A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint Use

增加适当尺寸儿童乘客约束装置使用的简短干预措施

基本信息

批准号：
8798677
负责人：
Michelle Lea Macy
金额：
$ 13.39万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-02-20 至 2016-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8798677
关键词：
12 year old 3 year old 7 year old Accident and Emergency department Adolescent Adult Age Attitude Awareness Behavior Behavior Therapy Car Seats Cause of Death Cessation of life Child Childhood Childhood Injury Clinical Counseling Data Development Development Plans Education Emergency Care Emergency Department-based Intervention Emergency department visit Engineering Ensure Faculty Family Focus Groups Funding Generic Drugs Health Communication Health Services Research Health behavior Health system Heart Diseases Hispanics Hospitals Infant Influenza Injury Intervention K-Series Research Career Programs Knowledge Laws Lead Legal Life Mentored Patient-Oriented Research Career Development Award Mentors Methods Minority Motivation Pamphlets Parents Patient risk Patients Pattern Phase Pneumonia Positioning Attribute Printing Provider Public Health Punishment Qualifying Qualitative Methods Randomized Randomized Controlled Trials Regulation Research Research Personnel Research Training Risk Role Safety Seat Belts Self Determination Sepsis Statutes and Laws Subgroup Surveys System Techniques Testing Training Vehicle crash Visit base behavior change brief intervention career development communication behavior design disability evidence base experience improved injury prevention interest motivated behavior motivational enhancement therapy multidisciplinary novel strategies patient oriented pilot trial primary care setting programs research and development response restraint skills theories therapy development

项目摘要

DESCRIPTION (provided by applicant): Motor vehicle collisions (MVCs) remain a leading cause of death among children after the first year of life despite substantial improvements in passenger safety. In 2007, more children ages 1 to 12 years died as occupants in MVCs than died of heart disease, influenza/pneumonia, or sepsis. Deaths and severe injuries from MVCs can be reduced significantly through the consistent use of size-appropriate child passenger restraints. Still 10% of children ride completely unrestrained and roughly one-quarter do not use the recommended restraint for their size. New approaches are needed to motivate behavior change among parents who do not consistently use size-appropriate passenger restraints for their 1- to 12-year-old children. Emergency department (ED) visits represent unique opportunities to reach vulnerable children and their parents who have difficulty accessing the primary care settings where childhood injury prevention information is commonly provided. Motivational interviewing (MI) in the ED has been used to encourage a variety of health behaviors among at-risk patients. However, MI has not been previously evaluated for child passenger safety promotion programs. This career development award will provide Dr. Macy with the additional skill set and advanced research training required to develop and evaluate an ED-based intervention utilizing MI techniques and patient-centered (e.g., targeted and tailored) print materials to promote the correct and consistent use of size-appropriate child passenger restraints. Dr. Macy has developed the proposed research and career development plans under the guidance of her experienced multidisciplinary mentoring team that includes experts in the fields of health communications for behavior change, injury prevention, and pediatric health services research. The proposal is organized into 4 phases: (1) audience segmentation analysis of survey data obtained from parents of 1- to 12-year-old children seeking ED care in order to identify distinct child passenger restraint use subgroups for the development of targeted interventions; (2) focus groups with parents in order to obtain an in-depth understanding of the subgroups identified in Phase 1 and to pilot test child passenger safety messages intended for these subgroups; (3) development of intervention materials including brief MI messages, targeted information sheets, and tailored brochures; and (4) randomized pilot trial of the intervention utilizing a 2x2 factorial design to examine the independent and additive effects of ED-based MI and tailored print materials on the consistent use of size-appropriate child passenger restraints. Dr. Macy's career development activities will include formal training in statistical analysis for audience segmentation, qualitative methods, and advance theories and applied techniques related to the design and implementation of behavioral interventions in the ED setting. Through formal coursework, interaction with her highly qualified mentoring team, and the execution of the proposed project, Dr. Macy will acquire the knowledge and skills to become an independent researcher and expert in ED-based interventions for pediatric injury prevention.

描述（由申请人提供）：尽管乘客安全有了显着改善，但机动车辆碰撞 (MVC) 仍然是一岁后儿童死亡的主要原因。 2007 年，MVC 内 1 至 12 岁儿童的死亡人数比死于心脏病、流感/肺炎或败血症的儿童还要多。通过持续使用尺寸合适的儿童乘客约束装置，可以显着减少 MVC 造成的死亡和重伤。还有 10% 的儿童在骑行时完全不受约束，大约四分之一的儿童没有使用适合其体型的推荐约束装置。如果父母没有始终如一地为 1 至 12 岁的孩子使用适合尺寸的乘客约束装置，则需要采取新方法来激励父母改变行为。急诊科 (ED) 就诊提供了接触弱势儿童及其父母的独特机会，这些儿童及其父母很难进入通常提供儿童伤害预防信息的初级保健机构。急诊室采用动机访谈（MI）来鼓励高危患者采取各种健康行为。然而，MI 此前并未接受过儿童乘客安全促进计划的评估。该职业发展奖将为梅西博士提供额外的技能和高级研究培训，以开发和评估利用 MI 技术和以患者为中心（例如有针对性和量身定制）的印刷材料的基于 ED 的干预措施，以促进正确和一致的治疗使用尺寸合适的儿童乘客约束装置。梅西博士在她经验丰富的多学科指导团队的指导下制定了拟议的研究和职业发展计划，该团队包括行为改变健康传播、伤害预防和儿科健康服务研究领域的专家。该提案分为 4 个阶段：(1) 对寻求 ED 护理的 1 至 12 岁儿童家长获得的调查数据进行受众细分分析，以确定不同的儿童乘客约束装置使用亚组，以制定有针对性的干预措施； (2) 与家长进行焦点小组讨论，以深入了解第一阶段确定的子群体，并试点测试针对这些子群体的儿童乘客安全信息； (3) 制定干预材料，包括简短的 MI 信息、有针对性的信息表和定制小册子； (4) 利用 2x2 析因设计进行干预随机试点试验，以检查基于 ED 的 MI 和定制印刷材料对一致使用尺寸合适的儿童乘客约束装置的独立和相加效应。梅西博士的职业发展活动将包括受众细分统计分析、定性方法以及与急诊室行为干预设计和实施相关的先进理论和应用技术的正式培训。通过正式的课程、与高素质指导团队的互动以及拟议项目的执行，梅西博士将获得知识和技能，成为基于急诊室的儿科损伤预防干预措施的独立研究员和专家。