摘要: |
Motor vehicle crashes are the leading cause of death for children from 1 to 14 years of age. The odds of motor vehicle crash injury to children aged 4 to 7 are 59%lower when riding in belt- positioning booster seats versus safety belts alone, and rear seating can reduce the risk of death to child motor vehicle passengers by as much as 46%. Despite these facts, 85%of booster age children are prematurely graduated to adult safety belts and 30%of children are permitted to ride in the front seats of vehicles. This research developed and evaluated an efficient process for disseminating preventive messages regarding child passenger safety to large numbers of parents. A 6-minute video-intervention entitled Boost 'em in the Back Seat was created that uses a threat-appeal approach to inform parents of the importance of placing their children in booster seats and in the rear seats of vehicles. The video includes crash test footage, portraying the power of crash forces and evoking high emotion by means of vivid imaging. It simultaneously targets increased fear related to the hazard and increased efficacy related to the recommended protective behaviors. These risk communication tactics are known to motivate maximum behavioral change; however, the literature indicates that similar methods have not yet been employed in child passenger safety programming. Thus, the video's threat appeal approach represents a unique and innovative methodology in child occupant protection, as most programs are primarily informational in nature. The video-intervention program was evaluated at two preschool after-school care centers via an interrupted time series design with two similar control sites for comparison. As part of the evaluative process, caregivers (N = 432) completed (a) pre-post knowledge and practice surveys regarding backseat and booster-seat use; and (b) pre-post fear, efficacy, and risk estimations related to childhood motor vehicle hazards. In addition, researchers observed booster seat and rear seat use in preschool parking lots before, during, and after program implementation. |