Results of an RCT in Two Pediatric Emergency Departments to Evaluate the Efficacy of an m-Health Educational App on Car Seat Use

被引：25
作者：
Gielen, Andrea C. [1 ]
Bishai, David M. [1 ]
Omaki, Elise [1 ]
Shields, Wendy C. [1 ]
McDonald, Eileen M. [1 ]
Rizzutti, Nicholas C. [1 ]
Case, James [1 ]
Stevens, Molly W. [2 ]
Aitken, Mary E. [3 ]
机构：
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Johns Hopkins Ctr Injury Res & Policy, Baltimore, MD USA
[2] Johns Hopkins Univ Hosp, Pediat Emergency Med, Baltimore, MD 21287 USA
[3] Arkansas Childrens Hosp, Gen Pediat, 800 Marshall St, Little Rock, AR 72202 USA
来源：
AMERICAN JOURNAL OF PREVENTIVE MEDICINE | 2018年 / 54卷 / 06期
关键词：
CHILD PASSENGER SAFETY; INJURY PREVENTION; PROPENSITY SCORE; CONTROLLED-TRIAL; KIOSK; INTERVENTIONS; BEHAVIOR; PARENTS;
D O I：
10.1016/j.amepre.2018.01.042
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Introduction: The growing interest in incorporating prevention into emergency health care make it timely to examine the use of computer technology to efficiently deliver effective education in this setting. Study design: This RCT compared results from an intervention group (n = 367) that received child passenger safety information, to an attention-matched control (n = 375). A baseline survey and two follow-up surveys at 3 and 6 months were conducted. Setting/participants: Data were collected from June 2014 to September 2016 from a sample of parents with children aged 4-7 years recruited from a pediatric emergency department in an East Coast urban area and one in a Midwest semi-rural area. Intervention: A theory-based, stage-tailored educational program, Safety in Seconds v2.0 (TM), delivered on a mobile app. Main outcome measures: Four car seat behaviors: (1) having the correct restraint for the child's age and weight; (2) having the child ride in the backseat all the time; (3) buckling up the child all the time; and (4) having the child's restraint inspected by a child passenger safety technician. Results: At 3 months, adjusting for baseline behaviors and attrition, the odds of reporting the correct behavior by the intervention group relative to the control group was 2.07 (p < 0.01) for using the correct car seat; 2.37 (p < 0.05) times for having the child ride in the back seat; 1.04 (nonsignificant) for riding buckled up all the time; and 1.99 (p < 0.01) times for having the car seat inspected. At 6 months, there were statistically significant effects for reporting use of the correct car seat (OR = 1.84, p < 0.01) and having the car seat inspected (OR = 1.73, p < 0.01). Conclusions: Mobile apps hold promise for reaching large populations with individually tailored child passenger safety education. (C) 2018 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码：746 / 755
页数：10
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