Promoting Correct Car Seat Use in Parents of Young Children

Weaver, Nancy L.; Brixey, Suzanne N.; Williams, Janice; Nansel, Tonja R.

doi:10.1177/1524839912457567

Cited by 15 publications

(8 citation statements)

References 26 publications

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“…Technology is advancing in CRSs, as well as vehicles, but parents and caregiver need to utilize the CRS in order to keep their child safe. To support parents and caregivers in using the appropriate CRSs for their child on every ride, interventions and public health campaigns may need be targeted and have clear messages to address those in which parents may be more willing to not fully buckle their child [ 27 , 28 ]. For example, we saw that for the taxi and car sharing service situation, 23.6% and 13.1% of booster seat and car seat users, respectively, agreed or somewhat agreed they would not fully buckle their child.…”

Section: Discussionmentioning

confidence: 99%

Situational Use of Child Restraint Systems and Carpooling Behaviors in Parents and Caregivers

McDonald

Kennedy

Fleisher

et al. 2018

IJERPH

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Suboptimal compliance with child restraint system (CRS) recommendations can increase risk for injury or death in a motor vehicle crash. The purpose of this study was to examine scenarios associated with incomplete CRS use and non-use in children ages 4–10 years. We used a cross-sectional online survey with a convenience sample of parent/caregivers from the United States, age ≥18 years, with a child age 4–10 years in their home, who could read and spoke English, and drove child ≥6 times in previous three months. We used descriptive statistics and Mann-Whitney U to describe and compare the distribution of responses to situational use of CRSs among car seat users and booster seat users. We also used descriptive statistics and the Mann-Whitney U to describe and compare the distribution of responses to carpooling items among booster seat users and non-booster seat users. There were significant differences among those who reported most often using booster seats (n = 282) and car seats (n = 127) in situations involving rental cars, driving just around the corner, car too crowded to fit the CRS, not enough CRSs in the vehicle, the CRS is missing from the car, or the child is in someone else’s car without a CRS (p < 0.05). Among those who reported most often using booster seats and who carpooled other children (n = 159), 71.7% (n = 114) always used a booster seat for their own child. When carpooling other children, booster seat users were significantly more likely to use booster seats for other children ages 4–10 than the non-booster seat users (p < 0.01). Continued education and programs surrounding CRS use is critical, particularly for children who should be in booster seats.

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Section: Discussionmentioning

confidence: 99%

Situational Use of Child Restraint Systems and Carpooling Behaviors in Parents and Caregivers

McDonald

Kennedy

Fleisher

et al. 2018

IJERPH

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“…Baseline results identified common critical CRS misuse. [25][26][27][28] Even though participants were instructed to install their CRS based on CRS and motor vehicle instructions, we observed that instructions and knowledge were not sufficient to provide the complex skills necessary to properly install and use a CRS. 29 30 We determined that BST procedures provided participants with the hands-on critical skills needed for correct CRS installation and use.…”

Section: Discussionmentioning

confidence: 99%

Telehealth Applied to Deliver In-situ Behavioral Skills Training to Reduce Car Seat Misuse During the Covid-19 Pandemic

DeCarli¹

2020

Preprint

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ObjectiveThe use of telehealth has been a common approach to deliver health education before and during the COVID-19 pandemic. However, its ability to apply behavioral skills training (BST) for CRS education has been undocumented. This study assessed the efficacy of telehealth to deliver in-situ behavioral skills training (BST) to teach expectant parents how to install and use their child restraint system (CRS) to reduce misuse and improve retention during the COVID-19 pandemic.MethodA repeated measures group design was used to evaluate 171 individual participants, in a 37-step CRS task analysis for baseline, BST, and follow-up. Performance across all participants was aggregated for each task analysis. Participants were recruited from National Highway Traffic Safety Administration car seat fitting stations during the Covid-19 pandemic between March through July, 2020.ResultsBaseline results identified significant critical misuse across participants. With BST, delivered with telehealth, misuse decreased by 97% among 37 task objectives. A 2-week follow-up evaluation concluded that 100% of participants retained the skills they mastered during BST.ConclusionsThis study suggests the use of telehealth, as a method of BST delivery for CRS education, is an effective approach to reduce CRS misuse and the burden of child occupant motor vehicle injury. It was found to empower participants and improve their self-confidence, while ensuring the safety of their child occupant. While it was found to be an effective approach for expectant parents during the COVID-19 pandemic, it also has broader child passenger safety program and train-the-trainer implications beyond the COVID-19 pandemic.

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“…Digital signage technology (DST) is a contemporary approach to health messaging that uses flat-panel monitors to display “media rich” messages 12 in “dwell zones.” Proposed as a solution to address the short shelf-life of printed materials and the limited interaction time of health care providers 13,14 I selected DST as the best medium for delivering the intervention message. Radon program bulletin boards and hand cards, defined as the standard of care, were available in both the pre- and postintervention phases at all sites.…”

Section: Methodsmentioning

confidence: 99%

The Montana Radon Study: Social Marketing via Digital Signage Technology for Reaching Families in the Waiting Room

Larsson

2015

Am J Public Health

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Objectives I tested a social marketing intervention delivered in health department waiting rooms via digital signage technology for increasing radon program participation among priority groups. Methods I conducted a tri-county, community-based study over a 3-year period (2010–2013) in a high-radon state by using a quasi-experimental design. We collected survey data for eligible participants at the time of radon test kit purchase. Results Radon program participation increased at the intervention site (t38 = 3.74; P = .001; 95% confidence interval [CI] = 4.8, 16.0) with an increase in renters (χ21,228 = 4.3; P = .039), Special Supplementary Nutrition Program for Women, Infants, and Children families (χ21,166 = 3.13; P = .077) and first-time testers (χ21,228 = 10.93; P = .001). Approximately one third (30.3%; n = 30) attributed participation in the radon program to viewing the intervention message. The intervention crossover was also successful with increased monthly kit sales (t37 = 2.69; P = .01; 95% CI = 1.20, 8.47) and increased households participating (t23 = 4.76; P < .001; 95% CI = 3.10, 7.88). Conclusions A social marketing message was an effective population-based intervention for increasing radon program participation. The results prompted policy changes for Montana radon programming and adoption of digital signage technology by 2 health departments.

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Promoting Correct Car Seat Use in Parents of Young Children

Cited by 15 publications

References 26 publications

Situational Use of Child Restraint Systems and Carpooling Behaviors in Parents and Caregivers

Situational Use of Child Restraint Systems and Carpooling Behaviors in Parents and Caregivers

Telehealth Applied to Deliver In-situ Behavioral Skills Training to Reduce Car Seat Misuse During the Covid-19 Pandemic

The Montana Radon Study: Social Marketing via Digital Signage Technology for Reaching Families in the Waiting Room

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