Safety in Seconds 2.0: An App to Increase Car Seat Use

Johns Hopkins Bloomberg School of Public Health

Status: Completed

Conditions: Injuries

Treatments: Other: Parent Portal; Other: Parent Action Report

Study type: Interventional

Funder types: Other

Identifiers

NCT02345941

HD069221-01A1

Details and patient eligibility

About

This project will utilize the first web-based program to provide tailored injury prevention education. The existing Safety in Seconds program was adapted into a smartphone platform. Parents are recruited from and engage in the program in the clinical setting (PED or PTS). Parents download the app onto their smartphone which is used to ask the questions, collect a parent's responses, assess the parents' safety needs and give tailored directions for proper car sear use. The control group parents will also engage with the smartphone app and receive immediate feedback. However, they will receive tailored educational messages about smoke alarms. Parents will also have access to the online SIS v 2.0 Parent Portal which will have educational features (e.g., tips for keeping children content in their CSSs, links to helpful websites). The investigators will use emerging technology such as push notification and email to remind parents to visit the portal and have their child's car seat reassessed.

The investigators plan to conduct a cost benefit analysis of the program's expected financial benefit from the perspective of a third party payer of medical claims and an in-depth examination of program adoption and implementation using qualitative data collected from key informant interviews, direct observations of the clinic environments, and document review.

Enrollment: 1,129 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Visiting the Pediatric Emergency Department (PED) at Johns Hopkins Hospital or Arkansas Children's Hospital
• Parent or guardian of child 4-7 years
• English speaking
• Have and Android or iPhone smartphone
• Drive with the child in a car at least once per week in a car that the parent owns, borrows or gets a ride round-trip
• Resident of Baltimore City, MD or Little Rock, AR and surrounding area.

Exclusion criteria

• PED has flagged case as suspected abuse
• Another household member is enrolled in the study
• In Arkansas, less than 18 years without parent present at the PED

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,129 participants in 2 patient groups

Invervention

Experimental group

Description:

The intervention group will get tailored information on the Parent Action Report and the Parent Portal about child safety seats and booster seats.

Treatment:

Other: Parent Portal

Other: Parent Action Report

Control

Active Comparator group

Description:

The control group will get tailored information in the Parent Action Report and the Parent Portal about smoke alarms.

Treatment:

Other: Parent Portal

Other: Parent Action Report