Tiny Cargo, Big Deal! An Adaptive ED-Based eHealth Intervention to Promote Correct and Consistent Size-Appropriate Child Passenger Safety Behaviors and Reduce Disparities
小货,大事!
基本信息
- 批准号:10475123
- 负责人:
- 金额:$ 49.65万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-09-17 至 2024-08-31
- 项目状态:已结题
- 来源:
- 关键词:AcademyAccident and Emergency departmentAccidental InjuryAffectAfrican American populationAgeAmericanAppointmentBehaviorCar SeatsCaregiversCessation of lifeCharacteristicsChildChildhood InjuryCommunicationCommunication ResearchCommunitiesCompetenceCounselingElementsEmergency CareEmergency department visitEmotionalEnsureFamilyFatality rateFeedbackGoalsGrowthGuidelinesHealth Services AccessibilityHealth systemHealthcare SystemsInjuryInterventionKnowledgeLawsLightLow incomeMassageMeasuresMediator of activation proteinMentored Patient-Oriented Research Career Development AwardMethodsMichiganMinorityMinority GroupsModelingMotivationOutcome MeasurePamphletsPaperParentsParticipantPediatricsPersonsPopulationPrevention programPrimary Health CarePublic HealthPublishingRaceRandomizedRecommendationResearchRiskSafetyScheduleSchoolsSelf DeterminationSiteSocioeconomic StatusSystemTelephoneTestingTextText MessagingTranslationsTravelUnited StatesUniversitiesVehicle crashWorkbasebehavior changecommunity settingcomparison interventioncostdesigndigitaldisparity reductioneHealthefficacy testingfollow-upgroup interventionhandheld mobile devicehealth communicationimprovedindividualized preventioninjury preventioninnovationintervention effectminority childrenmortality riskmotivational enhancement therapynovelprematurepreventive interventionprimary outcomeprototypepublic educationracial and ethnicrecruitresponserestraintsafety educationsevere injurysexskillssuccesstheoriestreatment as usualtrial designusabilityweb app
项目摘要
PROJECT SUMMARY
Motor vehicle collisions (MVCs) remain the leading cause of unintentional injury deaths among children in the
United States (U.S.) and racial/ethnic minority children are disproportionately impacted as suboptimal child
passenger safety behaviors are more prevalent in some communities. Existing universal approaches to
promote child passenger safety have fallen short of ensuring that all child passengers are correctly using size-
appropriate child passenger restraints according to guidelines published by the American Academy of
Pediatrics and the National Highway Traffic Safety Administration. Precision prevention programs are urgently
needed to improve child passenger safety behaviors among caregivers who have not been responsive to
guidelines, laws, and public education campaigns. The proposed research will test the efficacy of Tiny Cargo,
Big Deal (TCBD), an emergency department (ED)-based precision prevention intervention grounded in Self-
Determination Theory. TCBD integrates personalized counseling based on principles of motivational
interviewing (MI) and eHealth components including a tailored educational web application (app) and short
message service (SMS) communications with the goal of improving child passenger safety. We hypothesize
that by providing tailored child passenger safety education and personalized skills for restraint use in a manner
that supports autonomous motivation the TCBD intervention will be more efficacious than universal
approaches (laws/guidelines) for realizing correct use of size-appropriate child passenger restraints. The
primary outcomes, size-appropriate restraint use and the Child Passenger Safety Score (CPaSS), will be
assessed with direct observation at scheduled, in-person appointments and remote observation of digital
photographs submitted by caregivers in response to unscheduled text messages. We will test our hypothesis
using a randomized adaptive trial design with the following aims: Aim 1: To refine and verify the reliability of
elements in the 100-point CPaSS, a novel composite measure of child passenger safety. Aim 2: To test the
efficacy of the TCBD intervention compared to usual care for improving primary outcomes [i.e., size-
appropriate restraint (dichotomous) and CPaSS-D (numeric)] at 6 and 12 months. Aim 3: To use latent growth
curve models to identify characteristic trajectories for the CPaSS-R observed in digital photographs over the 12
study months and assess for correlates of the trajectory types. This innovative, theoretically grounded research
will have long-standing impact on child passenger safety by informing the best methods to increase correct use
of size-appropriate child restraint systems among caregivers of diverse backgrounds at the point they interact
with the health care system. The work has the potential for wide-scale implementation in the ED and for
translation to primary care offices, schools, and community settings with an ultimate goal of eliminating child
passenger safety disparities and reducing the number of childhood injuries from MVCs.
项目摘要
机动车碰撞(MVC)仍然是儿童意外伤害死亡的主要原因,
美国(US)和种族/少数民族儿童作为次优儿童受到不成比例的影响
乘客安全行为在一些社区更为普遍。现有的普遍做法,
促进儿童乘客的安全,未能确保所有儿童乘客正确使用尺寸-
适当的儿童乘客约束,根据美国科学院出版的指导方针,
儿科和国家公路交通安全管理局。精准预防计划迫在眉睫
需要改善儿童乘客安全行为的照顾者谁没有反应,
指导方针、法律和公众教育运动。这项拟议中的研究将测试微小货物的功效,
大交易(TCBD),一个基于急诊科(艾德)的精准预防干预,以自我为基础,
决定论。TCBD整合了基于动机原则的个性化咨询
访谈(MI)和电子健康组件,包括量身定制的教育网络应用程序(应用程序)和简短的
信息服务(SMS)通信,以提高儿童乘客的安全。我们假设
通过提供量身定制的儿童乘客安全教育和个性化的约束使用技能,
支持自主动机的TCBD干预将比普遍有效
实现正确使用尺寸合适的儿童乘客约束系统的方法(法律/指南)。的
主要结果,尺寸合适的约束使用和儿童乘客安全评分(CPaSS),将是
通过定期直接观察、面对面预约和远程观察数字化评估
护理人员提交的照片,以回应计划外的短信。我们将测试我们的假设
采用随机适应性试验设计,目的如下:目的1:完善和验证
100点CPaSS中的元素,这是一种新的儿童乘客安全综合衡量标准。目标2:测试
TCBD干预与常规护理相比改善主要结果的功效[即,尺寸-
6个月和12个月时的适当限制(二分)和CPaSS-D(数值)]。目标3:利用潜在增长
曲线模型,以确定12年来在数码照片中观察到的CPaSS-R的特征轨迹
研究几个月并评估轨迹类型的相关性。这项创新的、有理论基础的研究
将通过告知增加正确使用的最佳方法,对儿童乘客的安全产生长期影响
在不同背景的照顾者之间,
与医疗保健系统。这项工作有可能在艾德大规模实施,
翻译到初级保健办公室,学校和社区环境,最终目标是消除儿童
乘客安全差异,减少儿童因车辆事故受伤的人数。
项目成果
期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Michelle Lea Macy其他文献
Michelle Lea Macy的其他文献
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{{ truncateString('Michelle Lea Macy', 18)}}的其他基金
Tiny Cargo, Big Deal! An Adaptive ED-Based eHealth Intervention to Promote Correct and Consistent Size-Appropriate Child Passenger Safety Behaviors and Reduce Disparities
小货,大事!
- 批准号:
10242737 - 财政年份:2018
- 资助金额:
$ 49.65万 - 项目类别:
A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint Use
增加适当尺寸儿童乘客约束装置使用的简短干预措施
- 批准号:
8431736 - 财政年份:2012
- 资助金额:
$ 49.65万 - 项目类别:
A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint Use
增加适当尺寸儿童乘客约束装置使用的简短干预措施
- 批准号:
8606486 - 财政年份:2012
- 资助金额:
$ 49.65万 - 项目类别:
A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint Use
增加适当尺寸儿童乘客约束装置使用的简短干预措施
- 批准号:
8798677 - 财政年份:2012
- 资助金额:
$ 49.65万 - 项目类别:
A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint Use
增加适当尺寸儿童乘客约束装置使用的简短干预措施
- 批准号:
8224894 - 财政年份:2012
- 资助金额:
$ 49.65万 - 项目类别:
A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint Use
增加适当尺寸儿童乘客约束装置使用的简短干预措施
- 批准号:
9010965 - 财政年份:2012
- 资助金额:
$ 49.65万 - 项目类别: