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Parent-Based Intervention to Improve Child Restraint Use Among Kindergarteners in China
Huiqian Lei1, Ran Gao1, Jingzhen Yang1
1Huiqian Lei, Ran Gao, and Liping Li are with the Injury Prevention Research Center, Shantou University Medical College, Shantou, China. Jingzhen Yang is with the Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH.
Objectives:
To evaluate the effectiveness of parent-based child restraint system (CRS) education and hands-on CRS installation training.
Methods:
We conducted a randomized trial with cluster sampling from May 2016 to January 2017 in 6 selected kindergarten classes in Shantou and Chaozhou, China. Parents were randomly assigned to receive 1 of the 3 study conditions: CRS education only, CRS education plus hands-on CRS installation training, or control (child electricity safety).
Results:
Three months after the intervention, significantly higher CRS use was reported in the CRS education plus hands-on CRS installation training group than was reported in the control group (41.2% vs 18.5%; P = .011). However, no significant difference in CRS use was found between the CRS education only and the control groups (26.7% vs 18.5%; P = .33). The ratings on child passenger safety awareness increased significantly in both intervention groups but remained unchanged in the control group after the intervention.
Conclusions:
The CRS education plus hands-on CRS installation training increased the use of child restraints, but the CRS education only condition did not. Both intervention methods helped to improve child passenger safety awareness.
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