Behavioral Skills Training Methods to Reduce Car Seat Misuse

Study Overview
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Brief Summary
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The purpose of this study is to assess the effectiveness of child passenger educational methods to measure their ability to effectively reduce car seat misuse. The study will assess the traditional child passenger educational method delivered by a child passenger safety technician by comparing it to an in-person and virtual telehealth Behavioral Skills Training approach to reduce car seat misuse.

Detailed Description
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This study of 2,449 expectant couples involved two experiments. Experiment-1: included 1,224 participants, comparing 600 participants receiving no intervention and 600 participants receiving education with behavioral skills training (BST) in-person. Experiment-2: included 1,224 participants, comparing 600 participants receiving BST-in-person to BST with telehealth.

Official Title
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In-person and Telehealth Versions of Behavioral Skills Training to Reduce Car Seat Misuse

Conditions
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Motor Vehicle Injury

Intervention / Treatment
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* Other: Behavioral Skills Training In-person


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women at least 7-month gestation and their partner, living within Los Angeles, Ventura, Orange, San Bernardino or Riverside counties; consented to the study and follow-up evaluation; and at the time of session had their child restraint system(s) and vehicle(s) available. Exclusion Criteria: None
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This study is a quasi-experimental within-subjects group design. It consists of two experiments that included an equal number of participants.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Car seat check-up traditional car seat educational method<br>Experiment-1a: This included 600 expectant parents who were educated by a certified child passenger safety technician with a traditional car seat educational approach. All participants were assessed at baseline, no-intervention traditional education, and follow-up, between June 1, 2015 and May 30, 2016 | |
| Experimental: Behavioral Skills Training In-person Group A<br>Experiment-1b: This included another 600 expectant parents who were educated by a certified child passenger safety technician an in-person Behavioral Skills Training (BST) approach. All participants were assessed at baseline, BST, and follow-up, between June 1, 2016 and May 30, 2017. | Other: Behavioral Skills Training In-person<br>* Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the Car seat check-up traditional car seat educational method and BST telehealth was compared to BST in-person.<br>* Other names: Behavioral Skills Training Telehealth;|
| Experimental: Behavioral Skills Training In-person Group B<br>Experiment-2a: This included another 600 expectant parents who were educated by a certified child passenger safety technician an in-person Behavioral Skills Training (BST) approach. All participants were assessed at baseline, BST, and follow-up, between June 1, 2018 and June 30, 2019. | Other: Behavioral Skills Training In-person<br>* Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the Car seat check-up traditional car seat educational method and BST telehealth was compared to BST in-person.<br>* Other names: Behavioral Skills Training Telehealth;|
| Experimental: Behavioral Skills Training Telehealth<br>Experiment-2b: This included another 600 expectant parents who were educated by a certified child passenger safety technician a virtual telehealth version of Behavioral Skills Training (BST). All participants were assessed at baseline, BST-Telehealth, and follow-up, between April 1, 2020 and December 31, 2021. | Other: Behavioral Skills Training In-person<br>* Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the Car seat check-up traditional car seat educational method and BST telehealth was compared to BST in-person.<br>* Other names: Behavioral Skills Training Telehealth;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| child restraint misuse | Incidence of misuse | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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motor vehicle occupant injury, car seat misuse, car seat education, Behavioral Skills Training, Telehealth