Evidence map›Paper›PMID 33577991›Full record

ArticleAcademic pediatrics2021

An Adapted Child Safety Seat Hassles Score Is Associated With Suboptimal Child Passenger Safety Behaviors Among Parents.

Sadiqa Kendi, Jessica L Winkels, James M Chamberlain, Michelle L Macy

Abstract read
In one paragraph

Article in Academic pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Will Smart Improvements to Child Restraints Increase Their Popularity?International journal of environmental research and public health · 2022
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sadiqa KendiChildren's National Medical Center (S Kendi and JM Chamberlain), Washington, DC; George Washington University School of Medicine and Health Sciences (S Kendi and JM Chamberlain), Washington, DC. Electronic address: skendi@childrensnational.org.
Jessica L WinkelsUniversity of Michigan Medical School (JL Winkels), Ann Arbor, Mich; Department of Emergency Medicine, Washington University St. Louis (JL Winkels), St. Louis, Mo.
James M ChamberlainChildren's National Medical Center (S Kendi and JM Chamberlain), Washington, DC; George Washington University School of Medicine and Health Sciences (S Kendi and JM Chamberlain), Washington, DC.
Michelle L MacyDepartment of Emergency Medicine, Michigan Medicine (ML Macy), Ann Arbor, Mich; Division of General Pediatrics, The Susan B. Meister Child Health Evaluation and Research (CHEAR) Unit, Michigan Medicine (ML Macy), Ann Arbor, Mich; University of Michigan Injury Prevention Center (ML Macy), Ann Arbor, Mich; Ann & Robert H. Lurie Children's Hospital of Chicago (ML Macy), Chicago, Ill; Northwestern University Feinberg School of Medicine (ML Macy), Chicago, Ill. Dr Kendi is now with Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, Mass.

Funding

A Brief Intervention to Increase Size-Appropriate Child Passenger Restraint UseK23HD070913 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MACY, MICHELLE LEA · 2012 to 2016
$670k
NICHD NIH HHS K23 HD070913
6 · The paper itself

Abstract

objectiveWe modified the Child Safety Seat (CSS) Hassles Scale to characterize CSS hassles in a diverse population and test for associations between hassles and caregiver-reported child passenger safety behaviors.

methodsSecondary analysis of a 2-site survey of caregivers seeking emergency care for their ≤10-year-old child in 2015. Caregivers answered questions regarding CSS hassles, child passenger safety behaviors, and demographics. Size-appropriate restraint use was defined by the American Academy of Pediatrics (AAP) 2011 Guidelines for Child Passenger Safety. We tested for associations between the number of hassles and adherence to AAP guidelines (including the consistent use of a size-appropriate CSS, travel in a back seat, and never traveling unrestrained).

resultsThere were 238 caregivers included in analyses. Overall, caregivers endorsed a median of 5 hassles (interquartile range 2, 8). Half (50.8%) of caregivers endorsed child passenger safety behaviors that were nonadherent to AAP guidelines. Compared with caregivers reporting no hassles, there was an increased odds of not adhering to AAP child passenger safety guidelines for each additional hassle reported (adjusted odds ratio [aOR] 1.11; 95% confidence interval [CI] 1.03, 1.19). In addition, a higher number of hassles was associated with the inconsistent use of a size-appropriate CSS (aOR 1.15; 95% CI 1.06, 1.25) and as sometimes traveling unrestrained (aOR 1.13; 95% CI 1.03, 1.23).

conclusionsCaregivers who reported more CSS hassles were more likely to report behaviors that were not adherent to AAP guidelines. Addressing CSS hassles may provide solutions for nonadherence of AAP child passenger safety guidelines.

Indexed as

Child Restraint SystemsEmergency Medical ServicesAccidents, TrafficChildFemaleHumansInfantOdds RatioParentsPregnancySafetySurveys and QuestionnairesUnited Statesadherencechild restrainthassles

Identifiers

PMID33577991
PMCPMC11907697

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.