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Overloaded and unrestrained: A qualitative study with local experts exploring factors affecting child car restraint use in Cape Town, South Africa

Hunter, K., Bestman, Amy, Dodd, M., Prinsloo, M., Mtambeka, P., van As, S. and Peden, M.M. 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, vol. 17, no. 14, pp. 1-13, doi: 10.3390/ijerph17144974.

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Title Overloaded and unrestrained: A qualitative study with local experts exploring factors affecting child car restraint use in Cape Town, South Africa
Author(s) Hunter, K.
Bestman, AmyORCID iD for Bestman, Amy orcid.org/0000-0003-1269-2123
Dodd, M.
Prinsloo, M.
Mtambeka, P.
van As, S.
Peden, M.M.
Journal name International Journal of Environmental Research and Public Health
Volume number 17
Issue number 14
Article ID 4974
Start page 1
End page 13
Total pages 13
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2020
ISSN 1661-7827
1660-4601
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
passenger
restraint
qualitative
child injury
SAFETY
INCREASE
NEED
Summary (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.
Language eng
DOI 10.3390/ijerph17144974
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30141684

Document type: Journal Article
Collections: Faculty of Health
Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.