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Journal of Pediatric Psychology 6(3) pp. 301-312, 1981
© 1981 Society of Pediatric Psychology

other

Parental Compliance with Car Seat Usage: A Positive Approach with Long-Term Follow-up1

Edward R. Christophersen2, and Jo-Eileen Gyulay

University of Kansas Medical Center Kansaa City, University of Kansas Lawrence

2All correspondence should be directed to Edward R. Christophersen, Department of Pediatrics, University of Kansas Medical Center, 39th Street at Rainbow Boulevard, Kansas City, Kansas 66103

The present study assessed the effectiveness of a single clinic visit and written protocol in increasing mothers' compliance with a health care provider's recommendation for using child safety restraints in automobiles. The use of car seats and the behavior of children was recorded by an observer who accompanied eight mother-child pairs on numerous 15-minute automobile rides. After a varying number of rides during which hone of the subjects were observed to use car seats, each mother was scheduled for a clinic visit. During this visit each mother was told that her child's behavior would improve if a car seat were used consistently, and she was given a brief written protocol which described how to interact with a child who was restrained in a car seat. Immediately after the clinic visit, five mothers (62%) began requiring their children to use car seats, and their children's behavior showed marked improvement. At 3-month follow-up, six mothers (75%) were using the seats. At 6 months, five (62%) were using the seats, and at 1 year three (37%) were still using the seats. These data represent a higher rate of car seat usage than has previously been reported and provide the longest follow-up yet reported.


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