A BRIEF TAILORED FAMILY- CENTERED SEAT BELT INTERVENTION FOR HOSPITALIZED TRAUMA PATIENTS

Among children 5-19 years, the commonest cause of unintentional injury-related death is being an occupant/driver in a motor vehicle crash (MVC). In 2006 in the United States, there were 568,188 injuries among children (0-18) due to MVC. Of these, 38,039 were severe enough to require hospitalization and there were 6,781 deaths. Seat belts and appropriate child restraints reduce the morbidity and mortality from MVC. Yet studies have shown that less than 50% of children hospitalized from a MVC were restrained at the time of the crash. In 2007, a statewide direct observation survey reported 93.7% of Michigan motorists wore their seat belts in the front seat. In 2007, at the University of Michigan CS Mott Hospital, 120 children were hospitalized due to MVC and only 64% were restrained. The unrestrained children suffered the most severe injuries and had the greater morbidity. A prime factor that influences whether a child uses a safety device is whether a parent uses a seat belt. In focus groups, teens said they used seat belts because of how they were raised. In a prior study, the authors compared safety attitudes and practices with 800 grade 4-6 children paired with their parents. Matched analysis demonstrated that parents who always wear a seat belt are more likely to have children who sit in the back seat and wear a seat belt (73% vs. 27%, p<0.05). This suggests that the parent/child non-seat belt/restraint users are an ideal target for an intervention. The authors' hypothesis for this study was that both parents and children are equally important in modifying pediatric safety practices. The specific aim of this study was to develop and test in a randomized controlled study a brief family-centered seat belt intervention.

[1]  William B. Hansen,et al.  Handbook of adolescent health risk behavior. , 1996 .

[2]  E Baker,et al.  A cognitive-behavioral approach to substance abuse prevention. , 1984, Addictive behaviors.

[3]  R. McCammon,et al.  Brief alcohol intervention in the emergency department: moderators of effectiveness. , 2008, Journal of studies on alcohol and drugs.

[4]  Tor D Tosteson,et al.  A pediatric, practice-based, randomized trial of drinking and smoking prevention and bicycle helmet, gun, and seatbelt safety promotion. , 2002, Pediatrics.

[5]  J. Zakrajsek,et al.  A randomized controlled trial of an emergency department-based interactive computer program to prevent alcohol misuse among injured adolescents. , 2005, Annals of emergency medicine.

[6]  D. Pollock,et al.  Screening and Brief Intervention for Alcohol Problems Among College Students Treated in a University Hospital Emergency Department , 2003, Journal of American college health : J of ACH.

[7]  L. P. Wandersman,et al.  Parenting Sense of Competence Scale (PSOC) , 2001 .

[8]  Ronald D. Taylor,et al.  Resilience Across Contexts : Family, Work, Culture, and Community , 2000 .

[9]  R. Maio,et al.  The importance of a preclinical trial: a selected injury intervention program for pediatric trauma centers. , 2008, The Journal of trauma.

[10]  J. Helmkamp,et al.  Readiness to change problematic drinking assessed in the emergency department as a predictor of change. , 2005, Journal of critical care.

[11]  P. Ehrlich,et al.  Correlation between parental perception and actual childhood patterns of bicycle helmet use and riding practices: implications for designing injury prevention strategies. , 2001, Journal of pediatric surgery.

[12]  R. Durant,et al.  Social skills and attitudes associated with substance use behaviors among young adolescents. , 2002, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[13]  C. Johnston,et al.  A Measure of Parenting Satisfaction and Efficacy , 1989 .

[14]  V. Stevens,et al.  Making the most of a teachable moment: a smokeless-tobacco cessation intervention in the dental office. , 1995, American journal of public health.

[15]  John C. Norcross,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1993 .

[16]  W. Miller,et al.  Motivational Interviewing: Preparing People to Change Addictive Behavior , 1991 .

[17]  Kari M Ketvertis,et al.  Behavior change counseling in the emergency department to reduce injury risk: a randomized, controlled trial. , 2003, Pediatrics.

[18]  T. Conway,et al.  An adolescent tobacco-use prevention trial in orthodontic offices. , 1996, American journal of public health.

[19]  R. DiClemente,et al.  New Directions for Adolescent Risk Prevention and Health Promotion Research and Interventions , 1996 .

[20]  James C Helmkamp,et al.  Matched analysis of parent’s and children’s attitudes and practices towards motor vehicle and bicycle safety: an important information gap , 2004, Injury control and safety promotion.