Multimodal Intervention and Child Passenger Safety Guideline Adherence in Young Children: A Sequential, Multiple-Assignment, Randomized Clinical Trial.

ABSTRACT:

Importance

Suboptimal child passenger safety behaviors are common despite the availability of effective child restraint systems (CRS), with national guidelines promoting-and state laws requiring-their use.

Objective

To compare 6-month guideline adherence following the Tiny Cargo, Big Deal, Abróchame Bien, Cuídame Bien (TCBD/ABCB) intervention vs enhanced usual care (EUC); assess 12-month maintenance effect; and evaluate sequential, multiple-assignment, randomized trial (SMART) phase 2 outcomes by intervention intensity.

Design, setting, and participants

This randomized clinical trial using a SMART study design was conducted at 1 pediatric emergency department (ED), 1 community ED, and 2 urgent care centers in metropolitan Chicago, Illinois, from February 2020 to Augus

SUBMITTER: Macy ML 

PROVIDER: S-EPMC12481228 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature