The Association Between Hands-On Instruction and Proper Child Safety Seat Installation

Author:

Lane Wendy G.1,Liu Gilbert C.2,Newlin Elizabeth3

Affiliation:

1. From the Department of Pediatrics and Preventive Medicine, University of Maryland, Baltimore, Maryland; the

2. Department of Pediatrics and Medical Informatics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; and the

3. Department of Surgery, Wake Medical Center, Raleigh, North Carolina.

Abstract

Objective. To determine if hands-on instruction in child safety seat (CSS) installation decreases the number of errors in installation. Design. Cross-sectional study. Setting. Primary care offices, emergency department, CSS checkpoint. Participants. Parents of children <2 years old receiving medical care or attending a CSS check. Main Outcome Measure. Errors in CSS use. Results. Only 6.4% of parents had a correctly installed CSS. Hands-on instruction was associated with fewer errors in seat installation. Increased parent age, completion of college, and having private insurance were also associated with fewer errors in CSS placement. The majority of parents learned to install seats from reading the manual, from friends and relatives, and from figuring it out on their own. Conclusions. Errors in CSS installation are a significant problem. Hands-on instruction decreases the numbers of errors in CSS installation. However, few parents receive hands-on instruction from experts in CSS installation. Increases in correct CSS use could result from hands-on education by trained professionals.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference23 articles.

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2. Children in car crashes: analysis of data for injury and use of restraints.;Johnston;Pediatrics.,1994

3. The effectiveness of a mandatory child restraint law on injuries requiring hospitalization.;Margolis;Am J Dis Child.,1988

4. Use and misuse of automobile child restraint devices.;Margolis;Am J Dis Child.,1992

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1. In-Person and Telehealth Behavioral Skills Training to Reduce Child Restraint System Misuse;Journal of Organizational Behavior Management;2024-01-29

2. Wishful thinking;Journal of Trauma and Acute Care Surgery;2012-10

3. How Readable Are Child Safety Seat Installation Instructions?;Pediatrics;2003-03-01

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