02549nas a2200397   4500000000100000008004100001653001100042653002100053653001600074653002000090653002300110653007200133653002700205653006700232653003100299653002000330653002300350653002200373653002100395653005400416100001700470700001400487700001300501700001300514700001500527700001500542700001400557700001300571700001600584245010100600250001500701300001100716490000800727520136500735020005102100       2015                            d10aHumans10aChild, Preschool10aAge Factors10aNew South Wales10aProgram Evaluation10aAccidents, Traffic/prevention & control/statistics & numerical data10aChild Day Care Centers10aChild Restraint Systems/ standards/statistics & numerical data10aHealth Plan Implementation10aLogistic Models10aParents/ education10aSafety/ standards10aSchools, Nursery10aWounds and Injuries/etiology/prevention & control1 aStevenson M.1 aKeay Lisa1 aIvers R.1 aBrown J.1 aSimpson J.1 aBilston L.1 aHunter K.1 aFegan M.1 aCosgrove L.00aProgram fidelity measures associated with an effective child restraint program: Buckle-Up Safely  a2015/01/21  a584-900 v1053 a<p>
OBJECTIVES: We sought to identify the program fidelity factors associated with successful implementation of the Buckle-Up Safely program, targeting correct use of age-appropriate child car restraints. METHODS: In 2010, we conducted a cluster randomized controlled trial of 830 families with children attending preschools and long day care centers in South West Sydney, New South Wales, Australia. Families received the Buckle-Up Safely program in the intervention arm of the study (13 services). Independent observers assessed the type of restraint and whether it was used correctly. RESULTS: This detailed process evaluation showed that the multifaceted program was implemented with high fidelity. Program protocols were adhered to and messaging was consistently delivered. Results from multilevel and logistic regression analyses show that age-appropriate restraint use was associated with attendance at a parent information session hosted at the center (adjusted odd ratio [AOR]=3.66; 95% confidence interval [CI]=1.61, 8.29) and adversely affected by the child being aged 2 to 3 years (AOR=0.14; 95% CI=0.07, 0.30) or being from a family with more than 2 children (AOR=0.34; 95% CI=0.17, 0.67). CONCLUSIONS: Findings highlight the importance of parents receiving hands-on education regarding the proper use of age-appropriate child restraints.
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