TY - JOUR
KW - Automobiles
KW - Caregivers -- psychology
KW - Child
KW - Child Restraint Systems -- utilization
KW - Child, Preschool
KW - Health Behavior
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Poisson Distribution
KW - Poverty Areas
KW - Prospective Studies
KW - Urban Population
KW - Wisconsin
AU - S. Brixey
AU - C. E. Guse
AU - E. Ngui
A1 - 
AB - CONTEXT: Motor vehicle crashes are a leading cause of death in children despite the availability of effective child passenger restraints that reduce morbidity and mortality. Inappropriate restraint is more common in minority and low-income populations. Removing barriers by distributing child passenger restraint systems (CPRS) and providing education has been 1 approach to improve child safety. The objective of this study was to evaluate the efficacy of providing no-cost CPRS in combination with targeted education to improve restraint use for low-income, minority, and urban children in a medical home. DESIGN: This prospective, non-randomized, community-based cohort study used a certified car seat technician to provide CPRS and training to the caregivers of 101 children when those caregivers reported not owning the appropriate type of restraint system during the index clinic visit. RESULTS: In the first 3 months of follow-up, caregivers were 2.4 times more likely to report appropriate use of CPRS: relative risk 2.4 (95% confidence interval [CI] 1.7 to 3.5). Reported improvement declined slightly between months 4 and 9. CONCLUSIONS: Appropriate restraint significantly improved, yet rates remained suboptimal. Multifactoral approaches are needed to understand why the set of patients studied and other at-risk populations may not use child restraints properly even when given access and information.
C5 - Medical Home
CP - 7
CY - United States
IS - 7
N2 - CONTEXT: Motor vehicle crashes are a leading cause of death in children despite the availability of effective child passenger restraints that reduce morbidity and mortality. Inappropriate restraint is more common in minority and low-income populations. Removing barriers by distributing child passenger restraint systems (CPRS) and providing education has been 1 approach to improve child safety. The objective of this study was to evaluate the efficacy of providing no-cost CPRS in combination with targeted education to improve restraint use for low-income, minority, and urban children in a medical home. DESIGN: This prospective, non-randomized, community-based cohort study used a certified car seat technician to provide CPRS and training to the caregivers of 101 children when those caregivers reported not owning the appropriate type of restraint system during the index clinic visit. RESULTS: In the first 3 months of follow-up, caregivers were 2.4 times more likely to report appropriate use of CPRS: relative risk 2.4 (95% confidence interval [CI] 1.7 to 3.5). Reported improvement declined slightly between months 4 and 9. CONCLUSIONS: Appropriate restraint significantly improved, yet rates remained suboptimal. Multifactoral approaches are needed to understand why the set of patients studied and other at-risk populations may not use child restraints properly even when given access and information.
PP - United States
PY - 2009
SN - 1098-1861 (Print)
SP - 352
EP - 358
EP - 
T1 - Free child passenger restraints for patients in an urban pediatric medical home: Effects on caregiver behavior
TI - Free child passenger restraints for patients in an urban pediatric medical home: Effects on caregiver behavior
U1 - Medical Home
U2 - 19886583
VL - 108
VO - 1098-1861 (Print)
Y1 - 2009
ER -