Knowledge and Behaviors of Physicians and Caregivers About Appropriate Child Passenger Restraint Use
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The object of this research was to ascertain caregivers’ and physicians’ knowledge, behaviors, and comfort levels regarding child passenger safety restraint transitions with belt positioning booster seats (BPB). A targeted survey of physicians caring for 4–8 year olds plus convenience sampling surveys of caregivers across an urban community was conducted. Data revealed 42% of physicians and 47% of caregivers did not know that motor vehicle crashes are the leading cause of death in children in this age group. Only 34% of caregivers consistently placed children in booster seats; 48% reported receiving physician information about proper restraint; 67% reported wanting to learn about proper restraint; and 36% wanted such information from physicians. Caregivers who recalled physician questions about restraints were three times more likely than others to use booster seats correctly. 70% of physicians reported asking about child restraint in vehicles in this age group. However, only 48% were very comfortable with knowing when to recommend booster seats, 43% reported having received no training in child passenger safety, and only 37% knew where to refer caregivers for more information. Physicians need more information about appropriate child passenger safety restraints as children grow and ways to deliver and reinforce the message so that it is retained to improve community health. Caregivers indicate willingness to learn, but providers miss many opportunities to teach.
- Centers for Disease Control, Prevention (CDC). (2007). State-specific unintentional-injury deaths–United States, 1999–2004. MMWR. Morbidity and Mortality Weekly Report, 56(43), 1137–1140.
- Durbin, D. R., Chen, I., Smith, R., Elliott, M. R., & Winston, F. K. (2005). Effects of seating position and appropriate restraint use on the risk of injury to children in motor vehicle crashes. Pediatrics, 115(3), 305–309. CrossRef
- Arbogast, K. B., Durbin, D. R., Cornejo, R. A., Kallan, M. J., & Winston, F. K. (2004). An evaluation of the effectiveness of forward facing child restraint systems. Accident Analysis and Prevention, 36(4), 585–589. CrossRef
- Durbin, D. R., Elliott, M. R., & Winston, F. K. (2003). Belt-positioning booster seats and reduction in risk of injury among children in vehicle crashes. JAMA: The Journal of the American Medical Association, 289(21), 2835–2840. CrossRef
- Insurance Institute for Highway Safety. (2008). Child restraint laws as of August 2008. Retrieved August 12, 2008, from http://www.iihs.org/laws/ChildRestraint.aspx.
- Bull, M. J., & Durbin, D. R. (2008). Rear-facing car safety seats: Getting the message right. Pediatrics, 121(3), 619–620. CrossRef
- Corden, T. E. (2005). Analysis of booster seat and seat belt use: How many Wisconsin childhood deaths and hospitalizations could have been prevented in 1998–2002? Wisconsin Medical Journal, 104(1), 42–45.
- Bass, J. L., Christoffel, K. K., Widome, M., Boyle, W., Scheidt, P., Stanwick, R., et al. (1993). Childhood injury prevention counseling in primary care settings: A critical review of the literature. Pediatrics, 92(4), 544–550.
- Eichelberger, M. R., Gotschall, C. S., Feely, H. B., Harstad, P., & Bowman, L. M. (1990). Parental attitudes and knowledge of child safety: A national survey. American Journal of Diseases of Children, 144, 714.
- Zavoski, R. W., Burke, G. S., Lapidus, G. D., & Banco, L. I. (1996). Injury prevention training in pediatric residency programs. Archives of Pediatrics and Adolescent Medicine, 150(10), 1093–1096.
- Phelan, M., Falimirski, M., Simpson, D., Czinner, M., & Hargarten, S. (2007). Competency-based strategies for injury control and prevention curriculums in undergraduate medical education. Injury Prevention, 13(1), 6–9. CrossRef
- Rothenstein, J., Howard, A., Parkin, P., Khambalia, A., & Macarthur, C. (2004). Community paediatricians’ counseling patterns and knowledge of recommendations relating to child restraint use in motor vehicles. Injury Prevention, 10(2), 103–106. CrossRef
- Cohen, L. R., Runyan, C. W., & Bowling, J. M. (1998). Social determinants of pediatric residents’ injury prevention counseling. Archives of Pediatrics and Adolescent Medicine, 152(2), 169–175.
- Cohen, L., & Swift, S. (1999). The spectrum of prevention: Developing a comprehensive approach to injury prevention. Injury Prevention, 5(3), 203–207. CrossRef
- Gielen, A. C., McDonald, E. M., Forrest, C. B., Harvilchuck, J. D., & Wissow, L. (1997). Injury prevention counseling in an urban pediatric clinic. Analysis of audiotaped visits. Archives of Pediatrics and Adolescent Medicine, 151(2), 146–151.
- Tender, J. A., Taft, C. H., Frey, C., Mickalide, A., & Gitterman, B. A. (2001). Pediatric residents buckle up: A child safety seat training program for pediatric residents. Ambul Pediatr, 1(6), 333–337. CrossRef
- McKay, M. P., & Curtis, L. A. (2002). Child safety seats: Do doctors know enough? The American Journal of Emergency Medicine, 20(1), 32–34. CrossRef
- National Highway Traffic Safety Administration. (2007). National child passenger safety certification training curriculum (Student manual No. DOT HS 810 731 (R01/08)). Washington, DC: National Highway Traffic Safety Administration.
- Kunkel, N. C., Nelson, D. S., & Schunk, J. E. (2001). Do parents choose appropriate automotive restraint devices for their children? Clinical Pediatrics, 40(1), 35–40. CrossRef
- Block, D. E., Hanson, T. K., & Keane, A. (1998). Child safety seat misuse: Home visiting assessment and intervention. Public Health Nursing, Boston, Mass, 15(4), 250–256. CrossRef
- Simon, T. D., Phibbs, S., Dickinson, L. M., Kempe, A., Steiner, J. F., Davidson, A. J., et al. (2006). Less anticipatory guidance is associated with more subsequent injury visits among infants. Ambulatory Pediatrics, 6(6), 318–325. CrossRef
- Bilston, L. E., Finch, C., Hatfield, J., & Brown, J. (2008). Age-specific parental knowledge of restraint transitions influences appropriateness of child occupant restraint use. Injury Prevention, 14(3), 159–163. CrossRef
- Grossman, D. C., & Garcia, C. C. (1999). Effectiveness of health promotion programs to increase motor vehicle occupant restraint use among young children. American Journal of Preventive Medicine, 16(1 Suppl), 12–22. CrossRef
- Gardner, H. G., & American Academy of Pediatrics Committee on Injury, Violence, Poison Prevention. (2007). Office-based counseling for unintentional injury prevention. Pediatrics, 119(1), 202–206. CrossRef
- DiGuiseppi, C., & Roberts, I. G. (2000). Individual-level injury prevention strategies in the clinical setting. The Future of Children/Center for the Future of Children the David and Lucile Packard Foundation, 10(1), 53–82.
- Gofin, R., DeLeon, D., Knishkowy, B., & Palti, H. (1995). Injury prevention program in primary care: Process evaluation and surveillance. Injury Prevention, 1(1), 35–39. CrossRef
- Knowledge and Behaviors of Physicians and Caregivers About Appropriate Child Passenger Restraint Use
Journal of Community Health
Volume 34, Issue 6 , pp 547-552
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Injury prevention
- Booster seat
- Car seat
- Medical education
- Author Affiliations
- 1. Department of Pediatrics, General Pediatrics, Injury Research Center, Downtown Health Center Pediatric Clinic, Medical College of Wisconsin, 1020N. 12th Street, Milwaukee, WI, 53233, USA
- 2. Department of Family and Community Medicine, Injury Research Center, Medical College of Wisconsin, 9000W. Wisconsin Avenue, Milwaukee, WI, 53226, USA