Barriers to correct child restraint use: A qualitative study of child restraint users and their needs
Barriers to correct child restraint use: A qualitative study of child restraint users and their needs
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DOI：
10.1016/j.ssci.2018.05.017
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发表时间：
2018-11-01
期刊：
影响因子：
6.1
通讯作者：
Brown, Julie
中科院分区：
文献类型：
--
作者：
Hall, Alexandra;Ho, Catherine;Brown, Julie
机动车碰撞是全世界儿童死亡和受伤的一个主要原因。虽然使用儿童约束装置可以降低儿童乘客受伤的风险，但大多数约束装置使用不当。这大大降低了约束的保护潜力；然而，对正确使用儿童约束的驱动因素的研究有限。本研究的目的是探讨有经验的儿童约束使用者正确使用儿童约束的感知障碍和激励因素，为促进正确使用儿童约束提供干预措施。在澳大利亚悉尼的高、低社会经济人群和文化和语言多样化（CALD）儿童约束使用者中，对不正确使用儿童约束的动机和风险认知进行了定性检查。使用半结构化的讨论指南促进了六个焦点小组（N = 44名参与者）。利用QSR NVivol 1软件和COM-B行为模型对转录进行演绎分析。正确使用约束的常见障碍是：(a)难以解释说明和标签，特别是在CALD参与者中；(b)记住并注意正确的使用信息；(c)缺乏关于如何正确安装和使用儿童约束装置的信息和行为反馈；(d)对正确安装和使用儿童约束装置的能力缺乏信心。结果表明，目前的儿童约束产品的信息是知之甚少，特别是在那些第一语言不是英语。增加正确使用儿童约束的干预措施应涉及获得正确使用信息的途径、理解和使用这些信息的能力，以及在此过程中动机、记忆和注意力的影响。
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 NVivol 1 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.