title: Newborn Parent Based Intervention to Increase Child Safety Seat Use.
abstract: This paper intends to assess the effect of a maternity department intervention on improvement of knowledge and use of child safety seats (CSS) among newborn parents. An intervention study included three groups (one education plus free CSS intervention group, one education only group, and one control group). The participants were parents of newborns in the maternity department of two hospitals. Both of the intervention groups received a folded pamphlet of child passenger safety, a height chart and standardized safety education during their hospital stay after giving birth. The education plus free CSS intervention group received an additional free CSS and professional installation training at hospital discharge. The control group received a pamphlet with educational information about nutrition and food safety. Three months after enrollment, a telephone follow-up was conducted among participants in the three groups. Data on child passenger safety knowledge, risky driving behaviors, and use of CSS were evaluated before and after the intervention. A total of 132 newborn parents were enrolled in the study; of those, 52 (39.4%) were assigned into the education plus free CSS intervention group, 44 (33.3%) were in the education intervention only group, and 36 (27.3%) were in the control group. No significant differences existed in demographics among the three groups. There was a significant difference in newborn parents' child passenger safety knowledge and behaviors in the three groups before and after the intervention. In addition, the CSS use increased significantly in the education plus free CSS group after the intervention compared to parents in the education only or control groups. Education on safety, combined with a free CSS and professional installation training, were effective at increasing newborn parents' knowledge and use of CSS. Future studies with larger sample sizes and longer follow-up are needed to determine a long-term effect of the intervention.
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, 22 Xin Ling Road, Shantou 515041, China. xxliu2014@126.com.
authors.forename: Xiangxiang
authors.initials: X
authors.lastname: Liu
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, The Ohio State University, 700 Children's Drive, Columbus, OH 43205, USA. Ginger.Yang@nationwidechildrens.org.
authors.forename: Jingzhen
authors.initials: J
authors.lastname: Yang
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, 22 Xin Ling Road, Shantou 515041, China. cfyhcf@163.com.
authors.forename: Fuyuan
authors.initials: F
authors.lastname: Cheng
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, 22 Xin Ling Road, Shantou 515041, China. lpli@stu.edu.cn.
authors.forename: Liping
authors.initials: L
authors.lastname: Li
mesh_terms: D000328:Adult; D001334:Automobile Driving; D057207:Child Restraint Systems / Q000706:statistics & numerical data*; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007407:Interviews as Topic; D007902:Length of Stay; D008297:Male; D010290:Parents / Q000193:education*; D010351:Patient Discharge; D012309:Risk-Taking; D055815:Young Adult
keywords: CSS; child passenger safety; intervention; newborn parents