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Program fidelity measures associated with an effective child restraint program: Buckle-Up Safely.

Kate Hunter¹, Lisa Keay, Judy M Simpson

¹Kate Hunter, Lisa Keay, and Rebecca Q. Ivers are with the Injury Division, The George Institute for Global Health, The University of Sydney, Sydney, Australia. Judy M. Simpson is with the Sydney Medical School, The University of Sydney, Sydney. Julie Brown and Lynne E. Bilston are with Neuroscience Research Australia, The University of New South Wales, Sydney, Australia. Louise Cosgrove and Maureen Fegan are with Kids and Traffic Road Safety Education Program, Macquarie University, Sydney, Australia. Mark Stevenson is with the Accident Research Center, Monash Injury Research Institute, Monash University, Melbourne, Australia.

American Journal of Public Health

|January 21, 2015

Summary

Attending parent information sessions significantly improves correct child car restraint use. Hands-on education is crucial for parents to ensure proper use of age-appropriate restraints.

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Area of Science:

Public Health
Pediatrics
Injury Prevention

Background:

Child car restraints are critical for preventing injuries.
The Buckle-Up Safely program aimed to improve correct use of these restraints.
Program fidelity is key to successful implementation.

Purpose of the Study:

To identify program fidelity factors for the Buckle-Up Safely program.
To assess factors associated with correct use of age-appropriate child car restraints.

Main Methods:

A cluster randomized controlled trial involving 830 families was conducted in South West Sydney.
The Buckle-Up Safely program was delivered to families in the intervention group.
Independent observers assessed restraint type and correct usage.

Main Results:

High fidelity implementation of the multifaceted program was observed.
Correct age-appropriate restraint use was linked to attending parent information sessions (AOR=3.66).
Use was negatively impacted by child's age (2-3 years, AOR=0.14) and family size (>2 children, AOR=0.34).

Conclusions:

Parental attendance at information sessions is vital for correct restraint use.
Hands-on education is essential for parents regarding proper child restraint usage.
Program implementation requires focus on parental engagement and education.