Evaluation of the Boost ‘em in the Back Seat Program: Using fear and efficacy to increase booster seat use |
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Authors: | Kelli England Will Cynthia Shier Sabo |
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Affiliation: | a Department of Pediatrics, Williams Hall, Eastern Virginia Medical School, 855 West Brambleton Avenue, Norfolk, VA 23510-1001, USA b Department of Biostatistics, Virginia Commonwealth University, Theatre Row, 730 East Broad Street, P.O. Box 980032, Richmond, VA 23298-0032; USA c Department of Psychology, Mills Godwin Building, Room 250, Old Dominion University, Norfolk, VA 23529-0267, USA |
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Abstract: | ObjectivesRecent research supports the use of high-threat messages when they are targeted appropriately and designed to promote high efficacy as well as fear. This research examined the effectiveness of using a novel threat-appeal approach to encourage parents to place their children in booster seats and rear seats of vehicles.MethodA 6-min video-intervention was created and evaluated at after-school/daycare centers via an interrupted time series design with similar control sites for comparison. Caregivers (N = 226) completed knowledge and practice surveys and fear and efficacy estimations related to childhood motor vehicle hazards. Researchers observed booster-seat and rear-seat use in study site parking lots.ResultsCompared to baseline and control assessments, the treatment groups’ child passenger safety knowledge, risk-reduction attitudes, behavioral intentions, sense of fear related to the hazard, and sense of efficacy related to the recommended behaviors increased significantly. Further, observed overall restraint use and booster-seat use increased significantly following the intervention.ConclusionsApplying high-threat messages to child passenger safety interventions is promising and has the potential to be adapted to other health risk areas. |
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Keywords: | Transportation safety Child restraint Fear appeal Risk communication Injury prevention Child passenger safety |
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