TY - JOUR
T1 - Results of an RCT in Two Pediatric Emergency Departments to Evaluate the Efficacy of an m-Health Educational App on Car Seat Use
AU - Gielen, Andrea C.
AU - Bishai, David M.
AU - Omaki, Elise
AU - Shields, Wendy C.
AU - McDonald, Eileen M.
AU - Rizzutti, Nicholas C.
AU - Case, James
AU - Stevens, Molly W.
AU - Aitken, Mary E.
N1 - Funding Information:
This work was supported by NIH Grant No. HD069221, “Evaluating a Web-based Child Passenger Safety Program: Safety in Seconds v2.0.” The research presented in this paper is that of the authors and does not reflect the official policy of the NIH. The Johns Hopkins Bloomberg School of Public Health IRB approved this research, IRB No. 4536. Portions of this research were presented as a poster at the Society for Behavioral Medicine Annual Meeting in 2017, and as an oral presentation at the World Injury Conference in 2016. This study is registered at ClinicalTrials.Gov (Clinical Trial Registration No. NCT02345941). Dr. Gielen served as Principal Investigator and oversaw the research protocol development and implementation; she drafted and finalized the manuscript, and collaborated on the statistical analysis and data presentation. Dr. Bishai oversaw the statistical analysis; he wrote the statistical methods section of the manuscript and reviewed and commented on the entire paper. Ms. Omaki served as project director and managed the study protocol implementation, data cleaning, production of figures and tables, and collaborated on the statistical analysis and writing of the methods and results. Ms. Shields served as the research manager overseeing all aspects of data collection, tracking, and cleaning; she provided input on the analysis and reviewed and commented on the entire manuscript. Ms. McDonald served as the intervention manager overseeing all aspects of the educational content contained in the m-health tool; she collaborated on writing the intervention methods, provided input on the analysis, and reviewed and commented on the entire manuscript. Mr. Rizutti served as the primary data collector for the study, including coordinating research tasks across the two sites; and reviewed and commented on the entire manuscript. Mr. Case served as the informaticist and produced the m-health tool as well as ensured its proper performance throughout the trial; he reviewed and commented on the entire manuscript. Dr. Stevens served as the liaison to the pediatric emergency department setting in Baltimore, Maryland to ensure proper protocol implementation, and reviewed and commented on the entire manuscript. Dr. Aikens served as the liaison to the pediatric emergency department setting in Little Rock, Arkansas to ensure proper protocol implementation, provided input on the analysis, and reviewed and commented on the entire manuscript. The authors gratefully acknowledge and thank the Emergency Department staff at the Johns Hopkins Children’s Center and the Arkansas Children’s Hospital. No financial disclosures were reported by the authors of this paper.
Publisher Copyright:
© 2018 American Journal of Preventive Medicine
PY - 2018/6
Y1 - 2018/6
N2 - Introduction: The growing interest in incorporating prevention into emergency health care make it timely to examine the use of computer technology to efficiently deliver effective education in this setting. Study design: This RCT compared results from an intervention group (n=367) that received child passenger safety information, to an attention-matched control (n=375). A baseline survey and two follow-up surveys at 3 and 6 months were conducted. Setting/participants: Data were collected from June 2014 to September 2016 from a sample of parents with children aged 4–7 years recruited from a pediatric emergency department in an East Coast urban area and one in a Midwest semi-rural area. Intervention: A theory-based, stage-tailored educational program, Safety in Seconds v2.0TM, delivered on a mobile app. Main outcome measures: Four car seat behaviors: (1) having the correct restraint for the child's age and weight; (2) having the child ride in the backseat all the time; (3) buckling up the child all the time; and (4) having the child's restraint inspected by a child passenger safety technician. Results: At 3 months, adjusting for baseline behaviors and attrition, the odds of reporting the correct behavior by the intervention group relative to the control group was 2.07 (p<0.01) for using the correct car seat; 2.37 (p<0.05) times for having the child ride in the back seat; 1.04 (nonsignificant) for riding buckled up all the time; and 1.99 (p<0.01) times for having the car seat inspected. At 6 months, there were statistically significant effects for reporting use of the correct car seat (OR=1.84, p<0.01) and having the car seat inspected (OR=1.73, p<0.01). Conclusions: Mobile apps hold promise for reaching large populations with individually tailored child passenger safety education. Trial registration: Clinical Trial Registration # NCT02345941.
AB - Introduction: The growing interest in incorporating prevention into emergency health care make it timely to examine the use of computer technology to efficiently deliver effective education in this setting. Study design: This RCT compared results from an intervention group (n=367) that received child passenger safety information, to an attention-matched control (n=375). A baseline survey and two follow-up surveys at 3 and 6 months were conducted. Setting/participants: Data were collected from June 2014 to September 2016 from a sample of parents with children aged 4–7 years recruited from a pediatric emergency department in an East Coast urban area and one in a Midwest semi-rural area. Intervention: A theory-based, stage-tailored educational program, Safety in Seconds v2.0TM, delivered on a mobile app. Main outcome measures: Four car seat behaviors: (1) having the correct restraint for the child's age and weight; (2) having the child ride in the backseat all the time; (3) buckling up the child all the time; and (4) having the child's restraint inspected by a child passenger safety technician. Results: At 3 months, adjusting for baseline behaviors and attrition, the odds of reporting the correct behavior by the intervention group relative to the control group was 2.07 (p<0.01) for using the correct car seat; 2.37 (p<0.05) times for having the child ride in the back seat; 1.04 (nonsignificant) for riding buckled up all the time; and 1.99 (p<0.01) times for having the car seat inspected. At 6 months, there were statistically significant effects for reporting use of the correct car seat (OR=1.84, p<0.01) and having the car seat inspected (OR=1.73, p<0.01). Conclusions: Mobile apps hold promise for reaching large populations with individually tailored child passenger safety education. Trial registration: Clinical Trial Registration # NCT02345941.
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U2 - 10.1016/j.amepre.2018.01.042
DO - 10.1016/j.amepre.2018.01.042
M3 - Article
C2 - 29656914
AN - SCOPUS:85045091537
SN - 0749-3797
VL - 54
SP - 746
EP - 755
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 6
ER -