Promoting Use of Booster Seats in Rural Areas Through Community Sports Programs
Published Date:Jan 28 2013
Source:J Rural Health. 29(0 1):s70-s78.
Pubmed Central ID:PMC3752700
Funding:R49 CE000975-01/CE/NCIPC CDC HHS/United States
UL1 TR000039/TR/NCATS NIH HHS/United States
Booster seats reduce mortality and morbidity for young children in car crashes, but use is low, particularly in rural areas. This study targeted rural communities in 4 states using a community sports-based approach.
The Strike Out Child Passenger Injury (Strike Out) intervention incorporated education about booster seat use in children ages 4–7 years within instructional baseball programs. We tested the effectiveness of Strike Out in increasing correct restraint use among participating children.
Twenty communities with similar demographics from 4 states participated in a non-randomized, controlled trial. Surveys of restraint use were conducted before and after baseball season. Intervention communities received tailored education and parents had direct consultation on booster seat use. Control communities received only brochures.
1,014 pre-intervention observation surveys for children ages 4–7 years (Intervention Group (I): N = 511, Control (C): N = 503) and 761 post-intervention surveys (I: N = 409, C: N = 352) were obtained. For 3 of 4 states, the intervention resulted in increases in recommended child restraint use (Alabama +15.5%, Arkansas +16.1%, Illinois +11.0%). Communities in one state (Indiana) did not have a positive response (−9.2%). Overall, unadjusted restraint use increased 10.2% in intervention and 1.7% in control communities (P =.02). After adjustment for each state in the study, booster seat use was increased in intervention communities (Cochran-Mantel-Haenszel OR 1.56, 95% CI (1.16–2.10)).
A tailored intervention using baseball programs increased appropriate restraint use among targeted rural children overall and in 3 of 4 states studied. Such interventions hold promise for expansion into other sports and populations.
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