A comparison of parent and child perspectives about barriers to and facilitators of bicycle helmet and booster seat use

Facilitators and barriers to bicycle helmet use: A qualitative evidence synthesis

“… Focus group discussions only[ 34 35 36 37 38 39 40 ] In-depth interviews only[ 41 42 43 ] Both focus groups and in-depth interviews[ 44 45 ] Mixed-method design[ 46 ] Focus group and observation[ 47 ] Interview and art project artefacts[ 48 ] …”

“…In majority of the studies, the participants were children or adolescent teenagers,[ 34 35 36 38 39 41 47 48 ] and in three studies, they were parents. [ 37 40 42 ] Two studies had bicycle helmet coordinating committee members, public safety officers, elected officials, bicycle retailers, parent–teacher organization members[ 43 44 ] as participants, and one had bike sharing system members and car drivers. [ 45 ]All included studies were conducted in high-income countries.…”

“…[ 45 ]All included studies were conducted in high-income countries. Studies were conducted in schools[ 34 36 46 47 48 ] or in the community,[ 35 37 38 39 40 41 42 44 45 ] and one study didn’t report the study setting. [ 43 ]…”

“…The methodological quality of the studies is summarized in Figure 2 . None of the studies reported on reflexivity and data saturation; three studies mentioned about data triangulation;[ 39 40 48 ] four studies did not use rigorous analytical methods[ 35 45 46 47 ]…”

“…Bicycle users often did not want to wear helmets in spite of acknowledging the safety benefits of helmet use; they had concerns about the helmet design, its quality and cost,[ 34 35 36 37 39 40 46 48 ] discomfort due to weather conditions,[ 35 36 40 48 ] restricted vision, poor fitting and a feeling of the chin being hurt due to the strap. [ 35 39 40 47 ]…”