Remote Motivational Counseling And Mobile-based Support Help Parents Use Safer Car Seats

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Parents improved usage of due kid car seats aft distant motivational counseling and mobile-based support, according to nan results from a randomized objective proceedings published successful JAMA Network Open. The involution included tailored web content, periodic matter messages and personalized feedback connected photos parents submitted each 4 to six weeks showing really their kid usually travels successful a car.

"Parents and children mightiness defy utilizing nan recommended car spot aliases booster seat, moreover though it's nan law, owed to inconvenience aliases beliefs that their kid is safe capable riding successful a spot loop aliases recommended restraint. We tried to flooded these barriers by helping parents link pinch their values to protect their child, understand nan information benefits of each car spot stage, and build their assurance successful utilizing car seats correctly," said lead writer Michelle Macy, MD, MS, Scientific Director, Community, Population Health, and Outcomes, Stanley Manne Children's Research Institute astatine Ann & Robert H. Lurie Children's Hospital of Chicago, and Professor of Pediatrics (Emergency Medicine), Northwestern University Feinberg School of Medicine.

A erstwhile study by Dr. Macy and colleagues recovered that astir 70% of U.S. children successful car crashes pinch a fatality were not utilizing nan kid rider restraints recommended by nan American Academy of Pediatrics (AAP).

"We recovered that nan involution we tested had nan top effect connected parents pinch children who are 3 to 10 years old," said Dr. Macy. "More effort is needed to motivate and support parents of children who are younger than 3 years who tin still use from rear-facing car seats."

The randomized objective proceedings included 474 parents pinch children who were astatine slightest 6 months and younger than 11 years old. At baseline, each participating parents reported non-adherence to car spot guidelines – not utilizing a car spot recommended for their child's property and size, kid riding successful nan beforehand seat, aliases walking unrestrained. At six-month follow-up, parents successful nan involution group exhibited line adherence 13 percent points higher than parents successful nan group who received accustomed line education. After 12 months, line adherence was astir 40 percent points higher successful nan involution group.

Our findings propose that nan motivational piece, mixed pinch personalized education, is important. Primary attraction providers could inquire parents open-ended questions astir really nan kid typically travels successful a car to find those who aren't pursuing recommendations, connection encouragement arsenic needed, and link parents to organization resources, for illustration kid rider information technicians. The why and nan really of kid rider information require predominant reminders."

Dr. Michelle Macy, MD, MS, lead author 

To thief parents travel nan AAP guidelines connected car seats, Lurie Children's implemented a strategy of customized alerts for parents of patients who are enrolled successful MyChart (the hospital's online wellness grounds portal). Parents person reminders astir nan recommended car spot for their child's age, weight and height, important factors for knowing erstwhile to move to nan adjacent seat. Links to different information resources are besides provided.

Dr. Macy holds nan Mary Ann and J. Milburn Smith Research Professorship for nan Director of Child Health Research astatine Lurie Children's.

Source:

Journal reference:

Macy, M. L., et al. (2025). Multimodal Intervention and Child Passenger Safety Guideline Adherence successful Young Children. JAMA Network Open. doi.org/10.1001/jamanetworkopen.2025.33912

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