Evaluation of parental education using biomechanical visualization to increase child restraint use in China

Peng, Yuchen; Zhang, Mengwei; Shu, Yan; Li, Xiaogai; Yang, Jingzhen; Fan, Guanhua; Li, Liping

doi:10.1016/j.aap.2022.106633

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…Currently, due to rapid development of the internet, information about children's injuries brought on by the improper administration of CRS can be rapidly disseminated online. Parents have a more intuitive understanding of the awareness and severity of children's riding injuries, so that they could take measures to prevent injury [ 44 ]. Additionally, the authority suggestion promotes the use of CRS, which is compatible with the research findings by Jin [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

et al. 2023

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Background Children's injuries from traffic accidents have been identified as a global public health issue. Child restraint system (CRS) is a useful tool for lowering the risk of injury to children. Nevertheless, CRS usage is really low in China. The goal of the current study was to investigate the use of CRS after the legislation revised in China and to explore the influencing factors based on Information, Motivation, and Behavioral Skills model (IMB). Methods The study is a cross-sectional survey of parents who took their 0 to 6-year-old children for seeking primary care services at the Children Preventive Health Care Clinic of a tertiary hospital in Shandong Province, China. Parents were invited to complete the self-administered questionnaire between March and June 2022, including their knowledge, motivation, and behavioral skills, use behavior of CRS and socio-demographics. Ordinal logistic regression was used to explore the factors associated with CRS use by using SPSS software (version 26.0). Results In total, 442 parents participated in the study; 56.1% (n = 201) of the parents utilized CRS for their child passengers, however only 29.0% used CRS frequently. The result of logistic regression analysis show that parents with junior college (OR = 0.398, 95%CI: 0.185 ~ 0.857), possessing a high family economic status(OR = 0.225, 95%CI: 0.088 ~ 0.578), being trained on children’s unintentional injuries(OR = 0.435,95%CI: 0.272 ~ 0.695), and having high scores on CRS riding mode cognition(OR = 0.476, 95%CI: 0.368 ~ 0.616), CRS type cognition(OR = 0.519, 95%CI: 0.392 ~ 0.689), CRS use motivation(OR = 0.392, 95%CI: 0.295 ~ 0.520) and installation skills(OR = 0.559, 95%CI:0.411 ~ 0.761) were the main factors promoting the usage of CRS. Conclusions This study found that the use of CRS can be increased by improving parents' knowledge, motivation and behavior skills and hence related educational programs is necessary for increasing CRS use in China.

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Section: Discussionmentioning

confidence: 99%

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

et al. 2023

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“…Most parents prefer conventional intervention modes, and it will take time for parents to accept emerging technologies ( 18 ). Previous studies have shown that interventions based on mobile technology are progressively becoming more popular, and play an increasingly important role in public health and health promotion ( 38 , 39 ). In the future, interdisciplinary collaborations could be considered to design the optimal interventions to maximize the advantages of mobile technology.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the effectiveness of parent-targeted interventions for the use of child restraint systems: a systematic review and meta-analysis

Sun¹,

Liu²,

Ni³

et al. 2022

Transl Pediatr

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Background: It is essential to implement parent-targeted interventions to increase the use of child restraint systems (CRS) and thus reduce the injuries and deaths of children due to motor vehicle collisions.To optimize future intervention designs, this meta-analysis sought to quantify the effects of parent-targeted interventions and explore potential intervention moderators.Methods: Studies met inclusion criteria if they included a parents-targeted intervention that focused on increasing CRS use for children, published from the inception of the databases to January 2022, were systematically retrieved from the PubMed, Embase, Cochrane library, Web of Science, Sinomed, Wanfang, and CNKI databases. Next, 2 researchers independently screened the retrieved articles, evaluated their quality according to the Cochrane Tool, and extracted the data. Finally, Stata12.0 was used for the metaanalysis. Heterogeneity was examined with I 2 , stratified analyses, and meta-regression.Results: Of the 1,690 articles retrieved, 9 studies, comprising 22,329 parents of children aged 0-12 years, were ultimately included in the analysis. The results of the meta-analysis showed that the CRS use rate of the intervention group was 1.62 times higher than that of the control group [95% confidence interval (CI):1.25-2.11, Z=3.616, P<0.001], indicating the positive effect of parent-targeted interventions on promoting the use of CRS. The subgroup analysis found that interventions guided by behavioral theories increased the use of CRS (odds ratio: 1.44, 95% CI: 1.27-1.63, n=5). The difference in the use of CRS between the groups in the studies that were not guided by theories was not statistically significant, indicating that interventions guided by behavioral theories may be the source of the heterogeneity. Risk of bias was low in most studies. Conclusions: It is necessary to conduct interventions with parents to increase the use of CRS. The effects on CRS use appear to differ depending on whether the interventions are guided by behavioral theories. Indepth research needs to be conducted to explore the characteristics of the interventions, especially those guided by different behavioral theories, to reduce child vehicle injuries.

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Child restraint system use in China, comparing theory of planned behavior, prototype willingness model, and integrative model

Liu,

Liu

2024

Journal of Transport & Health

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Evaluation of parental education using biomechanical visualization to increase child restraint use in China

Cited by 4 publications

References 23 publications

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

Assessment of the effectiveness of parent-targeted interventions for the use of child restraint systems: a systematic review and meta-analysis

Child restraint system use in China, comparing theory of planned behavior, prototype willingness model, and integrative model

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