Assessing child restraint misuse by parental survey

Arbogast, Kristy B.; Durbin, Dennis R.; Morris, Shannon D.; Winston, Flaura Koplin

doi:10.1136/ip.6.2.145

Cited by 22 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The survey collected selfreported information from parents on (a) transporting their child in the vehicle, (b) use of child safety restraints, (c) knowledge of child safety restraints, (d) sources of information to access information on safety restraints, and (e) demographic characteristics of parents and their child. Self-report instruments have been found to be a reliable method for examining child safety restraint used for children (Arbogast, Durbin, Morris, & Winston, 2000).…”

Section: Methodsmentioning

confidence: 99%

An exploratory study of parents' use and knowledge of car safety seats in Beijing, China

Purc-Stephenson

Ren

Snowdon

2010

International Journal of Injury Control and Safety Promotion

View full text Add to dashboard Cite

As the number of vehicles in China rapidly increases and there is no child safety seat law, the issue of road safety for children is a growing concern. The purpose of this study was to examine parents' use and knowledge of car safety seats in Beijing, China. Using a convenience sample of 843 parents, survey results showed that only 64.8% of parents used a safety restraint for their children; the remaining 35.2% of children, of which most were toddlers or school-aged children, travelled unrestrained in vehicles. Among parents who used a safety restraint, only 24.2% were using it correctly based on the child's age (for infants), weight and height. Common reasons for not using a safety seat included difficulty finding safety seats (56.6%), cost (26.1%), and a preference to hold the child (18.1%). Moreover, a large proportion of parents prematurely transitioned their child from a safety seat to seat belt. The results highlight the need to develop injury prevention interventions that communicate the benefits and encourage the use of child safety restraints in China.

show abstract

Section: Methodsmentioning

confidence: 99%

An exploratory study of parents' use and knowledge of car safety seats in Beijing, China

Purc-Stephenson

Ren

Snowdon

2010

International Journal of Injury Control and Safety Promotion

View full text Add to dashboard Cite

show abstract

“…Information will be collected about number of children in the family, age of children, type and frequency of restraint use and seating position in car. Although this technique will be less accurate than the direct observations made post intervention, previous work has shown that parent interview tools may be used to accurately describe child restraint use [ 29 ], and it has been determined that the risk of measurement error is less important than any possible contamination of the control group which may occur by more detailed measures. This process will also remove any ethical dilemmas that may arise if children in the control group were observed to be restrained inappropriately.…”

Section: Methodsmentioning

confidence: 99%

Buckle up safely: a cluster randomised trial to evaluate the effectiveness of a pre-school based program to increase appropriate use of child restraints

et al. 2011

View full text Add to dashboard Cite

BackgroundRoad traffic crashes for car occupants are a leading cause of death and serious injury in children from high and middle income countries globally. Correct use of appropriate child restraints can significantly reduce death and serious injury but there is a need for well powered trials to examine effectiveness of programs to increase optimal child restraint practices. The aim of this trial is to examine the effectiveness of a comprehensive intervention to increase the use of appropriate child restraints, and decrease incorrect use of child restraints in pre-school aged children traveling in cars.Methods and DesignA cluster randomised controlled trial will be conducted, involving 28 pre-school or childcare centres in low income areas of Sydney, Australia, over one calendar year. The intervention is an educational program involving an in-service for centre staff, distribution of educational materials to parents, a parent workshop demonstrating restraint use, subsidised restraints for parents in need, and vouchers for a free restraint checking service. Blinded assessors will observe restraint use at all centres at the end of the calendar year. Data will be analysed on an intention-to-treat basis; the primary analysis will compare the proportion of each of the two outcome measures (use of appropriate restraints, and incorrect use of restraints) at each centre between intervention and control groups. Detailed process evaluation will be conducted, including examination of implementation and utilisation of various elements of the program by both centres and families.DiscussionThis assessor blinded cluster randomised trial is powered to provide credible evidence about the efficacy of an education and distribution program in a pre-school setting to increase appropriate use, and decrease incorrect use of child restraints.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12609000612213.

show abstract

“…The best alternative strategy to self-installation, and the recommendation of both paediatricians and traffic safety experts, is use of individualised instruction, education and assistance from a currently certified technician 18 25 26. Recent evidence from a study of 291 parents, some of whom had recently worked with certified technicians to install their restraint, showed that parents who worked with technicians had 90% fewer critical misuse errors than parents who had not worked with technicians 9.…”

Section: The Cognitive and Behavioural Bases Of Child Restraint Instamentioning

confidence: 99%

Study protocol: a randomised non-inferiority trial using interactive virtual presence to remotely assist parents with child restraint installations

2019

View full text Add to dashboard Cite

BackgroundMotor vehicle crashes are the third-leading cause of death to American children aged 1–5 years. When installed correctly, child restraints (car seats) reduce risk of serious injury and death. However, most restraints are installed incorrectly. The current gold standard for correct installation is systematic car seat checks, where certified technicians help parents, but car seat checks are highly underused due to barriers in access, scheduling and resources.MethodsThe present study protocol describes plans to evaluate use of interactive virtual presence technology (interactive merged reality)—joint, simultaneous remote verbal and visual interaction and exposure to the same 3D stimuli—to assist remotely located parents installing child restraints. If effective, this technology could supplement or replace in-person checks and revolutionise how government, industry and non-profits help parents install child restraints properly. Building from preliminary studies, we propose a randomised non-inferiority trial to evaluate whether parents who install child restraints while communicating with remote expert technicians via interactive virtual presence on their smartphones achieve installations and learning not inferior in safety to parents who install restraints with on-site technicians. We will randomly assign 1476 caregivers at 7 US sites to install child restraints either via interactive virtual presence or live technicians. Correctness of installation will be assessed using objective checklists, both following installation and again 4 months later.ConclusionWe aim to demonstrate that child restraint installation is accurate (>90% correct) when conducted remotely, that such installations are not inferior to installation accuracy with live experts and that parents learn and retain information about child restraint installation.

show abstract

Assessing child restraint misuse by parental survey

Cited by 22 publications

References 4 publications

An exploratory study of parents' use and knowledge of car safety seats in Beijing, China

An exploratory study of parents' use and knowledge of car safety seats in Beijing, China

Buckle up safely: a cluster randomised trial to evaluate the effectiveness of a pre-school based program to increase appropriate use of child restraints

Study protocol: a randomised non-inferiority trial using interactive virtual presence to remotely assist parents with child restraint installations

Contact Info

Product

Resources

About