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. 2003 Dec;9(4):326–331. doi: 10.1136/ip.9.4.326

Examining child restraint use and barriers to their use: lessons from a pilot study

J Simpson 1, J Wren 1, D Chalmers 1, S Stephenson 1
PMCID: PMC1731027  PMID: 14693894

Abstract

Objective: To determine the suitability of four research methods to measure the rate of child restraint device (CRD) use and incorrect use in New Zealand and obtain data on barriers to CRD use.

Design and setting: To assess the rates of CRD use among vehicles carrying children 8 years of age and under, two methods were piloted—namely, an unobtrusive observational survey and a short interview and close inspection. A self administered questionnaire and focus group interviews were also piloted to assess CRD use, reasons for use and non-use, and to obtain information on barriers to their use. Respondents to all methods except the focus groups were approached in supermarket car park sites at randomly selected times. Focus groups were established with parents identified through early childhood organisations. All methods were assessed on criteria related to efficiency, representativeness, and ability to obtain the necessary data.

Results: The observational survey provided a simple method for identifying rates of CRD use, while the self administered questionnaire obtained data on demographic characteristics and reported the installation and use/non-use of CRDs. The interview/inspection addressed all the questions of both the above methods and enabled incorrect CRD use to be examined. The focus groups provided the most meaningful information of all methods on barriers to CRD use.

Discussion and conclusion: Advantages and limitations of these methods are discussed and some refinements of the original instruments are proposed. The interview/inspection and focus group methods were identified as being more appropriate for efficiently obtaining reliable data on CRD use and identification of barriers to CRD use.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bull M. J., Stroup K. B., Gerhart S. Misuse of car safety seats. Pediatrics. 1988 Jan;81(1):98–101. [PubMed] [Google Scholar]
  2. Decina L. E., Knoebel K. Y. Child safety seat misuse patterns in four states. Accid Anal Prev. 1997 Jan;29(1):125–132. doi: 10.1016/s0001-4575(96)00051-6. [DOI] [PubMed] [Google Scholar]
  3. Eby D. W., Kostyniuk L. P. A statewide analysis of child safety seat use and misuse in Michigan. Accid Anal Prev. 1999 Sep;31(5):555–566. doi: 10.1016/s0001-4575(99)00012-3. [DOI] [PubMed] [Google Scholar]
  4. Geddis D. C., Appleton I. C. Establishment and evaluation of a pilot child car seat rental scheme in New Zealand. Pediatrics. 1986 Feb;77(2):167–172. [PubMed] [Google Scholar]
  5. Geddis D. C. Children in cars. Results of an observational study in New Zealand. N Z Med J. 1979 Dec 12;90(649):468–471. [PubMed] [Google Scholar]
  6. Geddis D. C., Pettengell R. Parent education: its effect on the way children are transported in cars. N Z Med J. 1982 May 12;95(707):314–316. [PubMed] [Google Scholar]
  7. Geddis D. C., Spears G. F. Why parents do not provide automobile restraints for their children. Aust Paediatr J. 1980 Jun;16(2):114–116. doi: 10.1111/j.1440-1754.1980.tb01275.x. [DOI] [PubMed] [Google Scholar]
  8. Green J., Hart L. Children's views of accident risks and prevention: a qualitative study. Inj Prev. 1998 Mar;4(1):14–21. doi: 10.1136/ip.4.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kypri K., Chalmers D. J., Langley J. D., Wright C. S. Child injury mortality in New Zealand 1986-95. J Paediatr Child Health. 2000 Oct;36(5):431–439. doi: 10.1046/j.1440-1754.2000.00559.x. [DOI] [PubMed] [Google Scholar]
  10. Madsen L. P. Børns sikkerhed i biler. Sikkerhedssystemer, deres anvendelse og fejlmuligheder. Ugeskr Laeger. 1991 Apr 8;153(15):1037–1040. [PubMed] [Google Scholar]
  11. Margolis L. H., Wagenaar A. C., Molnar L. J. Recognizing the common problem of child automobile restraint misuse. Pediatrics. 1988 May;81(5):717–720. [PubMed] [Google Scholar]
  12. Margolis L. H., Wagenaar A. C., Molnar L. J. Use and misuse of automobile child restraint devices. Am J Dis Child. 1992 Mar;146(3):361–366. doi: 10.1001/archpedi.1992.02160150101032. [DOI] [PubMed] [Google Scholar]
  13. Webb G. R., Bowman J. A., Sanson-Fisher R. W. Studies of child safety restraint use in motor vehicles--some methodological considerations. Accid Anal Prev. 1988 Apr;20(2):109–115. doi: 10.1016/0001-4575(88)90026-7. [DOI] [PubMed] [Google Scholar]
  14. Webb G. R., Sanson-Fisher R. W., Bowman J. A. Psychosocial factors related to parental restraint of pre-school children in motor vehicles. Accid Anal Prev. 1988 Apr;20(2):87–94. doi: 10.1016/0001-4575(88)90023-1. [DOI] [PubMed] [Google Scholar]

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