Table 7Summary of Studies Evaluating Counseling to Increase Use of Booster Seats in Children 4–8 Years of Age

Study IDStudy design, NGroups, Intervention componentsOutcome measured; how assessedObservation time pointResultsAbsolute Difference between groups (IG - CG) unless noted otherwiseComments
USPSTF QualityTiming(IG vs. CG)
SettingP Values
*≤0.05, **≤0.01, ***≤.001
Gittleman, 2006 68 RCT, 225IG1: Certified car seat technician delivered 5-min instruction on importance of booster seats, correct use, how to obtain a booster seat and where to go for a fitting station.Self-reported booster seat usage1 month post ED visit IG1 vs. CG Families who used booster seats at baseline were excluded from trial
Fair/PoorDuring emergency room visitIG2: Same as IG1 plus received free booster seat with proper installation and instructions.8.7% vs. 1.3% (NS)7.4%
Emergency departmentCG: Standard discharge instructions from the ED. IG2 vs. CG
98.2% vs. 1.3% (NR)96.9%
IG2 vs IG1 and CG
98.2% vs. 5.5% (***)92.7%

Abbreviations: RCT=Randomized Controlled Trial; IC= Intervention group(s); CG= Control group; ED=Emergency department; NR = Not reported; NS = Not significant

From: 3, Results

Cover of Primary Care Interventions to Prevent Motor Vehicle Occupant Injuries
Primary Care Interventions to Prevent Motor Vehicle Occupant Injuries [Internet].
Evidence Syntheses, No. 51.
Williams S, Whitlock E, Smith P, et al.

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