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Effects of a booster seat education and distribution program in child care centers on child restraint use among children aged 4 to 8 years
Author(s) -
Reading Richard
Publication year - 2009
Publication title -
child: care, health and development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.832
H-Index - 82
eISSN - 1365-2214
pISSN - 0305-1862
DOI - 10.1111/j.1365-2214.2009.00987_4.x
Subject(s) - booster (rocketry) , medicine , confidence interval , cluster randomised controlled trial , randomized controlled trial , demography , odds ratio , intervention (counseling) , pediatrics , physical therapy , nursing , engineering , surgery , pathology , aerospace engineering , sociology
Effects of a booster seat education and distribution program in child care centers on child restraint use among children aged 4 to 8 years.
Thoreson S. , Myers L. , Goss C. & DiGuiseppi C.(2009)Archives of Pediatrics & Adolescent Medicine,163,261–267.Objective To compare child care centre‐based booster seat education and distribution with no intervention when implemented immediately after booster seat legislation. Design Cluster randomized controlled trial. Setting Thirty‐nine urban child care centres. Participants A total of 854 parents and 1010 children aged 4 to 8 years in vehicles leaving centres. Intervention We trained 168 staff members at 20 centres to give parents and children messages promoting booster seats and supplied lesson plans, children's activities, and free booster seats. Main outcome measures Observed booster seat use, ‘good practice’ restraint use and legal restraint use. Results Parents at intervention centres were more likely to report receiving restraint information from the centre [adjusted odds ratio (AOR), 4.06; 95% confidence interval (CI), 2.48–6.67], speaking with staff about booster seats (AOR, 3.95; 95% CI, 2.26–6.88) and using fit to decide when to move children into seat belts (AOR, 3.39; 95% CI, 1.91–5.99). Groups did not differ in proportions using booster seats (44% vs. 43%; AOR, 1.03; 95% CI, 0.62–1.73), good practice (42% vs. 41%; AOR, 1.11; 95% CI, 0.70–1.74) or legal restraints (65% vs. 65%; AOR, 0.79; 95% CI, 0.48–1.31). Results were similar for children aged 4 to 5 and 6 to 8 years. All outcomes were significantly less likely among children riding in pickup trucks or with Hispanic or black drivers. Conclusions The intervention increased parents' receipt of information from centre staff and knowledge about booster seats but not booster seat use. Research is needed to identify methods and messages that will empower centre providers to promote booster seats effectively and reach high‐risk populations.