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

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• 作者：Rebecca Q Ivers (1) (2)
  Lisa Keay (1)
  Julie Brown (3)
  Lynne E Bilston (3)
  Kate Hunter (1) (2)
  Judy M Simpson (2)
  Mark Stevenson (1) (4)
  
• 刊名：BMC Public Health
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：11
• 期：1
• 全文大小：188KB
• 参考文献：1. UNICEF: / A league table of child deaths by injury in rich nations: Innocenti Report Card. / Volume 2. Florence: UNICEF Innocenti Research Centre; 2001.
  2. Australian Transport Safety Bureau: / Fatal road crash database. Canberra: Australian Transport Safety Bureau; 2007.
  3. Australian Transport Safety Bureau: / Serious injury due to road crashes. Canberra: Australian Transport Safety Bureau; 2004.
  4. Berry JG, Harrison JE: Serious injury due to land transport accidents, Australia, 2003鈥?4. In / Injury Research and Statistics Series: INJCAT 107. Canberra: Australian Institute of Health and Welfare; 2007.
  5. Elliott MR, Kallan MJ, Durbin DR, Winston FK: Effectiveness of child safety seats vs seat belts in reducing risk for death in children in passenger vehicle crashes.[Erratum appears in Arch Pediatr Adolesc Med. 2006 Sep;160(9):952]. / Archives of Pediatrics & Adolescent Medicine 2006, 160 (6) : 617鈥?21. CrossRef
  6. Zaloshnja E, Miller TR, Hendrie D: Effectiveness of child safety seats vs safety belts for children aged 2 to 3 years. / Archives of Pediatrics & Adolescent Medicine 2007, 161 (1) : 65鈥?8. CrossRef
  7. Valent F, McGwin G Jr, Hardin W, Johnston C, Rue LW: Restraint use and injury patterns among children involved in motor vehicle collisions. / Journal of Trauma Injury Infection & Critical Care 2002, 52 (4) : 745鈥?51. CrossRef
  8. Henderson M, Brown J, Griffiths M: Children in adult seat belts and child harnesses. In / Road Safety Publications: CR 173. Canberra: Federal Office of Road Safety; 1997.
  9. Brown J, McCaskill ME, Henderson M, Bilston LE: Serious injury is associated with suboptimal restraint use in child motor vehicle occupants. / Journal of Paediatrics & Child Health 2006, 42 (6) : 345鈥?49. CrossRef
  10. Choose right buckle right [http://www.rta.nsw.gov.au/roadsafety/downloads/choose_right_buckle_right.pdf]
  11. Bilston LE, Sagar N: Geometry of rear seats and child restraints compared to child anthropometry. / Stapp Car Crash Journal 2007, 51: 275鈥?98.
  12. Cameron L, Segedin E, Nuthall G, Thompson J: Safe restraint of the child passenger. / Journal of Paediatrics & Child Health 2006, 42 (12) : 752鈥?57. CrossRef
  13. Winston FK, Durbin DR, Kallan MJ, Moll EK: The danger of premature graduation to seat belts for young children. / Pediatrics 2000, 105 (6) : 1179鈥?183. CrossRef
  14. Durbin DR, Elliott MR, Winston FK: Belt-positioning booster seats and reduction in risk of injury among children in vehicle crashes. / JAMA 2003, 289 (21) : 2835鈥?840. CrossRef
  15. Durbin DR, Chen I, Smith R, Elliott MR, Winston FK: Effects of seating position and appropriate restraint use on the risk of injury to children in motor vehicle crashes. / Pediatrics 2005., 115 (3) :
  16. Koppel S, Charlton JL, Fitzharris M, Congiu M, Fildes B: Factors associated with the premature graduation of children into seatbelts. / Accident Analysis & Prevention 2008, 40 (2) : 657鈥?66. CrossRef
  17. Brown J, Bilston LE: Child restraint misuse: incorrect and inappropriate use of restraints by children reduces their effectiveness in crashes. / Journal of the Australasian College of Road Safety 2007., 18 (3) :
  18. Bilston LE, Finch C, Hatfield J, Brown J: Age-specific parental knowledge of restraint transitions influences appropriateness of child occupant restraint use. / Injury Prevention 2008, 14 (3) : 159鈥?63. CrossRef
  19. Simpson EM, Moll EK, Kassam-Adams N, Miller GJ, Winston FK: Barriers to booster seat use and strategies to increase their use. / Pediatrics 2002, 110 (4) : 729鈥?36. CrossRef
  20. Winston FK, Chen IG, Smith R, Elliott MR: Parent driver characteristics associated with sub-optimal restraint of child passengers. / Traffic Injury Prevention 2006, 7 (4) : 373鈥?80. CrossRef
  21. Brown J, Hatfield J, Du W, Finch CF, Bilston LE: The Characteristics of Incorrect Restraint Use Among Children Traveling in Cars in New South Wales, Australia. / Traffic Injury Prevention 2010, 11 (4) : 391鈥?98. CrossRef
  22. Eby DW, Kostyniuk LP: A statewide analysis of child safety seat use and misuse in Michigan. / Accident Analysis & Prevention 1999, 31 (5) : 555鈥?66. CrossRef
  23. Bilston LE, Du W, Brown J: Factors predicting incorrect use of restraints by children travelling in cars: a cluster randomised observational study. / Injury Prevention 2010. Published online November 24, 2010
  24. Du W, Finch CF, Hayen A, Bilston L, Brown J, Hatfield J: Relative Benefits of Population-Level Interventions Targeting Restraint-Use in Child Car Passengers. / Pediatrics 2010, 125 (2) : 304鈥?12. CrossRef
  25. Ehiri JE, Ejere HO, Hazen AE, Emusu D, King WD, Osberg SJ: Interventions to increase children's booster seat use: a review. / American Journal of Preventive Medicine 2006, 31 (2) : 185鈥?92. CrossRef
  26. Thoreson S, Myers L, Goss C, DiGuiseppi C: Effects of a Booster Seat Education and Distribution Program in Child Care Centers on Child Restraint Use Among Children Aged 4 to 8 Years. / Arch Pediatr Adolesc Med 2009, 163 (3) : 261鈥?67. CrossRef
  27. Martin M, Holden J, Chen Z, Quinlan K: Child passenger safety for inner-city Latinos: new approaches from the community. / Injury Prevention 2006, 12 (2) : 99鈥?04. CrossRef
  28. Campbell MK, Elbourne DR, Altman DG: CONSORT statement: extension to cluster randomised trials. / BMJ 7441 328 (7441) : 702鈥?08.
  29. Arbogast KB, Durbin DR, Morris SD, Winston FK: Assessing child restraint misuse by parental survey. / Injury Prevention 2000, 6 (2) : 145鈥?47. CrossRef
  30. Zaza S, Sleet DA, Thompson RS, Sosin DM, Bolen JC, Task Force on Community Preventive S: Reviews of evidence regarding interventions to increase use of child safety seats. / American Journal of Preventive Medicine 2001, 21 (4 Suppl) : 31鈥?7. CrossRef
  31. Brown J, Hatfield J, Du W, Finch CF, Bilston LE: Population-level estimates of child restraint practices among children aged 0鈥?2 years in NSW, Australia. / Accident Analysis & Prevention 2010, 42 (6) : 2144鈥?148. CrossRef
  32. Donner A, Klar N: / Design and analysis of cluster randomization trials in health research. London: Arnold; 2000.
  33. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/11/16/prepub
  
• 作者单位：Rebecca Q Ivers (1) (2)
  Lisa Keay (1)
  Julie Brown (3)
  Lynne E Bilston (3)
  Kate Hunter (1) (2)
  Judy M Simpson (2)
  Mark Stevenson (1) (4)
  
  1. The George Institute for Global Health, The University of Sydney, Sydney, Australia
  2. Sydney School of Public Health, The University of Sydney, Sydney, Australia
  3. Neuroscience Research Australia, The University of New South Wales, Sydney, Australia
  4. Accident Research Centre, Monash University, Melbourne, Australia
  
• ISSN：1471-2458

文摘

Background Road 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 Design A 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. Discussion This 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 registration Australian New Zealand Clinical Trials Registry ACTRN12609000612213.