Online Program

Evaluation of a multifaceted, school-based intervention to increase booster seat use

Monday, November 2, 2015

Matthew Rossheim, PhD, MPH, CPH, Department of Behavioral and Community Health in the School of Public Health, The University of North Texas Health Science Center, Fort Worth, TX
Deborah Krauser, ARNP, Fort Worth Emergency Services Collaborative, Texas Health Harris Methodist Hospital, Fort Worth, TX
Shelli Stephens-Stidham, MPA, Injury Prevention Center of Greater Dallas, Parkland Health & Hospital System, Dallas, TX
Amanda English, University of North Texas Health Science Center, Fort Worth, TX
Jeremiah Salmon, MPH, Community Health Outreach, Cook Children’s Health Care System, Fort Worth, TX
Jeffrey Taylor, Haltom City Police Department, Haltom City, TX
Ron Andriotto, Fort Worth Police Department, Fort Worth, TX
Purpose: A small randomized controlled trial was conducted to evaluate a multifaceted intervention designed to increase appropriate booster seat use among elementary school students.

Methods: Four elementary schools in two Texas cities were randomized to either receive or not receive a series of activities designed to promote appropriate booster seat use. Intervention activities included: information presented to parents and children, free booster seat installation, and reminders from police officers and the school principal. Trained volunteers observed more than 1,500 children age 4 to 7 years and their use of vehicle restraints as they were driven to the four schools. For 99.5% of the children observed in vehicles, the observer was able to identify whether the child was appropriately restrained in a booster seat (1551/1559).

Results: Chi-squared tests indicated that appropriate booster seat use among children at the intervention and control schools was comparable at baseline, but significantly differed at one- and three-month follow ups. Multivariable logistic regression models were conducted to examine the effect of receiving the intervention on appropriately using a booster seat at one- and three-month follow-ups, adjusting for baseline booster seat use rates at each school. These models indicated that children at the intervention schools had 1.7 and 2.1 times the odds of being appropriately restrained in a booster seat at the one- and three-month follow-up compared to control schools (p < 0.01).

Conclusions: This study adds to the body of research literature showing that booster seat distribution and education programs increase appropriate use.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe a process for conducting and evaluating a community-based initiative to increase appropriate booster seat use among elementary school students.

Keyword(s): Child Health Promotion, Transportation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been conducting similar research for nearly 7 years and have more than 10 peer-reviewed manuscripts in print from these studies.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.