Safety in Seconds 2.0: An App to Increase Car Seat Use

Study Overview
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Brief Summary
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This project will utilize the first web-based program to provide tailored injury prevention education. The existing Safety in Seconds program was adapted into a smartphone platform. Parents are recruited from and engage in the program in the clinical setting (PED or PTS). Parents download the app onto their smartphone which is used to ask the questions, collect a parent's responses, assess the parents' safety needs and give tailored directions for proper car sear use. The control group parents will also engage with the smartphone app and receive immediate feedback. However, they will receive tailored educational messages about smoke alarms. Parents will also have access to the online SIS v 2.0 Parent Portal which will have educational features (e.g., tips for keeping children content in their CSSs, links to helpful websites). The investigators will use emerging technology such as push notification and email to remind parents to visit the portal and have their child's car seat reassessed. The investigators plan to conduct a cost benefit analysis of the program's expected financial benefit from the perspective of a third party payer of medical claims and an in-depth examination of program adoption and implementation using qualitative data collected from key informant interviews, direct observations of the clinic environments, and document review.

Official Title
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Evaluating a Web-based Child Passenger Safety Program: Safety in Seconds 2.0

Conditions
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Injuries

Intervention / Treatment
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* Other: Parent Action Report
* Other: Parent Portal


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Visiting the Pediatric Emergency Department (PED) at Johns Hopkins Hospital or Arkansas Children's Hospital Parent or guardian of child 4-7 years English speaking Have and Android or iPhone smartphone Drive with the child in a car at least once per week in a car that the parent owns, borrows or gets a ride round-trip Resident of Baltimore City, MD or Little Rock, AR and surrounding area. Exclusion Criteria: PED has flagged case as suspected abuse Another household member is enrolled in the study In Arkansas, less than 18 years without parent present at the PED
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Invervention<br>The intervention group will get tailored information on the Parent Action Report and the Parent Portal about child safety seats and booster seats. | Other: Parent Action Report<br>* Parent Action Report will be displayed after the baseline assessment and contain educational safety messages.<br>Other: Parent Portal<br>* Parents will have access to the Parent Portal, and they will be encouraged to visit it at any time.<br>|
| Active Comparator: Control<br>The control group will get tailored information in the Parent Action Report and the Parent Portal about smoke alarms. | Other: Parent Action Report<br>* Parent Action Report will be displayed after the baseline assessment and contain educational safety messages.<br>Other: Parent Portal<br>* Parents will have access to the Parent Portal, and they will be encouraged to visit it at any time.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline self-reported car seat use at 6 months | Self-reported measures include the type of car seat used (rear-facing car seat, forward-facing car seat, booster seat, or seat belt), the location in car where it is used (front seat or backseat), frequency of use (some of the time or all of the time) and having the seat inspected by a car seat technician. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline self-reported smoke alarm use at 6 months | Self-reported measures include having a smoke alarm on every level of the home, having long-life battery alarms in the home, having a fire escape plan and practicing the fire escape plan. | 6 months |