Behavioral Skills Training Methods to Reduce Car Seat Misuse

NCT05490992 | Completed

• 1 other identifier: BSTCPS2022
• Study Type: interventional
• Target: 2,448
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Motor Vehicle Injury

Keywords

motor vehicle occupant injury; car seat misuse; car seat education; Behavioral Skills Training; Telehealth

Outcome Measures

Primary Outcomes (1)

• child restraint misuse

  Incidence of misuse

  12 months

Study Arms (4)

Car seat check-up traditional car seat educational method

NO INTERVENTION

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

Behavioral Skills Training In-person Group A

EXPERIMENTAL

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

Behavioral Skills Training In-person Group B

EXPERIMENTAL

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

Behavioral Skills Training Telehealth

EXPERIMENTAL

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

Interventions

Behavioral Skills Training In-person OTHER

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.

Also known as: Behavioral Skills Training Telehealth

Behavioral Skills Training In-person Group A; Behavioral Skills Training In-person Group B; Behavioral Skills Training Telehealth

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• None

Sponsors & Collaborators

• Pro Consumer Safety - Public Health Behavior Solutions: lead
• University of Southern California: collaborator

Study Sites (1)

Pro Consumer Safety/Pro Car Seat Safety - NHTSA CPS Inspection Station

Los Angeles, California, 90005, United States

Location

Related Publications (20)

• Boutain AR, Sheldon JB, Sherman JA. Evaluation of a telehealth parent training program in teaching self-care skills to children with autism. J Appl Behav Anal. 2020 Jul;53(3):1259-1275. doi: 10.1002/jaba.743. Epub 2020 Jul 13.

  PMID: 32657441 RESULT

• Carnett A, Hansen S, Tullis C, Machalicek W. Using behavioural skills training via telehealth to increase teachers use of communication interventions and increase student use of speech-generating devices in a high school functional skills classroom. J Intellect Disabil Res. 2021 Feb;65(2):133-148. doi: 10.1111/jir.12794. Epub 2020 Nov 13.

  PMID: 33185000 RESULT

• Dickson MJ, Vargo KK. Training kindergarten students lockdown drill procedures using behavioral skills training. J Appl Behav Anal. 2017 Apr;50(2):407-412. doi: 10.1002/jaba.369. Epub 2017 Jan 11.

  PMID: 28078673 RESULT

• Edgemon AK, Rapp JT, Brogan KM, Richling SM, Hamrick SA, Peters RJ, O'Rourke SA. Behavioral skills training to increase interview skills of adolescent males in a juvenile residential treatment facility. J Appl Behav Anal. 2020 Sep;53(4):2303-2318. doi: 10.1002/jaba.707. Epub 2020 Apr 17.

  PMID: 32301517 RESULT

• Executive Order. No. N-33-20 H.S.C. § 8567 8627 8665, 2020. https://covid19.ca.gov/img/Executive-Order-N-33-20.pdf

  RESULT

• Giannakakos AR, Vladescu JC, Simon R. Teaching installation and use of child passenger safety restraints. J Appl Behav Anal. 2018 Oct;51(4):915-923. doi: 10.1002/jaba.493. Epub 2018 Jul 13.

  PMID: 30006981 RESULT

• Himle MB, Wright KA. Behavioral skills training to improve installation and use of child passenger safety restraints. J Appl Behav Anal. 2014 Fall;47(3):549-59. doi: 10.1002/jaba.143. Epub 2014 Jun 3.

  PMID: 24891092 RESULT

• Hoffman BD, Gallardo AR, Carlson KF. Unsafe from the Start: Serious Misuse of Car Safety Seats at Newborn Discharge. J Pediatr. 2016 Apr;171:48-54. doi: 10.1016/j.jpeds.2015.11.047. Epub 2015 Dec 18.

  PMID: 26707620 RESULT

• Miltenberger, Raymond G. "Behavioral Skills Training Procedures." (2016) Behavior Modification Principles and Procedures, 6th ed., Cenage Learning, pp. 223-242.

  RESULT

• National Center for Statistics and Analysis. (2022, March - revised). Children: 2019 data. (Traffic Safety Facts. Report No. DOT HS 813 122). National Highway Traffic Safety Administration

  RESULT

• National Highway Traffic Safety Administration. (2004, January). Misuse of Child Restraints (DOT HS 809 671). United States, Department of Transportation. https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/809671.pdf

  RESULT

• National Highway Traffic Safety Administration. (2022). The Right Seat. Parents Central-From Car Seats To Car Keys: Keeping Children Safe. Retrieved July 24, 2022, from https://one.nhtsa.gov/links/ParentsCentral/CarSeats.htm#.

  RESULT

• Raymond, P. (2018, July). Additional Analysis of National Child Restraint Use Special Study: Child Restraint Misuse (DOT HS 812 527). Traffic Safety Facts: Research note. https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/13648-additional_analysis_of_ncruss_071718_v3_tag.pdf

  RESULT

• Rios, D., Schenk, Y. A., Eldridge, R. R., & Peterson, S. M. (2020). The Effects of Remote Behavioral Skills Training on Conducting Functional Analyses. Journal of Behavioral Education, 29(2), 449-468. https://doi.org/10.1007/s10864-020-09385-3.

  RESULT

• Shigekawa E, Fix M, Corbett G, Roby DH, Coffman J. The Current State Of Telehealth Evidence: A Rapid Review. Health Aff (Millwood). 2018 Dec;37(12):1975-1982. doi: 10.1377/hlthaff.2018.05132.

  PMID: 30633674 RESULT

• Sump LA, Richman DM, Schaefer AM, Grubb LM, Brewer AT. Telehealth and in-person training outcomes for novice discrete trial training therapists. J Appl Behav Anal. 2018 Jul;51(3):466-481. doi: 10.1002/jaba.461. Epub 2018 Apr 23.

  PMID: 29683185 RESULT

• Thomas BR, Lafasakis M, Spector V. Brief Report: Using Behavioral Skills Training to Teach Skateboarding Skills to a Child with Autism Spectrum Disorder. J Autism Dev Disord. 2016 Dec;46(12):3824-3829. doi: 10.1007/s10803-016-2900-8.

  PMID: 27632185 RESULT

• Wegner MV, Girasek DC. How readable are child safety seat installation instructions? Pediatrics. 2003 Mar;111(3):588-91. doi: 10.1542/peds.111.3.588.

  PMID: 12612241 RESULT

• Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020 Sep;35:38-42. doi: 10.1016/j.prrv.2020.06.009. Epub 2020 Jun 18.

  PMID: 32653468 RESULT

• WISQARS (Web-Based Injury Statistics Query and Reporting System) Injury Center CDC. Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 1 July 2020, www.cdc.gov/injury/wisqars/index.html.

  RESULT

Study Officials

• James M DeCarli, PhD, MPH

  Public Health Behavior Solutions/State of California

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Injury & Neuroepidemiologist

Model Details: This study is a quasi-experimental within-subjects group design. It consists of two experiments that included an equal number of participants.

Study Record Dates

• First Submitted: August 3, 2022
• First Posted: August 8, 2022
• Study Start: June 1, 2015
• Primary Completion: December 31, 2021
• Study Completion: December 31, 2021
• Last Updated: February 6, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)