Car Seat Installation
Conditions
Brief summary
The investigators will conduct a pre-post trial with 150 parents in rural South Central Montana. The study will recruit families to cooperating community locations (e.g., churches, public libraries) to participate in research evaluating the efficacy of parents installing restraints with guidance from a remotely-located technician using interactive virtual presence. Following informed consent procedures, parents will complete a brief survey on behaviors, attitudes, and perceptions about child safety and restraints while an on-site technician evaluates baseline safety of the restraint. Parents will then engage remotely using their personal smartphone with an off-site certified car seat technician, obtaining advice to install the child restraint properly via the HelpLightning interactive virtual presence app. Following the remote interaction, the on-site technician will again inspect the restraint using the validated checklist (and correct any errors prior to the participant leaving). The overall goal is to demonstrate installation of child restraints can be effectively accomplished to rural populations using interactive virtual presence. The study has 2 specific aims: Specific Aim 1. Demonstrate technological and behavioral efficacy of providing instructions on child restraint installation remotely to rural populations. Demonstrate \>95% of interactions proceed without technical problems, without reports of communication difficulty on either end of the exchange (the parent or the technician), and without interruption. Specific Aim 2. Identify accuracy of child restraint installation by parents using instructions provided by a remotely-located certified technician via interactive virtual presence. Demonstrate installation in this manner achieves ≥90% accuracy across all aspects of child restraint installation. Demonstrate installation in this manner significantly reduces restraint installation errors.
Interventions
BEHAVIORALinteractive virtual presence
installing the car seat with advice via interactive virtual presence
Sponsors
University of Alabama at Birmingham
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* communicate in English * drive a vehicle with one or more car seats present * willing to install a car seat into the vehicle
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Accurately Select a Safe Child Restraint | immediately (< 5 minutes) after the car seat is installed | accurate selection of a safe child restraint that was proper for the child's age and size |
| Number of Participants Who Install the Child Restraint Accurately Into the Vehicle | immediately (< 5 minutes) after the car seat is installed | accurate installation of the child restraint into the vehicle |
| Number of Participants Who Properly Position the Child Restraint in the Vehicle | immediately (< 5 minutes) after the car seat is installed | proper positioning of the child restraint in the vehicle |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Interactive Virtual Presence install a car seat using advice from a remotely-located certified car seat technician communicating via interactive virtual presence
interactive virtual presence: installing the car seat with advice via interactive virtual presence | 147 |
| Total | 147 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | technical difficulties | 2 |
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | Interactive Virtual Presence |
|---|---|
| Age, Continuous | 32 years STANDARD_DEVIATION 7.7 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 10 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 137 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 18 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 18 Participants |
| Race (NIH/OMB) White | 111 Participants |
| Sex: Female, Male Female | 82 Participants |
| Sex: Female, Male Male | 65 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 150 |
| other Total, other adverse events | 0 / 150 |
| serious Total, serious adverse events | 0 / 150 |
Outcome results
Primary
Number of Participants Who Accurately Select a Safe Child Restraint
accurate selection of a safe child restraint that was proper for the child's age and size
Time frame: immediately (< 5 minutes) after the car seat is installed
Population: comparison to baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Interactive Virtual Presence | Number of Participants Who Accurately Select a Safe Child Restraint | post-intervention | 131 Participants |
| Interactive Virtual Presence | Number of Participants Who Accurately Select a Safe Child Restraint | baseline | 121 Participants |
p-value: <0.001McNemar
Primary
Number of Participants Who Install the Child Restraint Accurately Into the Vehicle
accurate installation of the child restraint into the vehicle
Time frame: immediately (< 5 minutes) after the car seat is installed
Population: comparison to baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Interactive Virtual Presence | Number of Participants Who Install the Child Restraint Accurately Into the Vehicle | post-intervention | 45 Participants |
| Interactive Virtual Presence | Number of Participants Who Install the Child Restraint Accurately Into the Vehicle | baseline | 18 Participants |
p-value: <0.001McNemar
Primary
Number of Participants Who Properly Position the Child Restraint in the Vehicle
proper positioning of the child restraint in the vehicle
Time frame: immediately (< 5 minutes) after the car seat is installed
Population: comparison to baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Interactive Virtual Presence | Number of Participants Who Properly Position the Child Restraint in the Vehicle | post-intervention | 51 Participants |
| Interactive Virtual Presence | Number of Participants Who Properly Position the Child Restraint in the Vehicle | baseline | 33 Participants |
p-value: >0.05McNemar