Next Article in Journal
The Role of Electrocardiography in Occupational Medicine, from Einthoven’s Invention to the Digital Era of Wearable Devices
Previous Article in Journal
Risk Prediction for Early Chronic Kidney Disease: Results from an Adult Health Examination Program of 19,270 Individuals
Previous Article in Special Issue
A Process Evaluation Protocol for Examining the Impact of Instructions for Correct Use of Child Car Seats Designed through a Consumer-Driven Process and Evaluated in a Field-Based Randomised Controlled Trial
Article

Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa

1
The George Institute for Global Health, The University of New South Wales, Sydney 2042, Australia
2
Burden of Disease Research Unit, South African Medical Research Council, Tygerberg, Cape Town 8000, South Africa
3
Woolworths Childsafe Research and Educational Centre, Cape Town 7701, South Africa
4
Department of Paediatric Surgery, University of Cape Town, Cape Town 7701, South Africa
5
The George Institute for Global Health UK, Oxford University, Oxford OX1 2BQ, UK
6
School of Public Health and Community Medicine, University of New South Wales, Sydney 2052, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(14), 4974; https://doi.org/10.3390/ijerph17144974
Received: 29 April 2020 / Revised: 26 June 2020 / Accepted: 1 July 2020 / Published: 10 July 2020
(This article belongs to the Special Issue Injury Prevention among Child Occupants)
(1) Background: Children in South Africa experience significant impacts from road injury due to the high frequency of road crashes and the low uptake of road safety measures (including the use of appropriate child restraints). The current study aimed to assess the feasibility of a child restraint program and to describe factors influencing child restraint use from the perspectives of clinicians, representatives of non-government agencies, and academics in Cape Town, South Africa. (2) Methods: Qualitative interviews were conducted with 13 experts from government, academic and clinical backgrounds. Findings were analyzed using the COM-B component of the Behaviour Change Wheel and were grouped by the layers of the social-ecological model (individual, relational, community and societal). (COM-B is a framework to explain behaviour change which has three key components; capability, opportunity and motivation), (3) Results: Experts believed that there was a need for a child restraint program that should be staged and multifactorial. Participants described knowledge gaps, perceptions of risk, mixed motivations and limited enforcement of child restraint legislation as key influences of restraint use. (4) Conclusions: The results demonstrate potential areas on which to focus interventions to increase child restraint use in Cape Town, South Africa. However, this will require a coordinated and consistent response across stakeholder groups. View Full-Text
Keywords: passenger; restraint; qualitative; child injury passenger; restraint; qualitative; child injury
Show Figures

Figure 1

MDPI and ACS Style

Hunter, K.; Bestman, A.; Dodd, M.; Prinsloo, M.; Mtambeka, P.; van As, S.; Peden, M.M. Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa. Int. J. Environ. Res. Public Health 2020, 17, 4974. https://doi.org/10.3390/ijerph17144974

AMA Style

Hunter K, Bestman A, Dodd M, Prinsloo M, Mtambeka P, van As S, Peden MM. Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa. International Journal of Environmental Research and Public Health. 2020; 17(14):4974. https://doi.org/10.3390/ijerph17144974

Chicago/Turabian Style

Hunter, Kate, Amy Bestman, Madeleine Dodd, Megan Prinsloo, Pumla Mtambeka, Sebastian van As, and Margaret M. Peden 2020. "Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa" International Journal of Environmental Research and Public Health 17, no. 14: 4974. https://doi.org/10.3390/ijerph17144974

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop