Barriers to correct child restraint use: A qualitative study of child restraint users and their needs

Alexandra Hall, Catherine Ho, Lisa Keay, Kirsten McCaffery, Kate Hunter, Judith L. Charlton, Andrew Hayen, Lynne Bilston, Julie Brown

Research output: Contribution to journalArticleResearchpeer-review

Abstract

© 2018 Motor vehicle crashes are a major cause of death and injury to children worldwide. Although risk of injury to child passengers can be reduced by using a child restraint, most restraints are incorrectly used. This greatly reduces the restraints’ protective potential; however there is limited research on drivers of correct child restraint use. The aim of this study was to explore perceived barriers and motivators of correct child restraint use in experienced child restraint users, to inform interventions to promote correct use. Motivations and risk perceptions concerning incorrect child restraint use among high and low socioeconomic populations and culturally and linguistically diverse (CALD) child restraint users in Sydney, Australia were qualitatively examined. Six focus groups (N = 44 participants) were facilitated using a semi-structured discussion guide. Transcriptions were deductively analysed using QSR NVivo11 software and the COM-B model of behaviour. Common perceived barriers to correct restraint use were: (a) difficulty interpreting instructions and labels, particularly among CALD participants; (b) remembering and attending to correct use information; (c) lack of information and behavioural feedback on how to correctly install and use a child restraint; and (d) low confidence in ability to install and use a child restraint correctly. The results indicate current child restraint product information is poorly understood, particularly among those whose first language is not English. Interventions to increase correct child restraint use should address access to correct use information, capability to understand and use these, and the influence of motivation, memory and attention in the process.
Original languageEnglish
Pages (from-to)186-194
Number of pages9
JournalSafety Science
Volume109
DOIs
Publication statusPublished - 1 Nov 2018

Keywords

  • Child passenger
  • Child restraint system
  • Correct use
  • Optimal use
  • Qualitative research

Cite this

Hall, Alexandra ; Ho, Catherine ; Keay, Lisa ; McCaffery, Kirsten ; Hunter, Kate ; Charlton, Judith L. ; Hayen, Andrew ; Bilston, Lynne ; Brown, Julie. / Barriers to correct child restraint use : A qualitative study of child restraint users and their needs. In: Safety Science. 2018 ; Vol. 109. pp. 186-194.
@article{74f8fe645d8a4a788117b67e441bc24b,
title = "Barriers to correct child restraint use: A qualitative study of child restraint users and their needs",
abstract = "{\circledC} 2018 Motor vehicle crashes are a major cause of death and injury to children worldwide. Although risk of injury to child passengers can be reduced by using a child restraint, most restraints are incorrectly used. This greatly reduces the restraints’ protective potential; however there is limited research on drivers of correct child restraint use. The aim of this study was to explore perceived barriers and motivators of correct child restraint use in experienced child restraint users, to inform interventions to promote correct use. Motivations and risk perceptions concerning incorrect child restraint use among high and low socioeconomic populations and culturally and linguistically diverse (CALD) child restraint users in Sydney, Australia were qualitatively examined. Six focus groups (N = 44 participants) were facilitated using a semi-structured discussion guide. Transcriptions were deductively analysed using QSR NVivo11 software and the COM-B model of behaviour. Common perceived barriers to correct restraint use were: (a) difficulty interpreting instructions and labels, particularly among CALD participants; (b) remembering and attending to correct use information; (c) lack of information and behavioural feedback on how to correctly install and use a child restraint; and (d) low confidence in ability to install and use a child restraint correctly. The results indicate current child restraint product information is poorly understood, particularly among those whose first language is not English. Interventions to increase correct child restraint use should address access to correct use information, capability to understand and use these, and the influence of motivation, memory and attention in the process.",
keywords = "Child passenger, Child restraint system, Correct use, Optimal use, Qualitative research",
author = "Alexandra Hall and Catherine Ho and Lisa Keay and Kirsten McCaffery and Kate Hunter and Charlton, {Judith L.} and Andrew Hayen and Lynne Bilston and Julie Brown",
year = "2018",
month = "11",
day = "1",
doi = "10.1016/j.ssci.2018.05.017",
language = "English",
volume = "109",
pages = "186--194",
journal = "Safety Science",
issn = "0925-7535",
publisher = "Elsevier",

}

Hall, A, Ho, C, Keay, L, McCaffery, K, Hunter, K, Charlton, JL, Hayen, A, Bilston, L & Brown, J 2018, 'Barriers to correct child restraint use: A qualitative study of child restraint users and their needs' Safety Science, vol. 109, pp. 186-194. https://doi.org/10.1016/j.ssci.2018.05.017

Barriers to correct child restraint use : A qualitative study of child restraint users and their needs. / Hall, Alexandra; Ho, Catherine; Keay, Lisa; McCaffery, Kirsten; Hunter, Kate; Charlton, Judith L.; Hayen, Andrew; Bilston, Lynne; Brown, Julie.

In: Safety Science, Vol. 109, 01.11.2018, p. 186-194.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Barriers to correct child restraint use

T2 - A qualitative study of child restraint users and their needs

AU - Hall, Alexandra

AU - Ho, Catherine

AU - Keay, Lisa

AU - McCaffery, Kirsten

AU - Hunter, Kate

AU - Charlton, Judith L.

AU - Hayen, Andrew

AU - Bilston, Lynne

AU - Brown, Julie

PY - 2018/11/1

Y1 - 2018/11/1

N2 - © 2018 Motor vehicle crashes are a major cause of death and injury to children worldwide. Although risk of injury to child passengers can be reduced by using a child restraint, most restraints are incorrectly used. This greatly reduces the restraints’ protective potential; however there is limited research on drivers of correct child restraint use. The aim of this study was to explore perceived barriers and motivators of correct child restraint use in experienced child restraint users, to inform interventions to promote correct use. Motivations and risk perceptions concerning incorrect child restraint use among high and low socioeconomic populations and culturally and linguistically diverse (CALD) child restraint users in Sydney, Australia were qualitatively examined. Six focus groups (N = 44 participants) were facilitated using a semi-structured discussion guide. Transcriptions were deductively analysed using QSR NVivo11 software and the COM-B model of behaviour. Common perceived barriers to correct restraint use were: (a) difficulty interpreting instructions and labels, particularly among CALD participants; (b) remembering and attending to correct use information; (c) lack of information and behavioural feedback on how to correctly install and use a child restraint; and (d) low confidence in ability to install and use a child restraint correctly. The results indicate current child restraint product information is poorly understood, particularly among those whose first language is not English. Interventions to increase correct child restraint use should address access to correct use information, capability to understand and use these, and the influence of motivation, memory and attention in the process.

AB - © 2018 Motor vehicle crashes are a major cause of death and injury to children worldwide. Although risk of injury to child passengers can be reduced by using a child restraint, most restraints are incorrectly used. This greatly reduces the restraints’ protective potential; however there is limited research on drivers of correct child restraint use. The aim of this study was to explore perceived barriers and motivators of correct child restraint use in experienced child restraint users, to inform interventions to promote correct use. Motivations and risk perceptions concerning incorrect child restraint use among high and low socioeconomic populations and culturally and linguistically diverse (CALD) child restraint users in Sydney, Australia were qualitatively examined. Six focus groups (N = 44 participants) were facilitated using a semi-structured discussion guide. Transcriptions were deductively analysed using QSR NVivo11 software and the COM-B model of behaviour. Common perceived barriers to correct restraint use were: (a) difficulty interpreting instructions and labels, particularly among CALD participants; (b) remembering and attending to correct use information; (c) lack of information and behavioural feedback on how to correctly install and use a child restraint; and (d) low confidence in ability to install and use a child restraint correctly. The results indicate current child restraint product information is poorly understood, particularly among those whose first language is not English. Interventions to increase correct child restraint use should address access to correct use information, capability to understand and use these, and the influence of motivation, memory and attention in the process.

KW - Child passenger

KW - Child restraint system

KW - Correct use

KW - Optimal use

KW - Qualitative research

UR - http://www.scopus.com/inward/record.url?scp=85048257140&partnerID=8YFLogxK

U2 - 10.1016/j.ssci.2018.05.017

DO - 10.1016/j.ssci.2018.05.017

M3 - Article

VL - 109

SP - 186

EP - 194

JO - Safety Science

JF - Safety Science

SN - 0925-7535

ER -