A brief tailored family-centered seat belt intervention for hospitalized trauma patients.
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2010-11-01
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Abstract:"Among children 5-19 years, the commonest cause of unintentional injury-related death is ; being an occupant/driver in a motor vehicle crash (MVC). In 2006 in the United States, there ; were 568,188 injuries among children (0-18) due to MVC. Of these, 38,039 were severe ; enough to require hospitalization and there were 6,781 deaths. Seat belts and appropriate child ; restraints reduce the morbidity and mortality from MVC. Yet studies have shown that less than ; 50% of children hospitalized from a MVC were restrained at the time of the crash. ; In 2007, a statewide direct observation survey reported 93.7% of Michigan motorists wore ; their seat belts in the front seat. In 2007, at the University of Michigan CS Mott Hospital, 120 ; children were hospitalized due to MVC and only 64% were restrained. The unrestrained ; children suffered the most severe injuries and had the greater morbidity. A prime factor that ; influences whether a child uses a safety device is whether a parent uses a seat belt. In focus ; groups, teens said they used seat belts because of how they were raised. In a prior study, we ; compared safety attitudes and practices with 800 grade 4-6 children paired with their parents. ; Matched analysis demonstrated that parents who always wear a seat belt are more likely to have ; children who sit in the back seat and wear a seat belt (73% vs. 27%, p<0.05). This suggests that ; the parent/child non-seat belt/restraint users are an ideal target for an intervention. Our ; hypothesis for this study was that both parents and children are equally important in modifying ; pediatric safety practices. The specific aim of this study was to develop and test in a randomized ; controlled study a brief family- centered “seat belt intervention."
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Main Document Checksum:urn:sha-512:4959dc9c17657e6562527ae513cfbc8e492d2c1c47dc72d58a4daffd7a38e456eb6cab32fde1ab4461772261ba24ab8b019c49ebd05f242edbde23cb7e8ddecc