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: 10241332
• 负责人: DAVID C SCHWEBEL
• 金额: $ 48.9万
• 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/10241332
• 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.

使用交互式虚拟存在远程协助家长安装儿童约束装置 如果安装正确，汽车每 3 小时就会发生车祸导致一名美国儿童死亡。 座椅（也称为“儿童约束装置”）可降低婴幼儿在车内严重受伤和死亡的风险 不幸的是，很大一部分儿童约束装置在美国道路上行驶。 安装不正确 一个由训练有素的技术人员组成的网络，其中许多人隶属于全球安全儿童组织。 该国通过定期的“汽车座椅检查”来帮助父母正确使用儿童约束装置， 技术人员与家长合作在车辆中安装安全座椅检查是有效的。 减少儿童约束装置安装中的错误 然而，由于存在障碍，这些服务的利用率极低。 准入、日程安排复杂性以及汽车座椅检查人员的资源足以满足需求。 本研究评估了交互式虚拟存在技术（也称为交互式合并技术）的使用 现实）——联合且同时的远程言语和视觉交互以及暴露于相同的 3D 刺激—— 如果有效的话，这项技术可以远程协助父母将儿童约束装置正确安装到他们的车辆中。 补充或替代汽车座椅检查，显着减少汽车座椅安装中的错误数量 并彻底改变政府、行业和非营利机构帮助父母安装约束装置的方式。 基于该主题的小型初步研究，我们提出了一项大型随机非劣效性试验 评估父母，包括特别是农村地区服务不足和/或代表性不足的父母是否 种族或少数民族背景，在与远程专家沟通时安装儿童约束装置 技术人员通过交互式虚拟存在实现安全性毫不逊色的安装和学习 对于与现场远程技术人员一起安装约束装置的父母来说，非劣效性试验是一种类型。 随机试验，从而提供一种新颖的治疗方法（在本例中，采用交互式虚拟存在来安装儿童约束装置） 与已知有效的现有治疗方法进行比较（在这种情况下，现场一对一安装 限制）以证明新疗法的效果并不逊色于已知的现有疗法 为了实现我们的目标，我们将在全国 7 个 Safe Kids 地点招募 1476 名家长。 随机分配同意的父母通过交互式虚拟存在或通过 现场技术人员将使用客观检查表来评估安装安全的正确性。 安装并在 4 个月后再次进行，我们的目标是证明儿童约束装置安装的准确性（>90%）。 正确）当通过交互式虚拟存在远程进行时，此类安装并不逊于 与现场专家一起确保安装的准确性，并且家长可以了解并保留有关正确安装的信息 儿童约束装置安装。