ARSRPE Conference Paper Database

A multifaceted program to increase the appropriate use and decrease the misuse of child restraints.

Hunter, Kate, Keay, L, Brown, J, Bilston, L., Feegan, M, Cosgrove, L, Simpson, J, Elliott, Maureen, Ivers, Rebecca Q. (Peer reviewed)

Child Restraints


A multifaceted program to increase the appropriate use and decrease the misuse of child restraints. Authors: Hunter K1,2, Keay L1,2, Brown J3, Bilston L3, Feegan M4, Cosgrove L4, Simpson JM2, Elliott M5, Ivers R1,2. Author and Author Affiliations: 1. The George Institute for Global Health; 2. School of Public Health, The University of Sydney 3. Neuroscience Research Australia; University of New South Wales 4. Kids and Traffic, the NSW Early Childhood Road Safety Education Program, Macquarie University 5. NSW Roads and Traffic Authority Abstract: While the safety benefits of child restraints are well documented, the correct use of appropriate restraints is low in children aged 3-5 years. A systematic review has shown that interventions targeting either parents or service providers using education, distribution, enforcement and / or incentives are promising. However, robust, prospective studies are needed to determine the effectiveness of such interventions. We developed the Buckle-Up Safely program and evaluated this in a cluster randomized controlled trial involving 27 early childhood services in low socio-economic areas of West and South West Sydney in 2010. After randomisation, a total of 830 families with children attending 13 preschools and long day care centres received the program. The Buckle-Up Safely program is a multifaceted education based program targeting: centre staff, children, families and management. The program built on existing services and included: a workshop and follow on programming support for centre staff developed and conducted by the Kids and Traffic team; policy support for centres to further develop their safe arrival and departure and excursion policies; family information sessions; distribution of a Buckle-Up Safely bag containing a DVD with key restraint messages and access to various translated information sheets; free restraint checks at local fitting stations and access to subsidised restraints. A total of 12 staff workshops and 16 family sessions were conducted; 143 subsidised restraints were sold; 195 restraint checks completed and over 800 bags distributed to families. This paper describes the Buckle-Up Safely program in detail and addresses the program's uptake and acceptability.