Knowledge and Behaviors of Physicians and Caregivers About Appropriate Child Passenger Restraint Use
Department of Pediatrics, General Pediatrics, Injury Research Center, Medical College of Wisconsin, Milwaukee, WI 53233, USA. Journal of Community Health
(Impact Factor: 1.28).
09/2009; 34(6):547-52. DOI: 10.1007/s10900-009-9176-2
The object of this research was to ascertain caregivers' and physicians' knowledge, behaviors, and comfort levels regarding child passenger safety restraint transitions with belt positioning booster seats (BPB). A targeted survey of physicians caring for 4-8 year olds plus convenience sampling surveys of caregivers across an urban community was conducted. Data revealed 42% of physicians and 47% of caregivers did not know that motor vehicle crashes are the leading cause of death in children in this age group. Only 34% of caregivers consistently placed children in booster seats; 48% reported receiving physician information about proper restraint; 67% reported wanting to learn about proper restraint; and 36% wanted such information from physicians. Caregivers who recalled physician questions about restraints were three times more likely than others to use booster seats correctly. 70% of physicians reported asking about child restraint in vehicles in this age group. However, only 48% were very comfortable with knowing when to recommend booster seats, 43% reported having received no training in child passenger safety, and only 37% knew where to refer caregivers for more information. Physicians need more information about appropriate child passenger safety restraints as children grow and ways to deliver and reinforce the message so that it is retained to improve community health. Caregivers indicate willingness to learn, but providers miss many opportunities to teach.
Available from: Tonja Nansel
- "Additionally, as described below, the correct car seat depends on many factors; few experts are trained to assess the full constellation of family characteristics that would be relevant in selecting the appropriate child safety seat. Although parents often rely on their pediatricians for child safety advice, physicians have knowledge gaps about child safety seat use and sources of accurate information (Bilston et al., 2008; Brixey & Guse, 2009). Tailored health communications provided within a health provider's office or linked to an electronic medical record platform offer a mechanism to address these gaps. "
[Show abstract] [Hide abstract]
ABSTRACT: Injuries involving motor vehicles continue to be the biggest threat to the safety of children. Although child safety seats (CSS) have been established as a central countermeasure in decreasing injury risk, the majority of parents do not use the correct car seat correctly. There are many challenges in promoting correct car seat use, which itself is a complex behavior. To advance this critical protective behavior, the public health community would benefit from clarifying CSS messaging, communicating clearly, and addressing the conflicting recommendations of product use. In this article, we present current challenges in promoting CSS use and draw on health communication and other fields to offer recommendations for future work in this area.
[Show abstract] [Hide abstract]
ABSTRACT: The rapid growth and development of mobile systems over the past few years has exposed the capability and effective availability of wireless communication and thus paved the way for secure transmission and execution of data. This paper deals with this wireless local area security technologies and aims to exhibit their potential for integrity, availability and confidentiality. It provides a thorough analysis of the most WLAN packet data services and technologies, which can reveal the data in a secure manner. The article outlines its main technical characteristics, discusses its architectural aspects based on security and explains the access protocol, the services provided, in secured way. This paper deals with security techniques for wireless local area networks.
[Show abstract] [Hide abstract]
ABSTRACT: To understand attitudes and self-reported practices of pediatric and general emergency physicians regarding child passenger safety.
We conducted a cross-sectional mailed national survey of 600 pediatric emergency medicine (PEM) physicians and 600 emergency medicine (EM) physicians who provide clinical care in the United States randomly sampled from the American Medical Association Physician Masterfile. Survey questions explored attitudes related to the role of the physician and the emergency department (ED) in child passenger safety and self-reported frequency of performing specific child passenger safety practices.
Responses were received from 638 of 1000 (64%) eligible physicians with a valid mailing address. Surveys were completed by 367 PEM and 271 EM physicians. Regardless of their training background, emergency physicians overwhelmingly agreed that it is their role to educate parents about child passenger safety (95% PEM vs 82% EM) and that they can make a difference in how parents restrain their child (92% PEM vs 93% EM). Physicians were similar in their views that the most appropriate person to provide child passenger safety information in their ED was a nurse/midlevel provider followed by a physician. Self-report of child passenger safety practices in response to 2 hypothetical scenarios showed physicians infrequently provide best-practice safety recommendations to families.
Emergency physicians are supportive of the ED as a setting to promote child passenger safety, yet do not consistently promote child passenger safety themselves. Differences between PEM and EM physicians' attitudes toward child passenger safety may necessitate different approaches on injury prevention in general and pediatric EDs.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.