Sage Journals: Discover world-class research

Abstract

When used correctly, child restraint systems (CRS) effectively reduce the risk of serious injury and death to child passengers in motor vehicle crashes. However, error rates in CRS use among caregivers are extremely high. Consultation with child passenger safety technicians (CPST) reduces misuse rates, but access to CPST is limited, particularly in rural areas. Remote consultation via interactive virtual presence (IVP) may increase access to CPST. One hundred and fifty caregivers in Southeast Montana completed remote consultation with CPST via IVP. Errors in CRS selection, installation, and child positioning were coded at baseline and postintervention in a within-subjects, pretest–posttest design. The proportion of caregivers making one or more errors in CRS selection (McNemar’s test p < .001) and installation (McNemar’s test p < .001), but not child positioning, significantly decreased following remote consultation. IVP is a promising mobile health (mHealth) strategy for providing remote consultation with CPST to improve rates of correct CRS use and mitigate child injury risk.

Keywords

car seat child passenger child restraint child safety mHealth motor vehicle crash

Get full access to this article

View all access options for this article.

References

Beck

L. F.

Downs

Stevens

M. R.

Sauber-Schatz

E. K.

(2017). Rural and urban differences in passenger-vehicle–occupant deaths and seat belt use among adults—United States, 2014. Surveillance Summaries, 66(17), 1-13.

Brixey

S. N.

Guse

C. E.

Gorelick

(2010). Reliability and validity of child passenger safety restraint observations by community observers. Traffic Injury Prevention, 11, 573-577.

Burstein

Zonfrillo

M. R.

Baird

Mello

M. J.

(2017). Child passenger safety technician consultation in the pediatric primary care setting. Clinical Pediatrics, 56, 928-933.

Byrne

J. P.

Mann

N. C.

Dai

Mason

S. A.

Karanicolas

Rizoli

Nathens

A. B.

(2019). Association between emergency medical service response time and motor vehicle crash mortality in the United States. JAMA Surgery, 154, 286-293.

Centers for Disease Control and Prevention. (2019). Ten leading causes of death and injury. Retrieved from http://www.cdc.gov/injury/wisqars/leadingcauses.html

Duchossois

G. P.

Nance

M. L.

Wiebe

D. J.

(2008). Evaluation of child safety seat checkpoint events. Accident Analysis & Prevention, 40, 1908-1912.

Federal Communications Commission. (2017). 20th annual mobile wireless competition report (FCC Publication No. 17-126). Washington, DC: Author.

FIA Foundation for the Automobile and Society. (2009). Seat belts and child restraints: A road safety manual for decision-makers and practitioners. London, England: World Health Organization.

Hafner

J. W.

Kok

S. J.

Wang

Wren

D. L.

Aitken

M. E.

Miller

B. K.

. . . Monroe

K. W.

(2017). Child passenger restraint system misuse in rural versus urban children: A multisite case-control study. Pediatric Emergency Care, 33, 663-669.

10.

Lane

W. G.

Liu

G. C.

Newlin

(2000). The association between hands-on instruction and proper child safety seat installation. Pediatrics, 106, 924-929.

11.

Loftis

C. M.

Sawyer

J. R.

Eubanks

J. W.

3rd Kelly

D. M.

(2017). The impact of child safety restraint status and age in motor vehicle collisions in predicting type and severity of bone fractures and traumatic injuries. Journal of Pediatric Orthopedics, 37, 521-525.

12.

Mirman

J. H.

Curry

A. E.

Zonfrillo

M. R.

Corregano

L. M.

Seifert

Arbogast

K. B.

(2014). Caregivers’ confidence in performing child safety seat installations: What matters most? Injury Prevention, 20, 167-171.

13.

National Highway Traffic Safety Administration. (2018). Rural/urban comparison of traffic fatalities. Washington, DC: U.S. Department of Transportation.

14.

Rathbone

A. L.

Prescott

(2017). The use of mobile apps and SMS messaging as physical and mental health interventions: Systematic review. Journal of Medical Internet Research, 19, e295.

15.

Safe Kids Worldwide. (2019). About CPS certification. Retrieved from https://cert.safekids.org/

16.

Schwartz

Lellouch

(1967). Explanatory and pragmatic attitudes in therapeutical trials. Journal of Chronic Diseases, 20, 637-648.

17.

Schwebel

D. C.

Johnston

Rouse

(2017). Teaching infant car seat installation via interactive virtual presence: An experimental trial. Traffic Injury Prevention, 18, 188-192.

18.

Schwebel

D. C.

Tillman

M. A.

Crew

Muller

Johnston

(2017). Using interactive virtual presence to support accurate installation of child restraints: Efficacy and parental perceptions. Journal of Safety Research, 62, 235-243.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.12 MB

Supporting Caregiver Use of Child Restraints in Rural Communities via Interactive Virtual Presence

Abstract

Keywords

Get full access to this article

References

Supplementary Material