Pediatric Car Seat Safety TrainingNCT05252299
Infant Car Seat Use
A study testing Rolling Fresher Group in people with Pediatric Car Seat Safety Training, run by Children's National Research Institute at 1 site in United States.
Trial summary
Motor vehicle crashes (MVCs) kill more children and young adults than any other single cause in the United States. Proper use of the child safety seat (car seat, or CSS) reduces the risk of death by 71% in infants, and to toddlers by 54%. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Pediatric Car Seat Safety Training
- What is being tested?
- Rolling Fresher Group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteUnited States
- Study dates
- 31 Dec 2018to 31 Dec 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- English or Spanish speaking parents and/or caregivers of full-term newborns born at the George Washington University (GWU) Hospital, and
- Mother/child are discharged from GWU Hospital together
- Have regular access to a car, and
- Have access to a smartphone or tablet
Who cannot join
- Parents/caregivers who do not speak English or Spanish
- Mother and newborn are not discharged together
- Infant is premature (< 35 weeks gestational age) Parents/caregivers do not have access to smartphone or tablet
- Parents/caregivers do not have regular access to a car
Trial locations and contacts
1 site in 1 country.
United States1 site
George Washington Hospital
Washington D.C., District of Columbia, 20010
About this study
Official title: Feasibility and Acceptability of Rolling Refresher Training for Caregivers on Proper Infant Car Seat Use, Version 4.0, July 12, 2018
Motor vehicle crashes (MVCs) kill more children and young adults than any other single cause in the United States. Proper use of the child safety seat (car seat, or CSS) reduces the risk of death by 71% in infants, and to toddlers by 54%. While the rate of CSS use has increased across all age groups over the last few decades,91% of observed CSSs demonstrate serious installation errors in the newborn population and 62% in all ages.In addition, non-white children have higher rates of misuse and non-use of CSS compared to white children, and the proportion of unrestrained deaths from MVCs in black and Hispanic children is almost twice that of white children (45% vs 26%). Certified child passenger safety technicians (CPST) provide interactive training to families on how to install and correct errors in their child's CSS. The use of CPSTs through "car seat checks" has been successful in increasing participants' (caregivers) skills, knowledge, and confidence, and reducing errors in CSS use.
Read the detailed description
Motor vehicle crashes (MVCs) kill more children and young adults than any other single cause in the United States. Proper use of the child safety seat (car seat, or CSS) reduces the risk of death by 71% in infants, and to toddlers by 54%. While the rate of CSS use has increased across all age groups over the last few decades,91% of observed CSSs demonstrate serious installation errors in the newborn population and 62% in all ages.In addition, non-white children have higher rates of misuse and non-use of CSS compared to white children, and the proportion of unrestrained deaths from MVCs in black and Hispanic children is almost twice that of white children (45% vs 26%). Certified child passenger safety technicians (CPST) provide interactive training to families on how to install and correct errors in their child's CSS. The use of CPSTs through "car seat checks" has been successful in increasing caregivers' skills, knowledge, and confidence, and reducing errors in CSS use. However, car seat checks are disproportionately accessed by parents who are white, middle or upper class, and college-educated and thereby are not serving as an effective solution for the racial disparities in CSS misuse. In addition, there are challenges: A one-time interaction with a CPST does not lead to sustained success in correction of CSS errors, with 40% of families demonstrating serious errors in CSS use just 4 months after training; and with only about 33,000 CPSTs nationally for over 40 million CSS-eligible children, the resources required for in-person CPSTs to be easily accessible to all families with CSS eligible children make broad dissemination difficult. Remote quarterly CSS instruction via telemedicine can perhaps alleviate these problems and make CPSTs more easily accessible to all, including low-income and non-white families. Preliminary research reveals that the use of telemedicine to provide remote CSS installation instruction via audio and visual input by a CPST is better than using the written instruction manual alone, and leads to increased parental self-efficacy. In addition, telemedicine has been successfully used to address racial disparities in the treatment of heart failure, acute stroke, and other disease processes.
This study will use telemedicine to facilitate an innovative use of "rolling refresher" training (RRT), a technique used in medical education to provide hands-on interactive training at regular intervals with the goal of improving psychomotor skills required for high stakes procedures such as cardiopulmonary resuscitation. This study seeks to interrogate the investigator's hypothesis that providing instruction on CSS use to participants via telemedicine every 3 months during the first year of an infant's life is feasible and acceptable to participants. The investigators plan to do this through three specific aims: (1) Identify perceived barriers and motivators of participants to receipt of instruction on proper CSS use, and tailor intervention details based on their input; (2) Measure the feasibility and acceptability of providing participant-centered RRT on CSS use in a diverse population, including non-white populations at risk for disparities; and (3) Measure the preliminary effectiveness of RRT on serious errors in CSS use, and the disparities in error rates. Results will be used to develop a randomized controlled trial to evaluate the impact of using telemedicine to provide RRT on CSS use and impact on the known racial disparities in CSS use.
- Conditions
- Pediatric Car Seat Safety Training
- Being tested
- Rolling Fresher Group
- Keywords
- car seat, Pediatric, safety
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rolling Fresher GroupOther
The use of telemedicine to provide remote CSS installation instruction via audio and visual input by a Certified child passenger safety technician (CPST)
| Study group | Role | What they receive |
|---|---|---|
| Refresher Training Group | Experimental | This study will use telemedicine to facilitate an innovative use of "rolling refresher" training (RRT), a technique used in medical education to provide hands-on interactive training at regular intervals with the goal of improving psychomotor skills required for high stakes procedures such as cardiopulmonary resuscitation. This study seeks to interrogate our hypothesis that providing instruction on CSS use to caretakers via telemedicine every 3 months during the first year of an infant's life is feasible and acceptable to caregivers. Receives: Other: Rolling Fresher Group |
| Traditional Group | No intervention | They leave the hospital without the additional training and under hospital's normal discharge plan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility and acceptability of the car seat enhanced usual care and the intervention group
Both the enhanced usual care and the intervention groups will be provided an initial in-person car seat check prior to discharge from the nursery, which will include documentation and correction of errors and survey completion by participants. Rates of the feasibility outcomes (with 95% confidence intervals (CI's)) will be calculated. This is also measured by the retention of the participants in the year-long intervention.
Measured: 1 year
The proportion of caregivers who made critical CSS use errors during CSS
Errors will be assessed as a dichotomous variable indicating whether or not any errors were made at each visit using repeated measures log-binomial regression. An interaction term between randomization group and time will be included in the model to estimate differences in slope (i.e. change in proportion of caregivers making errors) between the intervention and control groups over the course of the study. To explore differential effects by race/ethnicity, a three-way interaction term of group x race x time will be used to evaluate whether differences in slope between intervention and control groups differ by race/ethnicity (i.e. whether effects of the intervention are stronger in the non-white population).
Measured: 1 year
The reduction in total number of CSS use errors
The CSS check will be provided by telemedicine for both the enhanced usual care and intervention groups at 0 and 9 months of age. The CSS check will be provided to the intervention group using telemedicine technology (Help Lightning) at 3, 6, and 9 months of age. Participants in both groups will have CSS use errors recorded with each interaction with a CPST. The intervention group will have errors recorded every 3 months, and the enhanced usual care group will have errors recorded at the 0 and 9 month car seat checks. Proportion of caregivers with critical errors, and total number of errors will be evaluated and compared between the intervention and control groups at the newborn, 12, 18 and, and 24 month points.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2022
- Study start31 Dec 2018
- Primary completion1 Dec 2021
- Study completion31 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pediatric Car Seat Safety TrainingStudies of the same condition, open and under way.
- More trials run by Children's National Research InstituteThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Sequential
- Model description
- Statistical power is not the goal for this pilot study; rather, we wish to obtain estimates of feasibility as a basis for a future randomized controlled trial. As such, we plan to enroll 30 caregivers in each group.
- Masking
- None (open label)
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Children's National Research Institute
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, James Chamberlain, Children's National Research Institute
- Investigators
- James Chamberlain, MD, Principal investigator, Children's National Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05252299
- Sponsor's protocol ID
- 00013738
- Status last verified
- Feb 2022
- First submitted
- 2 Dec 2021
- Last updated
- 23 Feb 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feasibility and Acceptability of Rolling Refresher Training for Caregivers on Proper Infant Car Seat Use, Version 4.0, July 12, 2018
- ClinicalTrials.gov ID
- NCT05252299
- Acronym / sponsor ID
- 00013738
- Conditions
- Pediatric Car Seat Safety Training
- Keywords
- car seat, Pediatric, safety
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Children's National Research InstituteUniversity, hospital or other
- Study start
- 31 Dec 2018 (actual)
- Primary completion
- 1 Dec 2021 (actual)
- Study completion
- 31 Dec 2021 (actual)
- First posted
- 23 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Motor vehicle crashes (MVCs) kill more children and young adults than any other single cause in the United States. Proper use of the child safety seat (car seat, or CSS) reduces the risk of death by 71% in infants, and to toddlers by 54%. While the rate of CSS use has increased across all age groups over the last few decades,91% of observed CSSs demonstrate serious installation errors in the newborn population and 62% in all ages.In addition, non-white children have higher rates of misuse and non-use of CSS compared to white children, and the proportion of unrestrained deaths from MVCs in black and Hispanic children is almost twice that of white children (45% vs 26%). Certified child passenger safety technicians (CPST) provide interactive training to families on how to install and correct errors in their child's CSS. The use of CPSTs through "car seat checks" has been successful in increasing participants' (caregivers) skills, knowledge, and confidence, and reducing errors in CSS use.
Detailed description
Motor vehicle crashes (MVCs) kill more children and young adults than any other single cause in the United States. Proper use of the child safety seat (car seat, or CSS) reduces the risk of death by 71% in infants, and to toddlers by 54%. While the rate of CSS use has increased across all age groups over the last few decades,91% of observed CSSs demonstrate serious installation errors in the newborn population and 62% in all ages.In addition, non-white children have higher rates of misuse and non-use of CSS compared to white children, and the proportion of unrestrained deaths from MVCs in black and Hispanic children is almost twice that of white children (45% vs 26%). Certified child passenger safety technicians (CPST) provide interactive training to families on how to install and correct errors in their child's CSS. The use of CPSTs through "car seat checks" has been successful in increasing caregivers' skills, knowledge, and confidence, and reducing errors in CSS use. However, car seat checks are disproportionately accessed by parents who are white, middle or upper class, and college-educated and thereby are not serving as an effective solution for the racial disparities in CSS misuse. In addition, there are challenges: A one-time interaction with a CPST does not lead to sustained success in correction of CSS errors, with 40% of families demonstrating serious errors in CSS use just 4 months after training; and with only about 33,000 CPSTs nationally for over 40 million CSS-eligible children, the resources required for in-person CPSTs to be easily accessible to all families with CSS eligible children make broad dissemination difficult. Remote quarterly CSS instruction via telemedicine can perhaps alleviate these problems and make CPSTs more easily accessible to all, including low-income and non-white families. Preliminary research reveals that the use of telemedicine to provide remote CSS installation instruction via audio and visual input by a CPST is better than using the written instruction manual alone, and leads to increased parental self-efficacy. In addition, telemedicine has been successfully used to address racial disparities in the treatment of heart failure, acute stroke, and other disease processes.
This study will use telemedicine to facilitate an innovative use of "rolling refresher" training (RRT), a technique used in medical education to provide hands-on interactive training at regular intervals with the goal of improving psychomotor skills required for high stakes procedures such as cardiopulmonary resuscitation. This study seeks to interrogate the investigator's hypothesis that providing instruction on CSS use to participants via telemedicine every 3 months during the first year of an infant's life is feasible and acceptable to participants. The investigators plan to do this through three specific aims: (1) Identify perceived barriers and motivators of participants to receipt of instruction on proper CSS use, and tailor intervention details based on their input; (2) Measure the feasibility and acceptability of providing participant-centered RRT on CSS use in a diverse population, including non-white populations at risk for disparities; and (3) Measure the preliminary effectiveness of RRT on serious errors in CSS use, and the disparities in error rates. Results will be used to develop a randomized controlled trial to evaluate the impact of using telemedicine to provide RRT on CSS use and impact on the known racial disparities in CSS use.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Statistical power is not the goal for this pilot study; rather, we wish to obtain estimates of feasibility as a basis for a future randomized controlled trial. As such, we plan to enroll 30 caregivers in each group.
| Arm | Type | Receives |
|---|---|---|
| Refresher Training Group | Experimental | Other: Rolling Fresher GroupThis study will use telemedicine to facilitate an innovative use of "rolling refresher" training (RRT), a technique used in medical education to provide hands-on interactive training at regular intervals with the goal of improving psychomotor skills required for high stakes procedures such as cardiopulmonary resuscitation. This study seeks to interrogate our hypothesis that providing instruction on CSS use to caretakers via telemedicine every 3 months during the first year of an infant's life is feasible and acceptable to caregivers. |
| Traditional Group | No intervention | –They leave the hospital without the additional training and under hospital's normal discharge plan |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- English or Spanish speaking parents and/or caregivers of full-term newborns born at the George Washington University (GWU) Hospital, and
- Mother/child are discharged from GWU Hospital together
- Have regular access to a car, and
- Have access to a smartphone or tablet
Key exclusion criteria (4 listed)
- Parents/caregivers who do not speak English or Spanish
- Mother and newborn are not discharged together
- Infant is premature (< 35 weeks gestational age) Parents/caregivers do not have access to smartphone or tablet
- Parents/caregivers do not have regular access to a car
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rolling Fresher GroupThe use of telemedicine to provide remote CSS installation instruction via audio and visual input by a Certified child passenger safety technician (CPST) | Other | Refresher Training Group |
Primary outcome
Feasibility and acceptability of the car seat enhanced usual care and the intervention group
Time frame: 1 year
Both the enhanced usual care and the intervention groups will be provided an initial in-person car seat check prior to discharge from the nursery, which will include documentation and correction of errors and survey completion by participants. Rates of the feasibility outcomes (with 95% confidence intervals (CI's)) will be calculated. This is also measured by the retention of the participants in the year-long intervention.
The proportion of caregivers who made critical CSS use errors during CSS
Time frame: 1 year
Errors will be assessed as a dichotomous variable indicating whether or not any errors were made at each visit using repeated measures log-binomial regression. An interaction term between randomization group and time will be included in the model to estimate differences in slope (i.e. change in proportion of caregivers making errors) between the intervention and control groups over the course of the study. To explore differential effects by race/ethnicity, a three-way interaction term of group x race x time will be used to evaluate whether differences in slope between intervention and control groups differ by race/ethnicity (i.e. whether effects of the intervention are stronger in the non-white population).
The reduction in total number of CSS use errors
Time frame: 1 year
The CSS check will be provided by telemedicine for both the enhanced usual care and intervention groups at 0 and 9 months of age. The CSS check will be provided to the intervention group using telemedicine technology (Help Lightning) at 3, 6, and 9 months of age. Participants in both groups will have CSS use errors recorded with each interaction with a CPST. The intervention group will have errors recorded every 3 months, and the enhanced usual care group will have errors recorded at the 0 and 9 month car seat checks. Proportion of caregivers with critical errors, and total number of errors will be evaluated and compared between the intervention and control groups at the newborn, 12, 18 and, and 24 month points.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2022.
- Individual participant dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
James Chamberlain, MD principal investigator
Children's National Research Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Rolling Fresher Group in people with Pediatric Car Seat Safety Training, run by Children's National Research Institute at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility and acceptability of the car seat enhanced usual care and the intervention group (time frame: 1 year). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Feb 2022.