Buckle Me Up!: A Digital Emergency Department Discharge Intervention for Child Car Safety

NCT03799393 | Completed

• 1 other identifier: 2012-17
• Study Type: interventional
• Target: 295
• Locations: 1 country
• Sites: 1

Brief Summary

This study explores the utility of a tablet computer-based, individually-tailored application called Computer Intervention Authoring Software (CIAS) in the Emergency Department for discharge education on proper child car restraint safety. The investigators hypothesize that tablet-based, individually-tailored discharge instructions are more effective than current standard, one-size-fits-all, printed discharge instructions. This is a randomized, controlled, non-blinded trial of of children age 0-21 years old in the Emergency Department. Patients will be randomized to receive either (a) a brief tablet-based questionnaire followed by standard, paper discharge instructions or (b) a brief tablet-based questionnaire followed by the intervention - CIAS, a tablet-based computer program. One week after discharge, participants in both groups will receive an automatic text message and/or email message with a link to a web-based survey that will assess: knowledge of appropriate car restraints and whether the parent/patient engaged in any behavioral changes regarding child car restraint. These variables will be compared between the control and intervention groups.

Conditions

Safety Issues; Injuries; Car Accident

Keywords

injury prevention; car safety; car seats; booster seats; car restraints

Outcome Measures

Primary Outcomes (2)

• Demonstration of age-appropriate car restraint knowledge

  Rate of correct response to a post-intervention follow-up survey question regarding age appropriate car restraint for child in control group vs. intervention group.

  one week after enrollment

• Change in car restraint knowledge

  Change in rate of correct response pre-intervention vs. post-intervention compared between control group vs. intervention

  one week after enrollment

Secondary Outcomes (6)

• Actions taken related to car restraints

  one week after enrollment

• Rate of difference types of actions taken related to car restraints

  one week after enrollment

• Satisfaction with discharge education - CIAS

  during intervention/enrollment

• Parental confidence in type of car restraint

  one week after enrollment

• Parental confidence in car restraint installation

  one week after enrollment

Study Arms (2)

Control Group

ACTIVE COMPARATOR

The control group will receive a brief tablet-based questionnaire followed by standard, paper discharge instructions on car safety. Children ≥13 years old and above will answer questions themselves. They will complete a questionnaire on the usefulness of their discharge education. One week after discharge, participants will receive an automatic text message and/or email message with a link to a web-based survey that will assess: knowledge of appropriate car restraints and whether the parent/patient engaged in any behavioral changes regarding child car restraint.

Behavioral: Standard Printed Discharge Instructions

Experimental/CIAS Group

EXPERIMENTAL

The Experimental/CIAS Group will receive a brief tablet-based questionnaire followed by the intervention - CIAS, an interactive tablet computer program that gives educational information customized to the patient's age and size. Children ≥13 years old will answer questions and interact with the program themselves. They will complete a questionnaire on the usefulness of their discharge education. One week after discharge, participants will receive an automatic text message and/or email message with a link to a web-based survey that will assess: knowledge of appropriate car restraints and whether the parent/patient engaged in any behavioral changes regarding child car restraint.

Behavioral: CIAS (Computer Intervention Authoring Software)

Interventions

CIAS (Computer Intervention Authoring Software) BEHAVIORAL

This is a digital application that allows families to interact with a tablet computer to receive educational information customized to the patient's age and size. allows authors to develop screening, assessment, and intervention tools for patients without requiring new programming. The CIAS intervention is programmed using tailored branching logic to allow a custom path through the intervention based on the respondent's answers. Delivery of the intervention uses a two-dimensional avatar narrator character that mimics the conversational structure of person-delivered brief interventions.

Experimental/CIAS Group

Standard Printed Discharge Instructions BEHAVIORAL

Patients/families will receive standard, printed discharge instructions. This is a 5 page general document from our Injury Prevention Center that describes appropriate car restraint safety for all age groups, not specific to the child enrolled.

Control Group

Eligibility Criteria

• Age: Up to 21 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• \- Children age 0-21 years presenting to the children's emergency department for any chief complaint whose parent/guardian owns or has access to a car that the child rides in (or for adolescents 16 years or older, have access to a car themselves).

You may not qualify if:

• No access to email or a smart phone
• Adolescents with significant developmental delay
• Adolescents who are critically injured
• No parent/guardian present at time of enrollment

Sponsors & Collaborators

• Lifespan: lead

Study Sites (1)

Hasbro Children's Hospital Emergency Department

Providence, Rhode Island, 02903, United States

Location

Related Publications (1)

• Zhang AY, Leviter J, Baird J, Charles-Chauvet D, Frackiewicz LM, Duffy S, Dessie A. Buckle me up! A randomised controlled trial using a tablet-based emergency department intervention for child car safety education. Inj Prev. 2024 Jul 19;30(4):334-340. doi: 10.1136/ip-2023-044998.

  PMID: 38302281 DERIVED

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Susan Duffy, MD, MPH

  Associate Professor

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 24, 2018
• First Posted: January 10, 2019
• Study Start: August 1, 2017
• Primary Completion: February 28, 2019
• Study Completion: February 28, 2019
• Last Updated: December 9, 2021

Record last verified: 2021-12

Locations

US (1)