Promoting use of booster seats in rural areas through community sports programs

Mary E. Aitken, Beverly K. Miller, Byron L. Anderson, Christopher J. Swearingen, Kathy W. Monroe, Dawn Daniels, Joseph O'Neil, L. R. Tres Scherer, John Hafner, Samantha H. Mullins

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Booster seats reduce mortality and morbidity for young children in car crashes, but use is low, particularly in rural areas. This study targeted rural communities in 4 states using a community sports-based approach. Objective: The Strike Out Child Passenger Injury (Strike Out) intervention incorporated education about booster seat use in children ages 4-7 years within instructional baseball programs. We tested the effectiveness of Strike Out in increasing correct restraint use among participating children. Methods: Twenty communities with similar demographics from 4 states participated in a nonrandomized, controlled trial. Surveys of restraint use were conducted before and after baseball season. Intervention communities received tailored education and parents had direct consultation on booster seat use. Control communities received only brochures. Results: One thousand fourteen preintervention observation surveys for children ages 4-7 years (Intervention Group [I]: N = 511, Control [C]: N = 503) and 761 postintervention surveys (I: N = 409, C: N = 352) were obtained. For 3 of 4 states, the intervention resulted in increases in recommended child restraint use (Alabama +15.5%, Arkansas +16.1%, Illinois +11.0%). Communities in 1 state (Indiana) did not have a positive response (-9.2%). Overall, unadjusted restraint use increased 10.2% in intervention and 1.7% in control communities (P = .02). After adjustment for each state in the study, booster seat use was increased in intervention communities (Cochran-Mantel-Haenszel odds ratio 1.56, 95% confidence interval [1.16-2.10]). Conclusions: A tailored intervention using baseball programs increased appropriate restraint use among targeted rural children overall and in 3 of 4 states studied. Such interventions hold promise for expansion into other sports and populations.

Original languageEnglish
JournalJournal of Rural Health
Volume29
Issue numberSUPPL.1
DOIs
StatePublished - 2013

Fingerprint

Sports
Baseball
Education
Pamphlets
Rural Population
Referral and Consultation
Parents
Odds Ratio
Observation
Demography
Confidence Intervals
Morbidity
Mortality
Wounds and Injuries
Population
Surveys and Questionnaires

Keywords

  • Children
  • Injury
  • Motor vehicles
  • Rural

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Aitken, M. E., Miller, B. K., Anderson, B. L., Swearingen, C. J., Monroe, K. W., Daniels, D., ... Mullins, S. H. (2013). Promoting use of booster seats in rural areas through community sports programs. Journal of Rural Health, 29(SUPPL.1). https://doi.org/10.1111/jrh.12000

Promoting use of booster seats in rural areas through community sports programs. / Aitken, Mary E.; Miller, Beverly K.; Anderson, Byron L.; Swearingen, Christopher J.; Monroe, Kathy W.; Daniels, Dawn; O'Neil, Joseph; Tres Scherer, L. R.; Hafner, John; Mullins, Samantha H.

In: Journal of Rural Health, Vol. 29, No. SUPPL.1, 2013.

Research output: Contribution to journalArticle

Aitken, ME, Miller, BK, Anderson, BL, Swearingen, CJ, Monroe, KW, Daniels, D, O'Neil, J, Tres Scherer, LR, Hafner, J & Mullins, SH 2013, 'Promoting use of booster seats in rural areas through community sports programs', Journal of Rural Health, vol. 29, no. SUPPL.1. https://doi.org/10.1111/jrh.12000
Aitken ME, Miller BK, Anderson BL, Swearingen CJ, Monroe KW, Daniels D et al. Promoting use of booster seats in rural areas through community sports programs. Journal of Rural Health. 2013;29(SUPPL.1). https://doi.org/10.1111/jrh.12000
Aitken, Mary E. ; Miller, Beverly K. ; Anderson, Byron L. ; Swearingen, Christopher J. ; Monroe, Kathy W. ; Daniels, Dawn ; O'Neil, Joseph ; Tres Scherer, L. R. ; Hafner, John ; Mullins, Samantha H. / Promoting use of booster seats in rural areas through community sports programs. In: Journal of Rural Health. 2013 ; Vol. 29, No. SUPPL.1.
@article{82ea4504a2824ca48594daa20a4a7bd1,
title = "Promoting use of booster seats in rural areas through community sports programs",
abstract = "Background: Booster seats reduce mortality and morbidity for young children in car crashes, but use is low, particularly in rural areas. This study targeted rural communities in 4 states using a community sports-based approach. Objective: The Strike Out Child Passenger Injury (Strike Out) intervention incorporated education about booster seat use in children ages 4-7 years within instructional baseball programs. We tested the effectiveness of Strike Out in increasing correct restraint use among participating children. Methods: Twenty communities with similar demographics from 4 states participated in a nonrandomized, controlled trial. Surveys of restraint use were conducted before and after baseball season. Intervention communities received tailored education and parents had direct consultation on booster seat use. Control communities received only brochures. Results: One thousand fourteen preintervention observation surveys for children ages 4-7 years (Intervention Group [I]: N = 511, Control [C]: N = 503) and 761 postintervention surveys (I: N = 409, C: N = 352) were obtained. For 3 of 4 states, the intervention resulted in increases in recommended child restraint use (Alabama +15.5{\%}, Arkansas +16.1{\%}, Illinois +11.0{\%}). Communities in 1 state (Indiana) did not have a positive response (-9.2{\%}). Overall, unadjusted restraint use increased 10.2{\%} in intervention and 1.7{\%} in control communities (P = .02). After adjustment for each state in the study, booster seat use was increased in intervention communities (Cochran-Mantel-Haenszel odds ratio 1.56, 95{\%} confidence interval [1.16-2.10]). Conclusions: A tailored intervention using baseball programs increased appropriate restraint use among targeted rural children overall and in 3 of 4 states studied. Such interventions hold promise for expansion into other sports and populations.",
keywords = "Children, Injury, Motor vehicles, Rural",
author = "Aitken, {Mary E.} and Miller, {Beverly K.} and Anderson, {Byron L.} and Swearingen, {Christopher J.} and Monroe, {Kathy W.} and Dawn Daniels and Joseph O'Neil and {Tres Scherer}, {L. R.} and John Hafner and Mullins, {Samantha H.}",
year = "2013",
doi = "10.1111/jrh.12000",
language = "English",
volume = "29",
journal = "Journal of Rural Health",
issn = "0890-765X",
publisher = "Wiley-Blackwell",
number = "SUPPL.1",

}

TY - JOUR

T1 - Promoting use of booster seats in rural areas through community sports programs

AU - Aitken, Mary E.

AU - Miller, Beverly K.

AU - Anderson, Byron L.

AU - Swearingen, Christopher J.

AU - Monroe, Kathy W.

AU - Daniels, Dawn

AU - O'Neil, Joseph

AU - Tres Scherer, L. R.

AU - Hafner, John

AU - Mullins, Samantha H.

PY - 2013

Y1 - 2013

N2 - Background: Booster seats reduce mortality and morbidity for young children in car crashes, but use is low, particularly in rural areas. This study targeted rural communities in 4 states using a community sports-based approach. Objective: The Strike Out Child Passenger Injury (Strike Out) intervention incorporated education about booster seat use in children ages 4-7 years within instructional baseball programs. We tested the effectiveness of Strike Out in increasing correct restraint use among participating children. Methods: Twenty communities with similar demographics from 4 states participated in a nonrandomized, controlled trial. Surveys of restraint use were conducted before and after baseball season. Intervention communities received tailored education and parents had direct consultation on booster seat use. Control communities received only brochures. Results: One thousand fourteen preintervention observation surveys for children ages 4-7 years (Intervention Group [I]: N = 511, Control [C]: N = 503) and 761 postintervention surveys (I: N = 409, C: N = 352) were obtained. For 3 of 4 states, the intervention resulted in increases in recommended child restraint use (Alabama +15.5%, Arkansas +16.1%, Illinois +11.0%). Communities in 1 state (Indiana) did not have a positive response (-9.2%). Overall, unadjusted restraint use increased 10.2% in intervention and 1.7% in control communities (P = .02). After adjustment for each state in the study, booster seat use was increased in intervention communities (Cochran-Mantel-Haenszel odds ratio 1.56, 95% confidence interval [1.16-2.10]). Conclusions: A tailored intervention using baseball programs increased appropriate restraint use among targeted rural children overall and in 3 of 4 states studied. Such interventions hold promise for expansion into other sports and populations.

AB - Background: Booster seats reduce mortality and morbidity for young children in car crashes, but use is low, particularly in rural areas. This study targeted rural communities in 4 states using a community sports-based approach. Objective: The Strike Out Child Passenger Injury (Strike Out) intervention incorporated education about booster seat use in children ages 4-7 years within instructional baseball programs. We tested the effectiveness of Strike Out in increasing correct restraint use among participating children. Methods: Twenty communities with similar demographics from 4 states participated in a nonrandomized, controlled trial. Surveys of restraint use were conducted before and after baseball season. Intervention communities received tailored education and parents had direct consultation on booster seat use. Control communities received only brochures. Results: One thousand fourteen preintervention observation surveys for children ages 4-7 years (Intervention Group [I]: N = 511, Control [C]: N = 503) and 761 postintervention surveys (I: N = 409, C: N = 352) were obtained. For 3 of 4 states, the intervention resulted in increases in recommended child restraint use (Alabama +15.5%, Arkansas +16.1%, Illinois +11.0%). Communities in 1 state (Indiana) did not have a positive response (-9.2%). Overall, unadjusted restraint use increased 10.2% in intervention and 1.7% in control communities (P = .02). After adjustment for each state in the study, booster seat use was increased in intervention communities (Cochran-Mantel-Haenszel odds ratio 1.56, 95% confidence interval [1.16-2.10]). Conclusions: A tailored intervention using baseball programs increased appropriate restraint use among targeted rural children overall and in 3 of 4 states studied. Such interventions hold promise for expansion into other sports and populations.

KW - Children

KW - Injury

KW - Motor vehicles

KW - Rural

UR - http://www.scopus.com/inward/record.url?scp=84882823795&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84882823795&partnerID=8YFLogxK

U2 - 10.1111/jrh.12000

DO - 10.1111/jrh.12000

M3 - Article

VL - 29

JO - Journal of Rural Health

JF - Journal of Rural Health

SN - 0890-765X

IS - SUPPL.1

ER -