Objective: This study evaluated the effectiveness of a series of 1-year multifaceted school-based programs aimed at increasing booster seat use among urban children 4–7 years of age in economically disadvantaged areas.
Methods: During 4 consecutive school years, 2011–2015, the Give Kids a Boost (GKB) program was implemented in a total of 8 schools with similar demographics in Dallas County. Observational surveys were conducted at project schools before project implementation (P0), 1–4 weeks after the completion of project implementation (P1), and 4–5 months later (P2). Changes in booster seat use for the 3 time periods were compared for the 8 project and 14 comparison schools that received no intervention using a nonrandomized trial process.
The intervention included (1) train-the-trainer sessions with teachers and parents; (2) presentations about booster seat safety; (3) tailored communication to parents; (4) distribution of fact sheets/resources; (5) walk-around education; and (6) booster seat inspections.
The association between the GKB intervention and proper booster seat use was determined initially using univariate analysis. The association was also estimated using a generalized linear mixed model predicting a binomial outcome (booster seat use) for those aged 4 to 7 years, adjusted for child-level variables (age, sex, race/ethnicity) and car-level variables (vehicle type). The model incorporated the effects of clustering by site and by collection date to account for the possibility of repeated sampling.
Results: In the 8 project schools, booster seat use for children 4–7 years of age increased an average of 20.9 percentage points between P0 and P1 (P0 = 4.8%, P1 = 25.7%; odds ratio [OR] = 6.9; 95% confidence interval [CI], 5.5, 8.7; P < .001) and remained at that level in the P2 time period (P2 = 25.7%; P < .001, for P0 vs. P2) in the univariate analysis. The 14 comparison schools had minimal change in booster seat use. The multivariable model showed that children at the project schools were significantly more likely to be properly restrained in a booster seat after the intervention (OR = 2.7; 95% CI, 2.2, 3.3) compared to the P0 time period and compared to the comparison schools.
Conclusion: Despite study limitations, the GKB program was positively associated with an increase in proper booster seat use for children 4–7 years of age in school settings among diverse populations in economically disadvantaged areas. These increases persisted into the following school year in a majority of the project schools. The GKB model may be a replicable strategy to increase booster seat use among school-age children in similar urban settings. 相似文献
This paper takes a new look at the importance of context – institutional and political – in effective public engagement processes. It does so through a rare comparative opportunity to examine the effectiveness of processes of public engagement in two UK waste authorities, where the same waste company was involved as both the primary contractor for the delivery of the waste management service (including new energy-from-waste facilities) and, furthermore, the same staff delivered the public engagement. Interrogating these cases affords the opportunity to place flesh on the bones of the sometimes ‘abstract’ skeleton of context. While engagement processes support effective local governance in an era of partnerships and deliberative democracy, the paper identifies that the methods adopted cannot be played out devoid of detailed understanding and response to local context, including the strength of partnership working between the public and private sector, the degree of political support for engagement, and the extent to which a traditional institutional paternalism still dominates. 相似文献
The relation between place attachment and pro-environmental behavior is unclear. Studies have reported that place attachment is associated both with more and less pro-environmental behavior. To help clarify this, we distinguished two dimensions of place attachment: civic and natural, and explored their respective influences on pro-environmental behavior. A community sample of residents (N = 104) from two proximate towns with different environmental reputations reported the strength of their civic and natural place attachment, their performance of various pro-environmental behaviors, and a number of sociodemographic characteristics. Regression analyses revealed that natural, but not civic place attachment predicted pro-environmental behavior when controlling for the town, length of residence, gender, education and age. This demonstrates that research and theory on place attachment should consider its civic and natural dimensions independently. 相似文献
Several years ago Hidalgo and Hernandez reported a curvilinear, U-shaped, relationship between scale of place (apartment, neighborhood, city) and strength of attachment to the place. In this paper four studies are presented, carried out in four Central-European cities, that (1) confirmed the reported curvilinear relationship using five places (apartment, building, neighborhood, city district, city) in three out of four cities and for five items of the Place Attachment Scale, (2) revealed a consistent curvilinear, inverse U-shaped relationship between scale of place and percentage of variance of place attachment predicted by three groups of factors: physical (type of housing, size of building, upkeep and personalization of house precincts, etc.), social (neighborhood ties and sense of security in the residence place), and socio-demographic (age, education, gender, length of residence, family size), and (3) identified strength of direct and indirect effects of the three groups of predictors on attachment to the five types of places. The curvilinear relationship between place scale and place attachment was particularly strong in highly attractive cities and in those scale items that described people's emotional reactions to places whereas a linear relationship was obtained in the least attractive city and in the items that referred to sense of security, amount of control and knowledge of place. In all four cities the best predicted variable was attachment to middle ranges of the place scale (building and neighborhood). The overall best direct predictor of place attachment was neighborhood ties, followed by direct and indirect effects of length of residence, building size, and type of housing. In conclusion it is argued that the usual choice of predictors of place attachment is biased by researchers' interest in the middle scales of place (neighborhood) at the expense of other place scales. In the paper a claim is made that attachments to smaller (apartments, homes) and larger (city) scales of place along with their unique predictors deserve more attention from environmental psychologists. 相似文献