Community-based programs to promote care seat restraints in children 0-16 years - A systematic review

Turner, Cathy, McClure, Rod, Nixon, Jim and Spinks, Anneliese (2005) Community-based programs to promote care seat restraints in children 0-16 years - A systematic review. Accident Analysis And Prevention, 37 1: 77-83. doi:10.1016/j.aap.2003.12.004

Author Turner, Cathy
McClure, Rod
Nixon, Jim
Spinks, Anneliese
Title Community-based programs to promote care seat restraints in children 0-16 years - A systematic review
Journal name Accident Analysis And Prevention   Check publisher's open access policy
ISSN 0001-4575
Publication date 2005
Sub-type Article (original research)
DOI 10.1016/j.aap.2003.12.004
Volume 37
Issue 1
Start page 77
End page 83
Total pages 7
Editor K. Kim
R. Elvik
Place of publication United Kingdom
Publisher Pergamon
Collection year 2005
Language eng
Subject C1
321210 Community Child Health
320000 Medical and Health Sciences
Abstract Study Objective: Community-based models for injury prevention have become an accepted part of the overall injury control strategy. This systematic review of the scientific literature examines the evidence for their effectiveness in reducing injury due to inadequate car seat restraint use in children 0-16 years of age. Methods: A comprehensive search of the literature was performed using the following study selection criteria: community-based intervention study: target population was children aged 0-16 years of age; outcome measure was either injury rates due to motor vehicle crashes or observed changes in child restraint use; and use of community control or historical control in the study design. Quality assessment and data abstraction was guided by a standardized procedure and performed independently by two authors. Data synthesis was in tabular and text form with meta-analysis not being possible due to the discrepancy in methods and measures between the studies. Results: This review found eight studies, that met all the inclusion criteria. In the studies that measured injury outcomes, significant reductions in risk of motor vehicle occupant injury (33-55%) were reported in the study communities. For those studies reporting observed car seat restraint use the community-based programs were successful in increasing toddler restraint use in 1-5 year aged children by up to 11%; child booster seat use in 4-8 year aged children by up to 13%; rear restraint use in children aged 0-15 years by 8%; a 50% increase in restraint use in pre-school aged children in a high-risk community; and a 44% increase in children aged 5-11 years. Conclusion: While this review highlights that there is some evidence to support the effectiveness of community-based programs to promote car restraint use and/or motor vehicle occupant injury, limitations in the evaluation methodologies of the studies requires the results to be interpreted with caution. There is clearly a need for further high quality program evaluation research to develop an evidence base. (C) 2004 Elsevier Ltd. All rights reserved.
Keyword Ergonomics
Public, Environmental & Occupational Health
Social Sciences, Interdisciplinary
Wounds And Injuries
Evidenced-based Medicine
Injury Prevention Program
Q-Index Code C1

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Created: Wed, 15 Aug 2007, 07:42:11 EST