTION Road traffic injuries and fatalities represent a significant public health problem. In Singapore, compliance with appropriate child car restraints (CCRs) is poor. We aimed to understand parental knowledge, beliefs and barriers regarding the use of CCRs. METHODSIn this qualitative study, we conducted five focus group discussions with parents who drive with their children in private cars. Participants were recruited using the KK Women's and Children's Hospital's social media page. Guiding questions were derived by consensus following literature review and adaptation to the Singapore context, exploring parental perceptions of CCR use. Focus group interviews were then transcribed and analysed.RESULTS 33 participants were recruited, with an age range of 28-46 (mean age 35.5) years. They had a total of 46 children with ages ranging from 2.5 months to 14 years (mean age 4.2 years). Three key themes were identified: parental knowledge regarding CCRs, barriers to CCR use, and suggestions to increase CCR compliance. Barriers to compliance included lack of knowledge, difficult child behaviour and cultural norms. A multipronged approach was proposed to increase CCR use, including educating the public, reinforcing positive behaviour, legal enforcement as a deterrent to non-compliance, increasing CCR installation services, providing CCRs for taxi users and offering financial incentives.CONCLUSION Non-compliance to CCR use is multidimensional, including multiple potentially modifiable factors. This study could inform ongoing collaborative injury prevention efforts among healthcare professionals, industry partners and the traffic police, using public education and outreach to reduce the burden of road traffic injuries.

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Section: Make Child Car Restraints Available In Taxis and Provide Hosmentioning

confidence: 99%

Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Tan

Dong

Shen

et al. 2020

smedj

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“…Because of these recommendations, along with legislation requiring the use of car safety seats or child restraint devices for infants and young children, many hospitals in the United States have implemented education programs for child restraint. These programs include educating parents, regular review and revision of educational materials, and periodic in-service education for responsible staff [10]–[12]. These programs, along with the fact that many hospitals provide the safety seats to families required by law, have helped reduce injuries and deaths of children while traveling in a car [13].…”

Section: Introductionmentioning

confidence: 99%

Hospital-Based Program to Increase Child Safety Restraint Use among Birthing Mothers in China

et al. 2014

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ObjectiveTo evaluate a hospital-based educational program to increase child safety restraint knowledge and use among birthing mothers.MethodsA prospective experimental and control study was performed in the Obstetrics department of hospitals. A total of 216 new birthing mothers from two hospitals (114 from intervention hospital and 102 from comparison hospital) were recruited and enrolled in the study. Intervention mothers received a height chart, an 8-minute video and a folded pamphlet regarding child safety restraint use during their hospital stay after giving birth. Evaluation data on the child safety seat (CSS) awareness, attitudes, and use were collected among both groups before and after the intervention. An additional phone interview was conducted among the intervention mothers two months after discharge.ResultsNo significant differences existed between groups when comparing demographics. Over 90% of the intervention mothers found the educational intervention to be helpful to some extent. A significantly higher percentage of mothers in the intervention than the comparison group reported that CSS are necessary and are the safest seating practice. Nearly 20% of the intervention mothers actually purchased CSS for their babies after the intervention. While in both the intervention and comparison group, over 80% of mothers identified the ages of two through five as needing CSS, fewer than 50% of both groups identified infants as needing CSS, even after the intervention.ConclusionThe results indicated that child safety restraint education implemented in hospitals helps increase birthing mothers' overall knowledge and use of CSS. Further efforts are needed to address specific age-related needs to promote car seats use among infants.

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“…[9][10][11][12] This includes the 1999 AAP policy statement recommending all hospitals establish protocols for the safe transportation of newborns to home. [9][10][11][12] This includes the 1999 AAP policy statement recommending all hospitals establish protocols for the safe transportation of newborns to home.…”

Section: Discussionmentioning

confidence: 99%

“…Much of the literature regarding hospital-based CPS programs has focused on programs based in the neonatal intensive care unit or in newborn nurseries. 9-12 This includes the 1999 AAP policy statement recommending all hospitals establish protocols for the safe transportation of newborns to home. 13 Less is known regarding hospital-based CPS programs for children outside the newborn period and in particular CPS programs focusing on hospitalized children.…”

Section: Discussionmentioning

confidence: 99%

An Inpatient Child Passenger Safety Program

Elliott

DiGirolamo

McMahon

et al. 2013

Clin Pediatr (Phila)

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Background. Our institution implemented an Inpatient Child Passenger Safety (CPS) program for hospitalized children to improve knowledge and compliance with the Massachusetts CPS law, requiring children less than 8 years old or 57 inches tall to be secured in a car seat when in a motor vehicle. Methods. After the Inpatient CPS Program was piloted on 3 units in 2009, the program was expanded to all inpatient units in 2010. A computerized nursing assessment tool identifies children in need of a CPS consult for education and/or car seat. Results. With the expanded Inpatient CPS Program, 3650 children have been assessed, 598 consults initiated, and 325 families have received CPS education. Car seats were distributed to 419 children; specialty car seats were loaned to 134 families. Conclusions. With a multidisciplinary approach, we implemented an Inpatient CPS Program for hospitalized children providing CPS education and car seats to families in need.

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A maternity hospital-based infant car-restraint loan scheme: Public health and economic evaluation of an intervention for the reduction of road traffic injuries

Abstract: On the basis of plausible assumptions, a loan programme of infant car-restraints was shown to be particularly cost effective.

Cited by 12 publications

References 18 publications

Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Hospital-Based Program to Increase Child Safety Restraint Use among Birthing Mothers in China

An Inpatient Child Passenger Safety Program

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