Evidence map›Paper›PMID 39485679›Full record

ArticleTraffic injury prevention2024

A technological solution to child safety seat errors: Efficacy of the cellular car seat.

Haley J Bishop, Morgan O'Donald, Lauren O'Malley, Matthew G Hilden, Patrick Boldenow, Louis Barrett, Matthew Knutson, Kevin Kramer, Nick Rydberg, Kristina B Metzger and 2 more

Abstract read
In one paragraph

Article in Traffic injury prevention, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Haley J BishopCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-5366-2911
Morgan O'DonaldCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Lauren O'MalleyCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Matthew G HildenMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Patrick BoldenowMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Louis BarrettMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Matthew KnutsonMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Kevin KramerMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Nick RydbergMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Kristina B MetzgerCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Sara SeifertMinnesota HealthSolutions Corporation, Minneapolis, Minnesota.
Allison E CurryCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

Sensor Network with Active Instructional Content to Prevent Child Safety Seat MisuseR44HD100278 · NICHD · MINNESOTA HEALTHSOLUTIONS CORPORATION · PI SEIFERT, SARA · 2019 to 2021
$1.7M
NICHD NIH HHS R44 HD100278
6 · The paper itself

Abstract

objectiveAlthough child safety seats are highly effective in preventing injuries, they are frequently misused. Experts have identified two leading "critical misuses": (1) loose harness straps and (2) loose vehicle attachment at the base. We designed an innovative child safety seat system that educates, instructs, and alarms participants of safety seat errors. The system includes both the Cellular Car Seat (CCS) smartphone app and a network of car seat sensors. Our objective was to determine if CCS system users had fewer child safety seat misuses than users with a child safety seat manual alone.

methodsDuring the study visit, 92 participants completed three safety seat scenarios using a mock vehicle setup, test doll, and a convertible child safety seat: A) fully install a convertible safety seat, B) recognizing/correcting loose harness straps in a seat with intentionally loose straps, and C) recognizing/correcting loose attachment to the vehicle seat at the base in a seat with intentionally loose attachment. Intervention participants (

resultsCompared with controls, intervention participants had significantly fewer errors and higher average harness tensions for all three scenarios; furthermore, a greater portion achieved a harness tension of 4 newtons. During Scenario A, the rate of loose harness strap errors was more than three times higher for controls and loose base attachment errors almost six times higher. We observed similar trends in Scenario B, with harness strap errors more than double for controls. In Scenario C, the rates of both critical misuse errors were four times higher for controls compared to the intervention group.

conclusionsThe innovative CCS system was highly effective at reducing child safety seat use errors, especially critical misuses. Reducing critical misuses will decrease injuries and fatalities among crash-involved children. The CCS system can alert families to everyday harnessing and installation errors and provide families and caregivers with ongoing, accessible support.

Indexed as

Child Restraint SystemsAccidents, TrafficAdultChildChild, PreschoolEquipment DesignFemaleHumansInfantMaleMobile ApplicationsSmartphonechild passenger safetyCRSmisusesafetysmartphone app

Identifiers

PMID39485679
PMCPMC11563842

What OpenQuestion holds

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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.