Behavioral Skills Training Methods to Reduce Car Seat Misuse

NCT ID: NCT05490992

Last Updated: 2024-02-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2448 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-01

Study Completion Date

2021-12-31

Brief Summary

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The purpose of this study is to assess the effectiveness of child passenger educational methods to measure their ability to effectively reduce car seat misuse. The study will assess the traditional child passenger educational method delivered by a child passenger safety technician by comparing it to an in-person and virtual telehealth Behavioral Skills Training approach to reduce car seat misuse.

Detailed Description

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This study of 2,449 expectant couples involved two experiments. Experiment-1: included 1,224 participants, comparing 600 participants receiving no intervention and 600 participants receiving education with behavioral skills training (BST) in-person.

Experiment-2: included 1,224 participants, comparing 600 participants receiving BST-in-person to BST with telehealth.

Conditions

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Motor Vehicle Injury

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This study is a quasi-experimental within-subjects group design. It consists of two experiments that included an equal number of participants.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Car seat check-up traditional car seat educational method

Experiment-1a: This included 600 expectant parents who were educated by a certified child passenger safety technician with a traditional car seat educational approach. All participants were assessed at baseline, no-intervention traditional education, and follow-up, between June 1, 2015 and May 30, 2016

Group Type NO_INTERVENTION

No interventions assigned to this group

Behavioral Skills Training In-person Group A

Experiment-1b: This included another 600 expectant parents who were educated by a certified child passenger safety technician an in-person Behavioral Skills Training (BST) approach. All participants were assessed at baseline, BST, and follow-up, between June 1, 2016 and May 30, 2017.

Group Type EXPERIMENTAL

Behavioral Skills Training In-person

Intervention Type OTHER

Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the "Car seat check-up traditional car seat educational method" and BST telehealth was compared to BST in-person.

Behavioral Skills Training In-person Group B

Experiment-2a: This included another 600 expectant parents who were educated by a certified child passenger safety technician an in-person Behavioral Skills Training (BST) approach. All participants were assessed at baseline, BST, and follow-up, between June 1, 2018 and June 30, 2019.

Group Type EXPERIMENTAL

Behavioral Skills Training In-person

Intervention Type OTHER

Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the "Car seat check-up traditional car seat educational method" and BST telehealth was compared to BST in-person.

Behavioral Skills Training Telehealth

Experiment-2b: This included another 600 expectant parents who were educated by a certified child passenger safety technician a virtual telehealth version of Behavioral Skills Training (BST). All participants were assessed at baseline, BST-Telehealth, and follow-up, between April 1, 2020 and December 31, 2021.

Group Type EXPERIMENTAL

Behavioral Skills Training In-person

Intervention Type OTHER

Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the "Car seat check-up traditional car seat educational method" and BST telehealth was compared to BST in-person.

Interventions

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Behavioral Skills Training In-person

Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the "Car seat check-up traditional car seat educational method" and BST telehealth was compared to BST in-person.

Intervention Type OTHER

Other Intervention Names

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Behavioral Skills Training Telehealth

Eligibility Criteria

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Inclusion Criteria

* Women at least 7-month gestation and their partner, living within Los Angeles, Ventura, Orange, San Bernardino or Riverside counties; consented to the study and follow-up evaluation; and at the time of session had their child restraint system(s) and vehicle(s) available.

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Southern California

OTHER

Sponsor Role collaborator

Pro Consumer Safety - Public Health Behavior Solutions

OTHER

Sponsor Role lead

Responsible Party

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James DeCarli

Injury & Neuroepidemiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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James M DeCarli, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

Public Health Behavior Solutions/State of California

Locations

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Pro Consumer Safety/Pro Car Seat Safety - NHTSA CPS Inspection Station

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Boutain AR, Sheldon JB, Sherman JA. Evaluation of a telehealth parent training program in teaching self-care skills to children with autism. J Appl Behav Anal. 2020 Jul;53(3):1259-1275. doi: 10.1002/jaba.743. Epub 2020 Jul 13.

Reference Type RESULT
PMID: 32657441 (View on PubMed)

Carnett A, Hansen S, Tullis C, Machalicek W. Using behavioural skills training via telehealth to increase teachers use of communication interventions and increase student use of speech-generating devices in a high school functional skills classroom. J Intellect Disabil Res. 2021 Feb;65(2):133-148. doi: 10.1111/jir.12794. Epub 2020 Nov 13.

Reference Type RESULT
PMID: 33185000 (View on PubMed)

Dickson MJ, Vargo KK. Training kindergarten students lockdown drill procedures using behavioral skills training. J Appl Behav Anal. 2017 Apr;50(2):407-412. doi: 10.1002/jaba.369. Epub 2017 Jan 11.

Reference Type RESULT
PMID: 28078673 (View on PubMed)

Edgemon AK, Rapp JT, Brogan KM, Richling SM, Hamrick SA, Peters RJ, O'Rourke SA. Behavioral skills training to increase interview skills of adolescent males in a juvenile residential treatment facility. J Appl Behav Anal. 2020 Sep;53(4):2303-2318. doi: 10.1002/jaba.707. Epub 2020 Apr 17.

Reference Type RESULT
PMID: 32301517 (View on PubMed)

Executive Order. No. N-33-20 H.S.C. ยง 8567 8627 8665, 2020. https://covid19.ca.gov/img/Executive-Order-N-33-20.pdf

Reference Type RESULT

Giannakakos AR, Vladescu JC, Simon R. Teaching installation and use of child passenger safety restraints. J Appl Behav Anal. 2018 Oct;51(4):915-923. doi: 10.1002/jaba.493. Epub 2018 Jul 13.

Reference Type RESULT
PMID: 30006981 (View on PubMed)

Himle MB, Wright KA. Behavioral skills training to improve installation and use of child passenger safety restraints. J Appl Behav Anal. 2014 Fall;47(3):549-59. doi: 10.1002/jaba.143. Epub 2014 Jun 3.

Reference Type RESULT
PMID: 24891092 (View on PubMed)

Hoffman BD, Gallardo AR, Carlson KF. Unsafe from the Start: Serious Misuse of Car Safety Seats at Newborn Discharge. J Pediatr. 2016 Apr;171:48-54. doi: 10.1016/j.jpeds.2015.11.047. Epub 2015 Dec 18.

Reference Type RESULT
PMID: 26707620 (View on PubMed)

Miltenberger, Raymond G. "Behavioral Skills Training Procedures." (2016) Behavior Modification Principles and Procedures, 6th ed., Cenage Learning, pp. 223-242.

Reference Type RESULT

National Center for Statistics and Analysis. (2022, March - revised). Children: 2019 data. (Traffic Safety Facts. Report No. DOT HS 813 122). National Highway Traffic Safety Administration

Reference Type RESULT

National Highway Traffic Safety Administration. (2004, January). Misuse of Child Restraints (DOT HS 809 671). United States, Department of Transportation. https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/809671.pdf

Reference Type RESULT

National Highway Traffic Safety Administration. (2022). The Right Seat. Parents Central-From Car Seats To Car Keys: Keeping Children Safe. Retrieved July 24, 2022, from https://one.nhtsa.gov/links/ParentsCentral/CarSeats.htm#.

Reference Type RESULT

Raymond, P. (2018, July). Additional Analysis of National Child Restraint Use Special Study: Child Restraint Misuse (DOT HS 812 527). Traffic Safety Facts: Research note. https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/13648-additional_analysis_of_ncruss_071718_v3_tag.pdf

Reference Type RESULT

Rios, D., Schenk, Y. A., Eldridge, R. R., & Peterson, S. M. (2020). The Effects of Remote Behavioral Skills Training on Conducting Functional Analyses. Journal of Behavioral Education, 29(2), 449-468. https://doi.org/10.1007/s10864-020-09385-3.

Reference Type RESULT

Shigekawa E, Fix M, Corbett G, Roby DH, Coffman J. The Current State Of Telehealth Evidence: A Rapid Review. Health Aff (Millwood). 2018 Dec;37(12):1975-1982. doi: 10.1377/hlthaff.2018.05132.

Reference Type RESULT
PMID: 30633674 (View on PubMed)

Sump LA, Richman DM, Schaefer AM, Grubb LM, Brewer AT. Telehealth and in-person training outcomes for novice discrete trial training therapists. J Appl Behav Anal. 2018 Jul;51(3):466-481. doi: 10.1002/jaba.461. Epub 2018 Apr 23.

Reference Type RESULT
PMID: 29683185 (View on PubMed)

Thomas BR, Lafasakis M, Spector V. Brief Report: Using Behavioral Skills Training to Teach Skateboarding Skills to a Child with Autism Spectrum Disorder. J Autism Dev Disord. 2016 Dec;46(12):3824-3829. doi: 10.1007/s10803-016-2900-8.

Reference Type RESULT
PMID: 27632185 (View on PubMed)

Wegner MV, Girasek DC. How readable are child safety seat installation instructions? Pediatrics. 2003 Mar;111(3):588-91. doi: 10.1542/peds.111.3.588.

Reference Type RESULT
PMID: 12612241 (View on PubMed)

Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020 Sep;35:38-42. doi: 10.1016/j.prrv.2020.06.009. Epub 2020 Jun 18.

Reference Type RESULT
PMID: 32653468 (View on PubMed)

WISQARS (Web-Based Injury Statistics Query and Reporting System) Injury Center CDC. Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 1 July 2020, www.cdc.gov/injury/wisqars/index.html.

Reference Type RESULT

Other Identifiers

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BSTCPS2022

Identifier Type: -

Identifier Source: org_study_id

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