1 / 52

The Child Passenger Safety Technician Technical Webinar will begin at 10:00 am

The Child Passenger Safety Technician Technical Webinar will begin at 10:00 am. Please remember to mute your phone – BUT DO NOT PUT US ON HOLD!!! Thank you!. SafetyBeltSafe U.S.A. www.carseat.org.

tate-dennis
Download Presentation

The Child Passenger Safety Technician Technical Webinar will begin at 10:00 am

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Child Passenger Safety TechnicianTechnical Webinar will begin at 10:00 am Please remember to mute your phone – BUT DO NOT PUT US ON HOLD!!! Thank you! SafetyBeltSafe U.S.A. www.carseat.org

  2. California Department of Public Health Vehicle Occupant Safety Programwith the support of California Office of Traffic Safety Child Passenger Safety TechnicianTechnical Webinar September 12, 2014 Stephanie M. Tombrello, LCSW, CPSTI Kate Quirk, PhD, CPSTI SafetyBeltSafe U.S.A. www.carseat.org

  3. Topics Training Opportunities/Tools for Techs Recall Announcement Research Focus: Can We Prevent Misuse? New Safety Seats Conference Update: Kidz in Motion Research Review: Traffic Safety Facts; Autos for Teens, ATVs CEU Process + SafetyBeltSafe U.S.A. www.carseat.org

  4. Educator Workshop (3 CEUS for Techs, 6 for nurses): • Tuesday, September 16, Family Health Center, Long Beach • Safety Seat Checkup: • Saturday, September 20, Harbor-UCLA Medical Center, Torrance • National CPS Certification Course – Winter 2015, dates TBA TrainingOpportunities: L.A. County + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  5. New Recall RecaroProSport combination seat Mfr dates: 6/16/10 - 1/31/13 Problem: exhibited excessive head excursion if installed with lower anchors ONLY. Call 888/973-2276 for new instructions & labels to discontinue use of lower anchors at 40 lbs., not 52 lbs., as originally indicated if the top tether were used as expected. + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  6. Caregivers’ Confidence in Performing Car Seat Installations: What Matters Most, Jessica Mirman et al., CHOP, Injury Prevention, 8/13 Motivation for Study: Field evidence: high levels of incorrect use (SBS USA data 90%+) Telephone survey evidence: high levels of confidence among caregivers of safety of way transport children In-depth study of competence and confidence based on 68 parents, 8 grandparents, 7 other caregivers. Research in Focus: The Disconnect: Competence vs. Confidence in CPS + Please mute your phone – but don’t put the line on hold – thank you.

  7. The Setting: • Choice between provided minivan or own vehicle; all but 1 chose minivan. • Caregiver installed seat and assessed their installation within 30 minutes using combination seat & specially summarized instructions. • Findings: All either gave up or installed in time frame; MEDIAN length of time was 3 minutes. • Accurate installation – 53 % (77% used belt, 14% LATCh; 8% both) • Secure attachment – 16% • No assessment of harness use Research in Focus: The Disconnect: Competence vs. Confidence in CPS SafetyBeltSafe U.S.A. www.carseat.org

  8. Findings (continued): Caregivers were asked additional questions. • Less concern about risk of crash or injury = more confidence in accuracy of installation. • More concern about risk of crash or injury = less confidence in installation AND more formal sources of information consulted in learning to buckle up their own children. • Conclusion: With misperception rampant, parents not in the know are unlikely to seek out help. Research in Focus: The Disconnect: Competence vs. Confidence in CPS + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  9. The Effects of Child Restraint System Features on Installation Errors, Kathy Klinich et al., Applied Ergonomics #45, (2014) • Setting: • Detailed laboratory study of subjects doing 4 complete installations. • 16 safety seats used with carefully varied exposures so that learning & other factors would not weight 1 model more than others. • Models evaluated on 17 features for ease-of-use. • Each model installed at least twice in each subject group & 8 times overall. • Each caregiver installed twice w/belt & twice w/lower anchors, initially being able to choose way. Research in Focus: The Disconnect: Competence vs. Confidence in CPS SafetyBeltSafe U.S.A. www.carseat.org

  10. Setting (continued): • Caregivers asked to assess their installations, to rate features for usefulness, & queried re. types of children who could use each seat. • CPST assessed installations, using pinch test and 1-inch movement test as well as detailed measurements. • 42 factors were assessed in the “checkup”. • Findings: Factors about caregiver with impact • Education: effect on tight installation & correct belt path • Experience w/seats: effect on tight installation & snug harness • Only 1 participant with both lowereducation & experience got a tight attachment. • Men more likely to get seat & harness snug. Research in Focus: The Disconnect: Competence vs. Confidence in CPS + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  11. Findings: Tight installation • Subjects didn’t learn between 1st & 4th installations • Direction of seat had no effect on error rate (28% FF, 32% RF) • No effect from use of lower anchors vs. belt. • What helped? • LOCKOFFS:RF: 50% tight vs 18% without; FF: 32% vs. 24% • Push-on lower anchor connectors(but much more complex picture here) • Recommendations: self-tightening best; push-on next; how come out of box affected correct attachment: better if hooked on safety seat, not “hanging”. Research in Focus: The Disconnect: Competence vs. Confidence in CPS SafetyBeltSafe U.S.A. www.carseat.org

  12. Findings: Snug Harness • Type very important: • 85.7% for tabs on harness • “infinite slide” • 53.8% side knobs • Tether use • Forward-facing: Tether storage method was key feature for appropriate use: • 83% hook-on to seat • 63% compartment • 50% pouch • Rear-facing: 10% were to be used RF weren’t; 10% weren’t to be used but were. 49.2% rethread 46.7% rotate levers 14.3% side handles Research in Focus: The Disconnect: Competence vs. Confidence in CPS + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  13. Findings: • Choice- lower anchors vs. belts for 1st 2 trials of 4: No participant factor predicted choice. One participant used both methods incorrectly in all in 4 trials for RF installations. • Harnessing (dummy used): 53% correct.No participant or seat factors predicted choice. Even the difference of 83% correct for experienced vs. 65% for inexperienced wasn’t. • Retainer clip: 95% used; 98% threaded correctly;53%at armpit level. No significant predictive pattern. • Correct angle of recline: 91% FF, 66% RF. RF error mostly too upright. No significant predictive pattern. Research in Focus: The Disconnect: Competence vs. Confidence in CPS SafetyBeltSafe U.S.A. www.carseat.org

  14. KeyFindings • Attachment routing: • Lower anchor attachments:key was need for rerouting between RF & FF. Re-routing required: 78% correct; not required: 96% correct.No predictor for correct belt use. • Belt: 3 categories: • 46% unlocked; 35% locked correctly; 19% locked but not as instructed. • Instruction use: no predictive link. • 92% used seat manual • 21% used vehicle owner’s manual (35% 1st trial; 8% by 4th trial) Research in Focus: The Disconnect: Competence vs. Confidence in CPS + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  15. Findings: • Installation time: • Inexperienced took twice as long as experienced caregivers. • Average time: 33 minutes, lower anchor install • 28 minutes, belt. • Education level non-factor. Research in Focus: The Disconnect: Competence vs. Confidence in CPS SafetyBeltSafe U.S.A. www.carseat.org

  16. Knowledge of correct use: • Correct answers on match between hypothetical child & particular seat: • 95%for 5 y/o, 37-lb. child & RF seat. 21% for 4-lb. 3 day old & RF seat. • Scary answer:12% would put 3-day-old in FF seat. • Length of manual linked with some correct answers pattern but some better w/lengthier and some, shorter manual. Tended to get more correct answers for FF if just finished FF trial, ditto for RF. • Perceived ease-of-use: no linkage to correct use. Research in Focus: The Disconnect: Competence vs. Confidence in CPS + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  17. The Findings: Summary • Disconnect between competence & confidence continues without feedback on errors. • Safety seat features can help to reduce errors: lock-offs, infinite slide harnesses, tethers & lower anchors visibly attached to seat on arrival, lower anchors with feedback mechanisms & no need to re-route to achieve correct path for lower attachments. • Fit with other studies: findings similar to field studies, reports from checkups. • Dilemma: how to do hands-on training with every parent/every child. • Consider integrating Ride Safe from the Start from SBS USA Research in Focus: The Disconnect: Competence vs. Confidence in CPS SafetyBeltSafe U.S.A. www.carseat.org

  18. A Lifesavers presentation by Dana Walraven, Cook Children’s Hospital, Ft. Worth, TX • With access to professional data collectors, team decided to measure retention of best practice over 3 months by attendees at checkups. • Sample: over 11 months, gathered 300 participants from 683 checkups (44% response) • 75% were mothers • 80% were ages 22-40 • 83% were white or Latino • 94% had at least HS education • 92% safety seats with harnesses, 8% boosters Research in Focus:Impact on CPS Knowledge of Safety Seat Checkups + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  19. Findings: • Messages recalled by respondents • 96% tight installation • 90% retainer clip level • 85% pinch test for harness snugness • 75.7% expiration time period (15.5% didn’t know; 8% said there wasn’t one) • 91% high confidence in checkup station • 98% believed they learned new information • 98% believe child was now better protected • 2.7% in crash since checkup Research in Focus:Impact on CPS Knowledge of Safety Seat Checkups SafetyBeltSafe U.S.A. www.carseat.org

  20. BritaxClickTight convertible range New Seats + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  21. BritaxClickTight convertible range New Seats SafetyBeltSafe U.S.A. www.carseat.org

  22. BritaxClickTight convertible range: • 5 – 40 lbs. rear-facing; 20 – 65 lbs. forward-facing • 7 recline positions, RF and FF recline indicators; 2-position crotch strap; no-rethread harness • Do not use with Ford inflatable safety belts for the time being. • Lower anchor use: • Boulevard & Marathon – 35 lbs. RF, 40 lbs. FF • Advocate 30 lbs. RF, 35 lbs. FF New Seats + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  23. BritaxClickTight convertible range: • Additional Features • Boulevard & Advocate: Click Safe harness indicator & 14-position headrest • Marathon: 12-position headrest • Boulevard & Advocate: significant height increase over previous versions of the same type – top harness slot height increase & RF height limit now 1” below inner head restraint (not outer shell) New Seats SafetyBeltSafe U.S.A. www.carseat.org

  24. ClekFllo: • 14 – 50 lbs. RF, 22 – 65 lbs. FF & able to sit unassisted • 9-year expiration • 4 harness slots; dual harness loops • Optional anti-rebound bar • Lock-offs • Lower anchor use: 35 lbs. RF, 40 lbs. FF New Seats + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  25. GracoArgos 80 Elite: • Harness: 20 – 80 lbs. • Booster: 30 – 120 lbs. (highback); 40 - 120 at least 4 yrs old (backless) • 10-year expiration • No re-thread harness; 5-position headrest • 3 recline positions • Lock-offs • Lower anchor use: 45 lbs. New Seats SafetyBeltSafe U.S.A. www.carseat.org

  26. GracoMilestone: • 3-in-1: 5 – 40 lbs RF. 20 – 65 lbs. FF; 30 – 100 lbs & age 3 booster • No re-thread harness • 10-position headrest • Lower anchor use: 42 lbs. New Seats + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  27. RecaroPerformance Coupe: • Rear-facing-only, 4 – 35 lbs • 6-year expiration • No re-thread harness; • 5-position headrest; 2 crotch positions • Safety Stripe system to reveal harness twists • Infant insert 4 – 12 lbs. New Seats SafetyBeltSafe U.S.A. www.carseat.org

  28. “Inspecting the Inspection; What the Data Reveal”, M. Louzon, J. O’Neil, MD, J. Talty, Automotive Safety Program, Indianapolis, IN (also reported at Lifesavers) Data collected from 121 permanent fitting stations in 63 of 92 IN counties; 75% located in fire depts., law enforcement sites, hospitals Purpose of checkup form: to guide checkup; reduce liability; enable reconstruction of inspection; data collection Conference Report: Kidz in Motion + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  29. Data from 9048 checkups in 7738 vehicles (2011-12) • Demographics: • 79% white; 9% Latino • 51% of families received public assistance of some kind; 35%: less than $20,000 annual income. • Avg. family size: 3.6 members; related to checkup majorities– majority for prenatal (44%) or child under 1 (22%). Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

  30. How seat/child arrived: • Seat belted in: 60%; 23% LATCHed; 5%, both. • Moving more than 1 inch: 59%; wrong angle: 22% • 14% tether use • Harness errors: 47% too loose; 18% at wrong level vis a vis shoulders; 47% chest clip incorrect level. Conference Report: Kidz in Motion + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  31. Startling Findings: • Rear facing on arrival and departure: • Under 12 months: 95% on arrival, 98% on leaving • 12-17 months: decreased from 76% on arrival to 72% leaving • 18-23 months: remained at 33% • These figures were especially ironic as Marilyn Bull, MD of Riley Children’s Hospital was a major researcher on benefits of rear-facing travel to at least age 2. • Follow-up: emphasis in Technician training on importance of rear-facing for reducing injury. Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

  32. Findings: • 2 - 3 year olds: increase from 61% in seats with internal harnesses to 85%. • 4 – 8 year olds: • On arrival: 16% unrestrained; 17% belt only • On leaving: 75% in boosters, 22% in seats with harnesses • 9 - 13 year olds: • On arrival: 15% unrestrained; 50% belt only • On leaving: nearly 60% in boosters • 21% arrived in used seats. 39% left in a different seat, of which 85% were donated by sites. Conference Report: Kidz in Motion + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  33. Other Findings: Missing information on form: common issue with checkup forms. Improvements in form design and recording needed. Referral sources: startled to find friend/family was by far most common source (3260); next closest: hospitals (1121) SUMMARY: data analysis shows area need to increase outreach, improve recording, improve putting theory into action. Valuable as benchmark for IN and for other areas to use for comparison. Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

  34. 1168 children 0 – 14 killed (3% increase from 2011) • 169,000 children injured (1% decrease from 2011) • 3 killed, 462 seriously injured every day • 33,561 total traffic fatalities; children 3%. • Largest decrease – 8 – 14 years Research Review: NHTSA Traffic Safety Facts 2012 + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  35. Restraint use: • 4888 child passengers involved in fatal crashes. • 18% unrestrained. 40% fatalities unrestrained. • 298 child fatalities under 5 – 31% unrestrained. • Children under 5 years – estimated 284 lives saved. Research Review: NHTSA Traffic Safety Facts 2012 • Estimated potential additional lives saved through 100% safety seat use – 58. SafetyBeltSafe U.S.A. www.carseat.org

  36. NHTSA Report – Blincoe, Miller, Zaloshnja, & Lawrence (2014),  ‘The Economic and Societal Impact of Motor Vehicle Crashes, 2010’. (Report No. DOT HS 812 013). 2010 – total economic cost of motor vehicle crashes: $277 billion Includes lifetime economic costs of 32,999 fatalities, 3.9 million non-fatal injuries, 24 million damaged vehicles. Total value of societal harm (including quality-of-life valuations) $871 billion. Research Review: Costs of Motor Vehicle Crashes + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  37. Status Report, Vol. 49, No. 5 Special Issue: Vehicles for Teens, July 16, 2014 • Design for Choosing: • Principles built on comparative fatality statistics • No “muscle cars” to tempt teen drivers to speed, race, etc. • Vehicles with electronic stability control essential. • Heavier vehicles; exclude mini or small cars. • Highest safety ratings possible, including side-impact protection, good test results on moderate overlap crashes, good head restraints, NHTSA 4-5 Stars on NCAP tests. Research Review:Vehicles: Good Choices for Teens SafetyBeltSafe U.S.A. www.carseat.org

  38. Key Data: Telephone survey: • 83% of parents buy used cars or share older vehicles already owned by family. • $9800 average price, but median price only $5300. • Hard to find safest cars under $5300. • Risks to Teens: Comparison of fatality rates for 15-17 year olds with 35-50 year olds: • Teens: 29% in mini-cars, 82% older vehicles • Adults: 20% mini-cars, 77% older vehicles Research Review:Vehicles: Good Choices for Teens + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  39. Vehicle Recommendations: • Both Best and Good Choices among all types of vehicles meeting IIHS criteria but few at $5300 median or less: • Best Choices, lowest cost: $7300 (Volvo XC90, ‘05 or earlier) • Good Choices, lowest cost: $4600 (Kia Sedona, ‘06 or later) Research Review:Vehicles: Good Choices for Teens SafetyBeltSafe U.S.A. www.carseat.org

  40. “ATV riding and helmet use among youth aged 12–17 years, USA, 2011: results from the YouthStylessurvey”, R. A. Shults & B. A. West, Injury Prevention, published online 6/10/14 • Based on YouthStyles online survey conducted by Porter, Novelli. • ATV defined as 3- or 4-wheel vehicle ridden astride and meant for use on non-paved roads; may weigh up to 1000 lbs. • 10.6 million 4-wheel ATVs in U.S. [Note: often have replaced horses in rural areas.] • Subgroup of 12-17 year olds whose parents answered HealthStyles online survey earlier in 2011. Weighted survey included 833 teens. Research Review: ATV Riders & Helmet Use + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  41. Focus: how much travel on ATVs by teens? • Asked for estimate in months; review of data led to focus on differences among those stating “never” vs. one trip vs. 6 or more trips. • Grouping of answers on frequency of helmet use led to always vs. not always (including the range from never to nearly always). Research Review: ATV Riders & Helmet Use SafetyBeltSafe U.S.A. www.carseat.org

  42. Findings: grouped by • gender • U.S. regions (northeast, mid-west, south, west) • urban (50,000 population or more) vsrural • Overall, 25% rode at least once in past year but varied from 23-28% by region and on urban/rural axis: 22% vs 44% • Helmet use: 45% Always, 10% Seldom, 25% Never Research Review: ATV Riders & Helmet Use + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  43. Helmet Use: additional findings by subgroup ‘Always’: • Gender:Male & female: 45% • Location: Urban, 47% vs. rural, 39% • Frequency of riding: • once a year: 68%; • 2-5 times/year: 48%; • 6 or more times annually: too few to establish meaningful % (not always, 81%) • 3 times as many males as females rode 6 or more times in year: data link to prevalence of death/injury for males Research Review: ATV Riders & Helmet Use SafetyBeltSafe U.S.A. www.carseat.org

  44. Size of the Problem: • Consumer Product Safety Commission statistics • 30 years from 1982: 12,391 fatalities, 24% for children under age 16; • 2008 (most recent year with firm, final data): 14% of 755 deaths were under age 16. • Emergency room visits: 2012 – 107,900 of which 25% were under 16. Research Review: ATV Riders & Helmet Use + Please mute your phone – but don’t put the line on hold – thank you. SafetyBeltSafe U.S.A. www.carseat.org

  45. Social issues: • Consumer Product Safety Commission recommends: • Youth under 16 not ride adult-sized ATVs • Helmets be used • No passengers be carried. • No truly effective method so far for achieving goals so far. • Most state laws exclude private property, have many options for not prosecuting violations. Dealers only must “try their best” not to sell adult-sized ATVs for youth use! Research Review: ATV Riders & Helmet Use SafetyBeltSafe U.S.A. www.carseat.org

  46. 1 CEU awarded by Safe Kids • To claim: • www.carseat.org • Click on Calendars, Professional and Technician Training, California Technical Teleconference, Request for CEU • Download form, complete & email to i0680@hotmail.com • Verification Code: ATV1982 CEUs SafetyBeltSafe U.S.A. www.carseat.org

  47. “Quantifying CRS Compatibility in the Vehicle Seat Environment” Presented by Julie Bing, OH State Univ.; research collaboration with Children’s Hospital of Philadelphia Data gathered on 61 vehicles & 59 safety seats, encompassing all main categories of each. Collected 94 data points per vehicle & 40 per safety seat. 3600 measurements. Goal: benchmark for industries. Seek any basis for incorrect use due to design factors. Focus not on comparing individual seats/cars for ease-of-use. BUT gives areas for parents to explore when choosing seats. Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

  48. 6 categories of findings: • Width along bight of vehicle seat (not including side bolsters) • Very similar % fit: 63.3% RF, 62.2% FF • Rear-facing-only seats: 90%+ fit vs. less than 40% of 3-in-1 seats • Question to be answered with crash testing: although narrow bases fit better in seat pans of cars, would wider bases provide better protection? Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

  49. Vehicle seat support for safety seat base: • 80% recommended by most manufacturers; 100% by some. • Close to 99% of vehicle seats provided 80% support for safety seat bottoms but only 71% offered 100% support. • (Other research by Klinich indicates no need to have full support; only 1 seat fell off & it passed FMVSS 213.) Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

  50. Fit of RF & FF seats when front passenger seat is fully back, partway back, fully forward. • RF seats: 15.3% for fully back; 73.2%, partway; 95.8% forward. • FF: accounting for child leg room: back: 78.2%; partway,98%; forward, 100%. Conference Report: Kidz in Motion SafetyBeltSafe U.S.A. www.carseat.org

More Related