Barriers to correct child restraint use: A qualitative study of child restraint users and their needs

Hall, A; Ho, C; Keay, L; McCaffery, K; Hunter, K; Charlton, JL; Hayen, A; Bilston, L; Brown, J

Barriers to correct child restraint use: A qualitative study of child restraint users and their needs

Hall, A Ho, C Keay, L McCaffery, K Hunter, K Charlton, JL Hayen, A

Bilston, L Brown, J

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Publication Type:: Journal Article
Citation:: Safety Science, 2018, 109 pp. 186 - 194
Issue Date:: 2018-11-01

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Field	Value	Language
dc.contributor.author	Hall, A	en_US
dc.contributor.author	Ho, C	en_US
dc.contributor.author	Keay, L	en_US
dc.contributor.author	McCaffery, K	en_US
dc.contributor.author	Hunter, K	en_US
dc.contributor.author	Charlton, JL	en_US
dc.contributor.author	Hayen, A https://orcid.org/0000-0003-4046-8030	en_US
dc.contributor.author	Bilston, L	en_US
dc.contributor.author	Brown, J	en_US
dc.date.issued	2018-11-01	en_US
dc.identifier.citation	Safety Science, 2018, 109 pp. 186 - 194	en_US
dc.identifier.issn	0925-7535	en_US
dc.identifier.uri	http://hdl.handle.net/10453/128918
dc.description.abstract	© 2018 Motor vehicle crashes are a major cause of death and injury to children worldwide. Although risk of injury to child passengers can be reduced by using a child restraint, most restraints are incorrectly used. This greatly reduces the restraints’ protective potential; however there is limited research on drivers of correct child restraint use. The aim of this study was to explore perceived barriers and motivators of correct child restraint use in experienced child restraint users, to inform interventions to promote correct use. Motivations and risk perceptions concerning incorrect child restraint use among high and low socioeconomic populations and culturally and linguistically diverse (CALD) child restraint users in Sydney, Australia were qualitatively examined. Six focus groups (N = 44 participants) were facilitated using a semi-structured discussion guide. Transcriptions were deductively analysed using QSR NVivo11 software and the COM-B model of behaviour. Common perceived barriers to correct restraint use were: (a) difficulty interpreting instructions and labels, particularly among CALD participants; (b) remembering and attending to correct use information; (c) lack of information and behavioural feedback on how to correctly install and use a child restraint; and (d) low confidence in ability to install and use a child restraint correctly. The results indicate current child restraint product information is poorly understood, particularly among those whose first language is not English. Interventions to increase correct child restraint use should address access to correct use information, capability to understand and use these, and the influence of motivation, memory and attention in the process.	en_US
dc.relation.ispartof	Safety Science	en_US
dc.relation.isbasedon	10.1016/j.ssci.2018.05.017	en_US
dc.subject.classification	Human Factors	en_US
dc.title	Barriers to correct child restraint use: A qualitative study of child restraint users and their needs	en_US
dc.type	Journal Article
utslib.citation.volume	109	en_US
utslib.for	1199 Other Medical and Health Sciences	en_US
utslib.for	1799 Other Psychology and Cognitive Sciences	en_US
utslib.for	09 Engineering	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	109	en_US

Abstract:

© 2018 Motor vehicle crashes are a major cause of death and injury to children worldwide. Although risk of injury to child passengers can be reduced by using a child restraint, most restraints are incorrectly used. This greatly reduces the restraints’ protective potential; however there is limited research on drivers of correct child restraint use. The aim of this study was to explore perceived barriers and motivators of correct child restraint use in experienced child restraint users, to inform interventions to promote correct use. Motivations and risk perceptions concerning incorrect child restraint use among high and low socioeconomic populations and culturally and linguistically diverse (CALD) child restraint users in Sydney, Australia were qualitatively examined. Six focus groups (N = 44 participants) were facilitated using a semi-structured discussion guide. Transcriptions were deductively analysed using QSR NVivo11 software and the COM-B model of behaviour. Common perceived barriers to correct restraint use were: (a) difficulty interpreting instructions and labels, particularly among CALD participants; (b) remembering and attending to correct use information; (c) lack of information and behavioural feedback on how to correctly install and use a child restraint; and (d) low confidence in ability to install and use a child restraint correctly. The results indicate current child restraint product information is poorly understood, particularly among those whose first language is not English. Interventions to increase correct child restraint use should address access to correct use information, capability to understand and use these, and the influence of motivation, memory and attention in the process.

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http://hdl.handle.net/10453/128918