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| Name | Class |
|---|---|
| Hurley Medical Center | OTHER |
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This study involves an emergency department (ED)-based intervention utilizing Motivational Interviewing (MI) techniques and patient-centered (e.g., tailored) print materials to promote the correct and consistent use of size-appropriate child passenger restraints (car seats, booster seats, and seat belts). This study is designed as a randomized pilot trial.
Motor vehicle collisions (MVCs) remain a leading cause of death among children after the first year of life despite substantial improvements in passenger safety. Deaths and severe injuries from MVCs can be reduced significantly through the consistent use of size-appropriate child passenger restraints. Still, 10% of children ride completely unrestrained and roughly one-quarter do not use the recommended restraint for their size. New approaches are needed to motivate behavior change among parents who do not consistently use size-appropriate passenger restraints for their children from birth through age 10. Emergency department (ED) visits represent unique opportunities to reach vulnerable children and their parents who have difficulty accessing the primary care settings where childhood injury prevention information is commonly provided. Motivational interviewing (MI) in the ED has been used to encourage a variety of health behaviors among at-risk patients. However, MI has not been previously evaluated for child passenger safety promotion programs. This study will involve an ED-based intervention utilizing MI techniques and patient-centered (e.g., tailored) print materials to promote the correct and consistent use of size-appropriate child passenger restraints. This study is designed as a randomized pilot trial of the intervention utilizing a 2x2 factorial design to examine the independent and additive effects of ED-based MI and tailored print materials on the consistent use of size-appropriate child passenger restraints. Aim 1) To assess the feasibility and acceptability of the ED-based intervention among parents of children from birth through age 10; Aim 2) To determine the impact of the intervention on child passenger restraint attitudes and practices at 6-month follow-up in comparison to baseline assessments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group1 Baseline+MI+tailored brochure | Experimental | Participants randomized to Group 1 will receive the motivational interviewing intervention in the ED and will be mailed a tailored educational brochure about child passenger safety. All participants will complete the baseline assessment survey, a 2 week follow-up phone call and a 6 month follow-up encounter. |
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| Group2 Baseline+MI+general info | Experimental | Participants randomized to Group 2 will receive the motivational interviewing intervention in the ED and will be mailed a generic educational brochure about child passenger safety. All participants will complete the baseline assessment survey, a 2 week follow-up phone call and a 6 month follow-up encounter. |
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| Group3 Baseline+tailored brochure | Experimental | Participants randomized to Group 3 will receive no intervention in the ED and will be mailed a tailored educational brochure about child passenger safety All participants will complete the baseline assessment survey, a 2 week follow-up phone call and a 6 month follow-up encounter. |
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| Group4 Baseline+general info | No Intervention | Control Group. Participants randomized to this arm will receive no intervention in the ED and will be mailed a generic educational brochure about child passenger safety. All participants will complete the baseline assessment survey, a 2 week follow-up phone call and a 6 month follow-up encounter. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational Interviewing | Behavioral | Motivational interviewing (MI) in the ED has been used to encourage a variety of health behaviors among at-risk patients. In this study, researchers will employ motivational interviewing with half of the study participants to investigate the effects of the technique on child passenger restraint behaviors in a population of parents of children birth to 10 years of age. |
| Measure | Description | Time Frame |
|---|---|---|
| Use of size-appropriate restraint | At the 6-month follow-up encounter, we will reassess the child's current passenger restraint use. We will measure the impact of the intervention on use of a size-appropriate restraint for the child. | 6 month follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Transition at the recommended time | At the 6-month follow-up encounter, we will measure the impact of the intervention on the appropriateness of the transition to the next restraint. | 6 month follow up |
| Change in sub-optimal restraint use |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Michigan C.S. Mott Children's Hospital Emergency Department | Ann Arbor | Michigan | 48109 | United States | ||
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| ID | Term |
|---|---|
| D062405 | Motivational Interviewing |
| ID | Term |
|---|---|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
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| Tailored brochure | Behavioral | Tailored Print materials will be mailed to half of participants to investigate the effects of using patient-centered educational materials compared with generic educational materials to influence child passenger restraint behaviors in a population of parents of children birth to 10 years of age. |
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We will determine change from baseline to 6-month follow-up in parent's report of allowing sub-optimal restraint use (e.g., unrestrained, premature transition to a less protective restraint).
| 6 month follow up |
| Acceptability of the intervention (composite measure) | Participants will be asked to provide impressions of acceptability of the intervention by rating the following:
| 2 week follow up |
| Acceptability of the intervention (composite measure) | Participants will be asked to provide impressions of acceptability of the intervention by rating the following:
| 6 month follow up |
| Hurley Medical Center Emergency Department |
| Flint |
| Michigan |
| 48503 |
| United States |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |