Evaluation of an Education, Restraint Distribution, and Fitting Program to Promote Correct Use of Age-Appropriate Child Restraints for Children Aged 3 to 5 Years

A Cluster Randomized Trial

Bibliographic Data

ID11025547
AuthorsLisa Keay (0000-0003-2215-0678, Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Kate Hunter (0000-0002-2757-1474, Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Julie Brown (0000-0001-6358-8022, Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Joseph M Simpson (0000-0001-5172-3004, The George Institute for Global Health), Judy M Simpson (Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Lynne E Bilston (0000-0001-8250-9019, Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Maureen Elliott (Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Mark Stevenson (0000-0003-3166-5876, Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...), Rebecca Ivers (0000-0003-3448-662X, The George Institute for Global Health), Rebecca Q Ivers (Lisa Keay is with The George Institute for Global Health and the Sydney Medical School, The University of Sydney, Sydney, Australia. Kate Hunter and Rebecca Q. Ivers are with The George Institute for Global Health and the School of Public Health, The University of Sydney. Judy M. Simpson is with School of Public Health, The University of Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney. Maureen Elliott is with New South Wales...)
Year2012
Volume102
Issue12
Pagese96-e102
Publication date2012-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.301030
PMID23078492
PMCIDPMC3519299
OpenAlexW2161779848
LanguageEN
Citations received7
References cited23

Objectives. We evaluated an education, distribution, and fitting program for increasing age-appropriate and correct child restraint use. Methods. We performed a cluster randomized trial involving 28 early childhood education centers in low socioeconomic status areas in Sydney, Australia. The main outcome was optimal restraint use defined as age-appropriate restraints, installed into the vehicle correctly and used correctly. Results. One service withdrew after randomization, so data are presented for 689 child passengers, aged 3 to 5 years, from 27 centers. More children attending intervention centers were optimally restrained (43% vs 31%; P = .01; allowing for clustering). More 3-year-olds were using forward-facing seats rather than booster seats, more 4- to 5-year-olds were using booster seats instead of seat belts alone, and there were fewer errors in use at intervention centers. Among non–English-speaking families, more children attending intervention centers were optimally restrained (43% vs 17%; P = .002; allowing for clustering). Conclusions. The program increased use of age-appropriate restraints and correct use of restraints, which translates to improved crash injury protection. Multifaceted education, seat distribution, and fitting enhanced legislation effects, and the effect size was larger in non–English-speaking families

Booster (rocketry) · Cluster (spacecraft) · Cluster randomised controlled trial · Environmental health · Intervention (counseling) · Physical therapy · Poison control · Population · Randomization · Randomized controlled trial · Socioeconomic status · Automotive and Human Injury Biomechanics · Computer Science · Engineering · Healthcare Decision-Making and Restraints · Medicine · Nursing · Restraint-Related Deaths

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