Behavioral Skills Training Methods to Reduce Car Seat Misuse

Motor Vehicle Injury Clinical Trial

— BSTCPS  

Official title:

In-person and Telehealth Versions of Behavioral Skills Training to Reduce Car Seat Misuse

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05490992
• Other study ID #: BSTCPS2022
• Status: Completed
• Phase: N/A
• Start date: June 1, 2015
• Est. completion date: December 31, 2021

Study information

• Verified date: February 2024
• Source: Pro Consumer Safety - Public Health Behavior Solutions
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to assess the effectiveness of child passenger educational methods to measure their ability to effectively reduce car seat misuse. The study will assess the traditional child passenger educational method delivered by a child passenger safety technician by comparing it to an in-person and virtual telehealth Behavioral Skills Training approach to reduce car seat misuse.

Description:

This study of 2,449 expectant couples involved two experiments. Experiment-1: included 1,224 participants, comparing 600 participants receiving no intervention and 600 participants receiving education with behavioral skills training (BST) in-person. Experiment-2: included 1,224 participants, comparing 600 participants receiving BST-in-person to BST with telehealth.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2448
• Est. completion date: December 31, 2021
• Est. primary completion date: December 31, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Women at least 7-month gestation and their partner, living within Los Angeles, Ventura, Orange, San Bernardino or Riverside counties; consented to the study and follow-up evaluation; and at the time of session had their child restraint system(s) and vehicle(s) available.

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Motor Vehicle Injury

Intervention

Other:
• Behavioral Skills Training In-person
Both an in-person and virtual telehealth version of Behavioral Skills Training (BST) was compared to the "Car seat check-up traditional car seat educational method" and BST telehealth was compared to BST in-person.

Locations

Country	Name	City	State
United States	Pro Consumer Safety/Pro Car Seat Safety - NHTSA CPS Inspection Station	Los Angeles	California

Sponsors (2)

Lead Sponsor	Collaborator
Pro Consumer Safety - Public Health Behavior Solutions	University of Southern California

Country where clinical trial is conducted

United States, 

References & Publications (20)

Boutain AR, Sheldon JB, Sherman JA. Evaluation of a telehealth parent training program in teaching self-care skills to children with autism. J Appl Behav Anal. 2020 Jul;53(3):1259-1275. doi: 10.1002/jaba.743. Epub 2020 Jul 13. — View Citation

Carnett A, Hansen S, Tullis C, Machalicek W. Using behavioural skills training via telehealth to increase teachers use of communication interventions and increase student use of speech-generating devices in a high school functional skills classroom. J Int — View Citation

Dickson MJ, Vargo KK. Training kindergarten students lockdown drill procedures using behavioral skills training. J Appl Behav Anal. 2017 Apr;50(2):407-412. doi: 10.1002/jaba.369. Epub 2017 Jan 11. — View Citation

Edgemon AK, Rapp JT, Brogan KM, Richling SM, Hamrick SA, Peters RJ, O'Rourke SA. Behavioral skills training to increase interview skills of adolescent males in a juvenile residential treatment facility. J Appl Behav Anal. 2020 Sep;53(4):2303-2318. doi: 10 — View Citation

Executive Order. No. N-33-20 H.S.C. § 8567 8627 8665, 2020. https://covid19.ca.gov/img/Executive-Order-N-33-20.pdf

Giannakakos AR, Vladescu JC, Simon R. Teaching installation and use of child passenger safety restraints. J Appl Behav Anal. 2018 Oct;51(4):915-923. doi: 10.1002/jaba.493. Epub 2018 Jul 13. — View Citation

Himle MB, Wright KA. Behavioral skills training to improve installation and use of child passenger safety restraints. J Appl Behav Anal. 2014 Fall;47(3):549-59. doi: 10.1002/jaba.143. Epub 2014 Jun 3. — View Citation

Hoffman BD, Gallardo AR, Carlson KF. Unsafe from the Start: Serious Misuse of Car Safety Seats at Newborn Discharge. J Pediatr. 2016 Apr;171:48-54. doi: 10.1016/j.jpeds.2015.11.047. Epub 2015 Dec 18. Erratum In: J Pediatr. 2018 Oct;201:304. — View Citation

Miltenberger, Raymond G. "Behavioral Skills Training Procedures." (2016) Behavior Modification Principles and Procedures, 6th ed., Cenage Learning, pp. 223-242.

National Center for Statistics and Analysis. (2022, March - revised). Children: 2019 data. (Traffic Safety Facts. Report No. DOT HS 813 122). National Highway Traffic Safety Administration

National Highway Traffic Safety Administration. (2004, January). Misuse of Child Restraints (DOT HS 809 671). United States, Department of Transportation. https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/809671.pdf

National Highway Traffic Safety Administration. (2022). The Right Seat. Parents Central-From Car Seats To Car Keys: Keeping Children Safe. Retrieved July 24, 2022, from https://one.nhtsa.gov/links/ParentsCentral/CarSeats.htm#.

Raymond, P. (2018, July). Additional Analysis of National Child Restraint Use Special Study: Child Restraint Misuse (DOT HS 812 527). Traffic Safety Facts: Research note. https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/13648-additional_analysis_of_n

Rios, D., Schenk, Y. A., Eldridge, R. R., & Peterson, S. M. (2020). The Effects of Remote Behavioral Skills Training on Conducting Functional Analyses. Journal of Behavioral Education, 29(2), 449-468. https://doi.org/10.1007/s10864-020-09385-3.

Shigekawa E, Fix M, Corbett G, Roby DH, Coffman J. The Current State Of Telehealth Evidence: A Rapid Review. Health Aff (Millwood). 2018 Dec;37(12):1975-1982. doi: 10.1377/hlthaff.2018.05132. — View Citation

Sump LA, Richman DM, Schaefer AM, Grubb LM, Brewer AT. Telehealth and in-person training outcomes for novice discrete trial training therapists. J Appl Behav Anal. 2018 Jul;51(3):466-481. doi: 10.1002/jaba.461. Epub 2018 Apr 23. — View Citation

Thomas BR, Lafasakis M, Spector V. Brief Report: Using Behavioral Skills Training to Teach Skateboarding Skills to a Child with Autism Spectrum Disorder. J Autism Dev Disord. 2016 Dec;46(12):3824-3829. doi: 10.1007/s10803-016-2900-8. — View Citation

Wegner MV, Girasek DC. How readable are child safety seat installation instructions? Pediatrics. 2003 Mar;111(3):588-91. doi: 10.1542/peds.111.3.588. — View Citation

Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020 Sep;35:38-42. doi: 10.1016/j.prrv.2020.06.009. Epub 2020 Jun 18. — View Citation

WISQARS (Web-Based Injury Statistics Query and Reporting System) Injury Center CDC. Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 1 July 2020, www.cdc.gov/injury/wisqars/index.html.

* Note: There are 20 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	child restraint misuse	Incidence of misuse	12 months