Keeping baby safe: A randomized trial of a parent training program for infant and toddler motor vehicle injury prevention

  • Published: Accident Analysis & Prevention 60, 2013
  • Authors: Lynne Swartz, Ann Glang, David C. Schwebel, E. Gwen GeigerWolfe, Jeff Gau, Susan Schroeder
  • Date Added: 07 Dec 2015
  • Last Update: 07 Dec 2015
  • Format: pdf


To evaluate “Keeping Baby Safe In and Around the Car”, a multimedia DVD designed to improve knowledge about car seat installation among parents of infants and toddlers.


A randomized controlled trial with 195 parents of children aged 0 – 24 months in which effective car seat use was measured via a written knowledge quiz and car seat simulation.

Key Findings

  • The treatment and control groups did not statistically differ on demographic characteristics or baseline outcome measures, suggesting randomization created initially similar groups.

  • Post-test scores on both knowledge and car seat simulation measures for the intervention were significantly higher than those of the control group.

  • 96.7% of Parents who responded to user satisfaction questions indicated that they agreed or strongly agreed the program was helpful to them.

  • 98.9% recommended the program to other parents.

  • In response to the open-ended program use/satisfaction questions, several parents in the treatment group commented on the usefulness of viewing video of correct child safety seat installation.

  • Several users made recommendations for distributing the DVD to appropriate target audiences, such as expectant and new parents.

  • The results were consistent across outcome measures and regardless of child age, suggest that viewing the “Keeping Baby Safe In and Around the Car” DVD resulted in significant gains in parents’ car seat knowledge and their ability to discriminate the critical elements of correct car seat installation.

  • DVD programs offer a promising format for learning about child seat safety. They can teach, demonstrate and facilitate desired behavior change by providing parents with visual examples and context. The format also accommodates parents’ busy schedules, time constraints, and family obligations.

  • When a parent owns such a program, it becomes a resource for repeated use and reinforcement of knowledge.

  • A significant challenge disseminating effective programs to the target populations.

  • Dissemination of engaging multimedia DVDs such as this program might reduce motor vehicle crash-related injuries to infants and toddlers.