Child seat belt guidelines: Examining the 4 feet 9 inches rule as the standard

Morse, Amber; Aitken, Mary E.; Mullins, Samantha H.; Miller, Beverly; Pomtree, Mindy M; Ulloa, Erin M; Montgomery, Jeffrey S.; Saylors, Marie E.

doi:10.1097/ta.0000000000001543

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…The risk of serious injury for children restrained in booster seats and car seats is 78% lower than the use of seat belts (Arbogast et al, 2004). Additionally, children are safest when positioned in the rear seat of vehicles (Morse et al, 2017), which may help avoid potential injury from dashboard airbags in the event of an MVC (Durbin et al, 2018). More than half of children involved in an MVC are improperly restrained (Urrechaga et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Evaluating Child Passenger Restraint Use Education

Marsala,

Hightower,

Stucke

et al. 2024

Journal of Trauma Nursing

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BACKGROUND: Despite recommendations and laws for child restraint use in motor vehicles, evidence of low restraint use remains, and there is a lack of evidence addressing the effectiveness of restraint use education. OBJECTIVE: This project aims to measure the impact of an education initiative on child passenger restraint use. METHODS: This pre- and postintervention study was conducted in six elementary schools in a Southwestern U.S. metropolitan area over 5 months from October 2022 to March 2023. Motor vehicle restraint use was collected from occupants arriving at elementary schools during the morning drop-off times. Participants were provided one-on-one education regarding child passenger safety guidelines and state laws. Comparison data were collected 1–3 weeks later at the same schools to evaluate the education provided. RESULTS: A total of 1,671 occupants in 612 vehicles were observed across six schools, with 343 adults and 553 children preintervention and 306 adults and 469 children postintervention. Overall restraint adherence in children improved postintervention from 42.3% to 56.1%, a 32.6% increase (p = < .001). In the primary age group of 4–8 years, restraint adherence improved postintervention from 34.8% to 54.2%, a 55.8% increase (p = <.001). CONCLUSIONS: The study results demonstrate that one-on-one education increases child passenger restraint use.

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Section: Introductionmentioning

confidence: 99%

Evaluating Child Passenger Restraint Use Education

Marsala,

Hightower,

Stucke

et al. 2024

Journal of Trauma Nursing

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Analysis of the factors influencing parents’ support for child safety seat legislation in Nanjing

Zhao

Kang

et al. 2022

Traffic Injury Prevention

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Evaluation of an After-Hours Child Passenger Safety Resource Guide

Pollok

Barczyk

Piper³

et al. 2019

Journal of Trauma Nursing

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Motor vehicle crashes are a leading cause of unintentional injury deaths for children in the United States. Child safety seats are effective in reducing the rate and severity of injury for children. Families seen in an emergency department (ED) outside of injury prevention (IP) operational hours may not have the same opportunity to obtain a child safety seat due to the unavailability of IP resources. This study evaluated the effectiveness of a resource guide that assists the ED staff to screen and provide the appropriate child safety seat. Two retrospective cohort analyses were conducted to assess the following: (1) patients seen in the ED who were eligible to be screened through the resource guide; and (2) patients who were screened and received a restraint system through the resource guide. Records for both cohorts were reviewed from May 1, 2015, to February 29, 2016. Descriptive statistics were used to describe each cohort. In Cohort 1, 10.6% of the 113 patients meeting criteria were screened for a restraint system. In Cohort 2, 20 patients received a restraint system through the resource guide and 90% of these received the appropriate restraint system for their age and weight. Our results demonstrate the need for an algorithm to increase consistency of the resource guide's utilization. Algorithm development to identify screening candidates, further refinement of the guide's restraint identification process, and staff training may improve this tool to ensure that all patients, despite the availability of IP staff, are screened for the appropriate child safety seat.

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Child seat belt guidelines: Examining the 4 feet 9 inches rule as the standard

Abstract: Epidemiologic study, level III; Therapeutic study, level V.

Cited by 4 publications

References 14 publications

Evaluating Child Passenger Restraint Use Education

Evaluating Child Passenger Restraint Use Education

Analysis of the factors influencing parents’ support for child safety seat legislation in Nanjing

Evaluation of an After-Hours Child Passenger Safety Resource Guide

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