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
Southern Chile encompasses one of the most extensive fjord regions of the world, the Patagonia, currently exposed to natural
and anthropogenic perturbations. These fjord ecosystems provide important services to humans, which have not been adequately
measured and valued. As a consequence, ecosystem services are commonly ignored in public policy design and in the evaluation
of development projects. Here we tackle questions that are highly relevant for the nation’s development, namely (1) understanding
fjord functioning, and (2) developing management strategies based on ecosystem services, in order to secure simultaneous and
adequate use of these ecosystems which area influenced by ecological (e.g., biogeochemical) and productive (e.g., aquaculture,
fisheries) processes. We also seek to strengthen the analysis of fjord ecosystem value from the economical (including coastal
zoning), socio-cultural, institutional, and governmental points of view. In addition, the investigation of current and future
effects of climate change on this large region offers a unique opportunity to understand the social and economic consequences
of a global phenomenon at local to regional scales. Biogeochemical and socio-economic models will be used to simulate future
scenarios under a gamut of management options. 相似文献
Opperman, Jeffrey J., Ryan Luster, Bruce A. McKenney, Michael Roberts, and Amanda Wrona Meadows, 2010. Ecologically Functional Floodplains: Connectivity, Flow Regime, and Scale. Journal of the American Water Resources Association (JAWRA) 46(2):211-226. DOI: 10.1111/j.1752-1688.2010.00426.x Abstract: This paper proposes a conceptual model that captures key attributes of ecologically functional floodplains, encompassing three basic elements: (1) hydrologic connectivity between the river and the floodplain, (2) a variable hydrograph that reflects seasonal precipitation patterns and retains a range of both high and low flow events, and (3) sufficient spatial scale to encompass dynamic processes and for floodplain benefits to accrue to a meaningful level. Although floodplains support high levels of biodiversity and some of the most productive ecosystems on Earth, they are also among the most converted and threatened ecosystems and therefore have recently become the focus of conservation and restoration programs across the United States and globally. These efforts seek to conserve or restore complex, highly variable ecosystems and often must simultaneously address both land and water management. Thus, such efforts must overcome considerable scientific, technical, and socioeconomic challenges. In addition to proposing a scientific conceptual model, this paper also includes three case studies that illustrate methods for addressing these technical and socioeconomic challenges within projects that seek to promote ecologically functional floodplains through river-floodplain reconnection and/or restoration of key components of hydrological variability. 相似文献