Barriers to correct child restraint use: A qualitative study of child restraint users and their needs

Hall, Alexandra; Ho, Catherine; Keay, Lisa; McCaffery, Kirsten; Hunter, Kate; Charlton, Judith Lynne; Hayen, Andrew; Bilston, Lynne E.; Brown, Julie

doi:10.1016/j.ssci.2018.05.017

Cited by 19 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our application of combining the social-ecological model and the COM-B model of behaviour is a novel approach to better understanding factors influencing restraint use. We note the COM-B model has been used previously [33] to explain restraint use among high and low socioeconomic groups and among culturally and linguistically diverse participants in Australia. However, we bring additional layers, considering individual, relationship, community and societal factors that could also influence restraint use (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa

Hunter

Bestman

Dodd

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

(1) Background: Children in South Africa experience significant impacts from road injury due to the high frequency of road crashes and the low uptake of road safety measures (including the use of appropriate child restraints). The current study aimed to assess the feasibility of a child restraint program and to describe factors influencing child restraint use from the perspectives of clinicians, representatives of non-government agencies, and academics in Cape Town, South Africa. (2) Methods: Qualitative interviews were conducted with 13 experts from government, academic and clinical backgrounds. Findings were analyzed using the COM-B component of the Behaviour Change Wheel and were grouped by the layers of the social-ecological model (individual, relational, community and societal). (COM-B is a framework to explain behaviour change which has three key components; capability, opportunity and motivation), (3) Results: Experts believed that there was a need for a child restraint program that should be staged and multifactorial. Participants described knowledge gaps, perceptions of risk, mixed motivations and limited enforcement of child restraint legislation as key influences of restraint use. (4) Conclusions: The results demonstrate potential areas on which to focus interventions to increase child restraint use in Cape Town, South Africa. However, this will require a coordinated and consistent response across stakeholder groups.

show abstract

Section: Discussionmentioning

confidence: 99%

Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa

Hunter

Bestman

Dodd

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…The web address to access the video is also included on the written materials. The design process involved developing an initial draft set of materials whose content and layout were informed using procedural task analysis; a review of human factors, instructional design literature and previous studies [15][16][17]; and a series of focus groups with users [25]. These were then refined through iterative user-testing (Hall et al, unpublished data) following the Sless and Wiseman model [19], which involved groups of the target population being exposed to the materials, with the subsequent refinement of the materials until a pre-defined criterion of a group average of 80% correct use and 80% correct comprehension was achieved.…”

Section: The Intervention and Randomised Controlled Trialmentioning

confidence: 99%

A Process Evaluation Protocol for Examining the Impact of Instructions for Correct Use of Child Car Seats Designed through a Consumer-Driven Process and Evaluated in a Field-Based Randomised Controlled Trial

Brown

Elkington

Hunter

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

The incorrect use of child car seats is common, with significant negative effects on crash protection for child passengers. There is currently little evidence for effective, practical countermeasures for incorrect use. The provision of clear and comprehensible materials on correct use supplied with restraints at the point of sale could be highly cost-effective and achieve similar benefits to restraint-fitting services or hands-on training; however, routinely supplied instructions in their current form are frequently difficult to understand. We are conducting a randomised controlled trial of the consumer-driven redesign of instructional materials, consisting of an instruction sheet, swing tags and online training videos. This paper presents the protocol that will be used in an innovate process evaluation that will use the primary outcome of overall serious misuse assessed at six months, together with a survey and semi-structured interviews to determine fidelity, dose and outcomes for all intervention participants. The study will assess intervention delivery and external factors that may impact the effectiveness of the intervention, including experience, health literacy, confidence and attitudes. When it has been conducted, this process evaluation will provide enhanced understanding of the mechanisms through which the intervention works or not, aspects of the implementation process key to success of the intervention and insight into how external factors influence the success of the intervention.

show abstract

“…Considerable experimental and numerical researches have been conducted to increase the CRS usage rate, to improve the public awareness, to optimize the safety and effectiveness of CRS and so on, with comparatively fewer emphases placed on researches upon assessing the relationship between injury potentials of child occupants and installations of CRS quantitatively by means of experiments [29,30,31,32]. Hence, it is necessary to devise a proper scheme for the purpose of discerning and clarifying the relationship mentioned above.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Injury Potential of Three-year-old Child Occupants Caused by Inappropriate Installation of Enhanced Child Restraint System with Top Tether in Frontal Crash Accidents

Wei

2021

JERT

View full text Add to dashboard Cite

Objective: Frontal crash accidents remain a significant factor in causing the preventable injury and fatality for child occupants aged 3 in China. Despite the increased public awareness and utilization of child restraint system (CRS), inappropriate installations still exist and lead to a potential to result in injuries of head, thorax and abdomen regions of child occupants, especially when it comes to enhanced child restraint system (ECRS) with top tether. The current study focuses on the influence of top tether upon safety performance of ECRS with top tether in dynamic tests with different set-ups and explores the relationship between inappropriate installation of ECRS with top tether and the injury potential of child occupants aged 3 in a frontal crash. Methods: A testing scheme including 4 dynamic tests was devised to ascertain the extent to which the top tether affected the accelerations of thorax, the abdominal penetration and the head displacements. Different kinds of acceleration curves were employed to conduct the tests and to simulate the real status and situation of child occupants aged 3 in the CRS installed with top tether and without top tether respectively. Parameters of accelerations, abdominal penetrations, and head displacements were measured to analyze quantitatively the influence of inappropriate installations of ECRS with top tether under different conditions. Results: The safety performance of ECRS with the use of top tether was found better than that of ECRS without the use of top tether either in the normal condition or in the extreme condition. The test using the acceleration curves defined by regulations, the accelerations of thorax, abdominal penetrations, and head displacements of P3 manikin in the ECRS with the top tether connected to the anchor point revealed results that all met the requirements. While in the test using acceleration curves of the same kind, and when the top tether was not connected, the parameters measured displayed that the safety performance of the sample was worse than the former one. As for the tests using the more severe acceleration curves defined at will, it was more obvious that top tether could affect the function and safety performance of ECRS greatly, and the functional failure and severe damages occurred to the ECRS without the use of top tether. ECRS with the use of top tether was partly qualified even under the more severe conditions. Conclusions: Inappropriate installation of ECRS such as omitting the step of connecting top tether to anchor point could cause severe injuries and fatalities in frontal crash accidents. Effective measures should be taken to minimize the chances of inappropriate installations of ECRS.

show abstract

Barriers to correct child restraint use: A qualitative study of child restraint users and their needs

Cited by 19 publications

References 27 publications

Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa

Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa

A Process Evaluation Protocol for Examining the Impact of Instructions for Correct Use of Child Car Seats Designed through a Consumer-Driven Process and Evaluated in a Field-Based Randomised Controlled Trial

Analysis of Injury Potential of Three-year-old Child Occupants Caused by Inappropriate Installation of Enhanced Child Restraint System with Top Tether in Frontal Crash Accidents

Contact Info

Product

Resources

About