Buckle Me Up!: A Digital Emergency Department Discharge Intervention for Child Car Safety



Status:Recruiting
Conditions:Hospital
Therapuetic Areas:Other
Healthy:No
Age Range:Any - 21
Updated:1/12/2019
Start Date:August 1, 2017
End Date:August 1, 2020
Contact:Almaz S Dessie, MD
Email:almazdessie@gmail.com
Phone:860-716-5858

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Buckle Me Up!: A Computerized, Individually-Tailored Emergency Department Discharge Intervention for Child Car Restraint Safety Education

This study explores the utility of a tablet computer-based, individually-tailored application
called Computer Intervention Authoring Software (CIAS) in the Emergency Department for
discharge education on proper child car restraint safety. The investigators hypothesize that
tablet-based, individually-tailored discharge instructions are more effective than current
standard, one-size-fits-all, printed discharge instructions. This is a randomized,
controlled, non-blinded trial of of children age 0-21 years old in the Emergency Department.
Patients will be randomized to receive either (a) a brief tablet-based questionnaire followed
by standard, paper discharge instructions or (b) a brief tablet-based questionnaire followed
by the intervention - CIAS, a tablet-based computer program. One week after discharge,
participants in both groups will receive an automatic text message and/or email message with
a link to a web-based survey that will assess: knowledge of appropriate car restraints and
whether the parent/patient engaged in any behavioral changes regarding child car restraint.
These variables will be compared between the control and intervention groups.

This study explores the utility of a tablet computer-based, individually-tailored technology
called Computer Intervention Authoring Software (CIAS) in the Emergency Department for
discharge education on proper child car restraint safety. The investigators hypothesize that
tablet-based, individually-tailored discharge instructions are more effective than current
standard, one-size-fits-all, printed discharge instructions. This is a randomized,
controlled, non-blinded trial of a convenience sample of 200 children age 0-21 years old who
present to the Hasbro Children's Hospital Emergency Department by car and have access to a
smartphone and/or email. Patients will be randomized to receive either (a) a brief
tablet-based questionnaire followed by standard, paper discharge instructions or (b) a brief
tablet-based questionnaire followed by the intervention - CIAS, a computer program that
allows families to interact with a tablet computer to receive educational information
customized to the patient. Children 13 years old and above will answer questions themselves
instead of having their parent/guardian answer for them. Both group will be offered
information for the Lifespan Injury Prevention Center's Kohl's Car Seat Program. Both groups
will complete a questionnaire on the usefulness of their discharge education. One week after
discharge, participants in both groups will receive an automatic text message and/or email
message with a link to a web-based survey that will assess: knowledge of appropriate car
restraints and whether the parent/patient engaged in any behavioral changes regarding child
car restraint. These variables will be compared between the control and intervention groups.

Inclusion Criteria:

- Children age 0-21 years presenting to the children's emergency department for any chief
complaint whose parent/guardian owns or has access to a car that the child rides in (or for
adolescents 16 years or older, have access to a car themselves).

Exclusion Criteria:

- No access to email or a smart phone

- Adolescents with significant developmental delay

- Adolescents who are critically injured

- No parent/guardian present at time of enrollment
We found this trial at
1
site
Providence, Rhode Island 02903
Phone: 860-716-5858
?
mi
from
Providence, RI
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