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Dissemination of a Child Passenger Safety Program Through Trauma Center-Community Partnerships
Christy M Adams1, Catherine E Morris, Edgardo S Salcedo
1Trauma Prevention Program (Mss Adams and Morris) and Trauma & Acute Care Surgery (Dr Salcedo), University of California Davis, Medical Center, Sacramento; and Department of Emergency Medicine, University of California Davis, School of Medicine, Sacramento (Dr Holmes).
Culturally adapted child passenger safety education programs significantly improved caregiver knowledge and confidence in using restraints. These community-based programs effectively reached minority populations, enhancing injury prevention efforts.
Area of Science:
- Pediatric trauma
- Injury prevention
- Public health interventions
Background:
- Improper child passenger restraint use disproportionately affects minority populations, increasing pediatric motor vehicle collision risks.
- Culturally specific education is crucial for effective child passenger safety interventions.
- Pediatric trauma centers can leverage community partnerships to improve safety outreach.
Purpose of the Study:
- To evaluate a culturally adapted child passenger safety education program.
- To assess the program's effectiveness through community partnerships.
- To measure changes in caregiver knowledge and self-efficacy regarding restraint use.
Main Methods:
- A nonexperimental observational cohort study utilizing program evaluation data.
- Paired pretest/posttest surveys measured caregiver knowledge and self-efficacy.
- Data analyzed by class location and language (English, Spanish, Russian) using paired t tests and Wilcoxon's signed ranks tests.
Main Results:
- A total of 1,795 paired surveys were analyzed.
- Significant increases in caregiver knowledge scores were observed overall (mean difference = 0.565).
- Caregiver self-efficacy for restraint use also significantly increased across all groups (p ≤ .001).
Conclusions:
- Community-based, culturally adapted child passenger safety education enhances caregiver knowledge and self-efficacy.
- Pediatric trauma center partnerships are vital for program adoption and reaching minority communities.
- These programs represent an effective strategy for improving pediatric injury prevention in diverse populations.
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