Background And Objectives: Correct child car restraint use significantly reduces risk of death and serious injury in motor vehicle crashes, but millions of US children ride with improper restraints. We created a tablet-based car restraint educational intervention using Computer Intervention Authoring Software (CIAS) and examined its impact on knowledge and behaviours among parents in the paediatric emergency department (PED).
Methods: This was a non-blinded, randomised controlled trial of parents of PED patients ages 0-12 years. Participants were evaluated for baseline car restraint knowledge and behaviour. The intervention group completed an interactive tablet-based module, while the control group received printed handouts on car restraint safety. After 1 week, both groups received a follow-up survey assessing changes in car restraint knowledge and behaviour. Logistic regressions determined predictors of knowledge retention and behavioural changes. Parents in the CIAS group were also surveyed on programme acceptability.
Results: 211 parents completed the study with follow-up data. There was no significant difference in baseline car restraint knowledge (74.3% correct in intervention, 61.8% in control, p=0.15), or increase in follow-up restraint knowledge. Significantly more intervention-group caregivers reported modifying their child's car restraint at follow-up (52.5% vs 31.8%,p=0.003), and 93.7% of them found CIAS helpful in learning to improve car safety.
Conclusion: Parents had overall high levels of car restraint knowledge. Using CIAS led to positive behavioural changes regarding child car restraint safety, with the vast majority reporting positive attitudes towards CIAS. This novel, interactive, tablet-based tool is a useful PED intervention for behavioural change in parents.
Trial Registration Number: NCT03799393.
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http://dx.doi.org/10.1136/ip-2023-044998 | DOI Listing |
J Clin Nurs
December 2024
Faculty of Medicine, Nursing and Health Sciences, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
Aims: To identify and characterise the approaches and instruments used in recent literature to measure the prevalence of restrictive care practices in adult mental health inpatient units. Additionally, it sought to summarise the reported psychometric properties, including reliability and validity of these measures.
Methods: A systematic review of recent litratures was conducted using Scopus, MEDLINE, CINAHL, PsycINFO, Web of Science and Embase databases to identify studies published from 1 January 2010 to 11 October 2023.
Traffic Inj Prev
December 2024
Injury Division, The George Institute for Global Health, Faculty of Medicine and Health, UNSW.
Objective: Incorrect use of child restraints is a long-standing issue, limiting the protection offered by child restraints in the event of a crash. Child restraint fitting services are a measure to reduce incorrect use but have limited reach and availability to underserved populations. Virtual child restraint fitting services have the potential to increase the reach and availability, but as with any digital intervention, need to be acceptable to users to be effective.
View Article and Find Full Text PDFTraffic Inj Prev
November 2024
ProBiomechanics LLC, Bloomfield Hills, Michigan.
Objective: The effect of shoulder-belt load-limiting was evaluated on right-front passenger kinematics in 90 km/h oblique OMDB (offset moving deformable barrier) impacts and compared to kinematics in 56 km/h NCAP crash tests. The study focused on the influence of webbing pulling out of the retractor increasing forward excursion of the upper torso and head.
Methods: 18 OMDB crash tests were conducted by NHTSA at 90 km/h.
Stapp Car Crash J
October 2024
Injury Biomechanics Research Center, The Ohio State University.
This study compared modern vehicle and booster geometries with relevant child anthropometries. Vehicle geometries (seat length, seat pan height, shoulder belt outlet height, and roof height) were obtained for 275 center and outboard rear seating positions of US vehicles (MY 2009-2022). Measurements of 85 US boosters (pan height and pan length) and anthropometries of 80 US children between 4-14yo (seated height, thigh length, leg length, and seated shoulder height) were also collected.
View Article and Find Full Text PDFTraffic Inj Prev
November 2024
Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Objective: Although child safety seats are highly effective in preventing injuries, they are frequently misused. Experts have identified two leading "critical misuses": (1) loose harness straps and (2) loose vehicle attachment at the base. We designed an innovative child safety seat system that educates, instructs, and alarms participants of safety seat errors.
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