Using Interactive Virtual Presence to Remotely Assist Parents with Child Restraint Installations

使用交互式虚拟存在远程协助家长安装儿童约束装置

• 批准号: 9796441
• 负责人: DAVID C SCHWEBEL
• 金额: $ 65.01万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9796441
• 关键词: 3-Dimensional; American; Car Seats; Cause of Death; Centers for Disease Control and Prevention (U.S.); Cessation of life; Child; Code; Communication; Consent; Country; Exposure to; Frequencies; Goals; Gold; Government; Hour; Individual; Industrialization; Industry; Infant; Inferior; Injury; Instruction; Joints; Learning; Location; Maintenance; Medical; Modeling; Nursery Schools; Operative Surgical Procedures; Parents; Participant; Poison Control Centers; Randomized; Research; Resources; Risk; Rural; Rural Population; Safety; Sampling; Schedule; Scheme; Services; Site; Stimulus; System; Technology; Training; Translating; Travel; Underserved Population; Vehicle crash; Visual; Vulnerable Populations; Wolves; Work; cooking; ethnic minority population; grasp; high risk; novel; programs; racial and ethnic; racial minority; randomized trial; recruit; research to practice; restraint; rural area; tool; virtual

Using Interactive Virtual Presence to Remotely Assist Parents with Child Restraint Installations Motor vehicle crashes cause the death of an American child every 3 hours. When installed correctly, car seats (also called “child restraints”) reduce risk of serious injury and death to infants and young children in a crash roughly threefold. Unfortunately, a very large portion of child restraints traveling on American roadways is installed incorrectly. A network of trained technicians, many affiliated with Safe Kids Worldwide, work across the country to assist parents in achieving correct use of child restraints through scheduled “car seat checks,” where technicians cooperate with parents to install restraints in their vehicles. Car seat checks are effective in reducing errors in child restraint installations. However, the services are highly underutilized due to barriers in access, scheduling complications, and resources to staff the car seat checks sufficiently to meet demand. The present study evaluates use of interactive virtual presence technology (also called interactive merged reality) – joint and simultaneous remote verbal and visual interaction and exposure to the same 3D stimuli – to remotely assist parents to install child restraints correctly into their vehicles. If effective, this technology could supplement or replace car seat checks, significantly reduce the number of errors made in car seat installations nationwide, and revolutionize how government, industry, and non-profit agencies help parents install restraints. Building from small preliminary studies on the topic, we propose a large randomized non-inferiority trial to evaluate whether parents, including especially underserved parents in rural areas and/or of underrepresented racial or ethnic minority background, who install child restraints while communicating with a remote expert technician via interactive virtual presence achieve installations and learning that are not inferior in their safety to parents who install restraints live with a remote technician on-site. Non-inferiority trials are a type of randomized trial whereby a novel treatment (in this case, interactive virtual presence to install child restraints) is compared to an existing treatment known to be effective (in this case, live one-on-one installation of restraints) to demonstrate the novel treatment does not perform inferiorly to the existing treatment known to be effective. To accomplish our goals, we will recruit 1476 parents at 7 Safe Kids locations nationwide and randomly assign consenting parents to install their child restraint either via interactive virtual presence or with a live technician. The correctness of installation safety will be assessed using objective checklists, both following installation and again 4 months later. We aim to demonstrate that child restraint installation is accurate (>90% correct) when conducted remotely via interactive virtual presence, that such installations are not inferior to the accuracy of installation with a live on-site expert, and that parents learn and retain information about correct child restraint installation.

使用互动虚拟的存在来远程协助父母进行儿童约束装置 汽车撞车事故导致每3小时一次美国儿童死亡。正确安装时，汽车 席位（也称为“限制儿童”）降低了对婴儿和幼儿死亡的风险 撞车大约三倍。不幸的是，在美国道路上旅行的大部分儿童约束 被错误地安装。一个训练有素的技术人员网络，许多与全球安全儿童的分支机构一起工作， 该国通过预定的“汽车座椅检查”来协助父母正确使用儿童限制。 技术人员与父母合作在车辆中安装限制因素。汽车座椅检查有效 减少儿童约束装置的错误。但是，由于障碍 访问，调度并发症和资源以配备汽车座椅检查以满足需求。 本研究评估了使用交互式虚拟存在技术的使用（也称为交互式合并 现实） - 联合和简单的远程言语和视觉互动，并暴露于相同的3D刺激 - 远程协助父母正确安装孩子的限制。如果有效，这项技术可以 补充或更换汽车座椅检查，大大减少了汽车座椅装置中犯的错误数量 在全国范围内，并彻底改变了政府，工业和非营利机构如何帮助父母安装限制。 我们从有关该主题的小型初步研究构建，我们提出了一项大型随机非效率试验 评估父母（包括在粗糙地区和/或代表人数不足的父母）中是否特别服务的父母。 种族或少数民族背景，他们在与远程专家交流时安装儿童约束 技术人员通过互动虚拟存在实现了安装和学习的安全性不如他们的安全性 对于安装约束的父母，与远程技术人员现场生活在一起。非效率试验是一种 随机试验，一种新的治疗方法（在这种情况下是安装儿童限制的互动虚拟存在） 将其与已知有效的现有治疗 限制）以证明新颖的治疗并不是针对已知的现有治疗 有效的。为了实现我们的目标，我们将在全国7个安全的儿童地点招募1476个父母， 随机分配的父母通过互动虚拟存在或用一个 现场技术人员。安装安全性的正确性将使用客观清单进行评估，均以以下方式评估 安装和4个月后。我们的目的是证明儿童约束安装是准确的（> 90％ 正确）当通过互动虚拟存在远程进行时，此类安装不如较低 与现场现场专家一起安装的准确性，父母学习和保留有关正确的信息 儿童约束安装。