Car seat incentive & education programs
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Community conditions, also known as the social determinants of health, shape the health of individuals and communities. Quality education, jobs that pay a living wage and a clean environment are among the conditions that impact our health. Modifying these social, economic and environmental conditions can influence how long and how well people live.
Learn more about community conditions by viewing our model of health.
Retired strategies are no longer updated.
Car seat incentive programs educate parents and caregivers about proper use of car seats (i.e., infant, convertible, and booster seats) and reward parents and/or children for correct use1, 2. Rewards vary from inexpensive trinkets or coupons to more valuable prizes, often donated by community businesses3. Highway safety offices and car seat advocates often play leadership roles in education, distribution, and incentive programs. Programs vary in length and intensity and can be implemented in targeted settings (e.g., car dealerships or fire stations) or throughout entire communities1.
What could this strategy improve?
Expected Benefits
Our evidence rating is based on the likelihood of achieving these outcomes:
Increased use of car seats
What does the research say about effectiveness?
There is strong evidence that car seat incentive and education programs increase car seat use regardless of the value of the incentive offered1, 4, 5, 6.
Incentive and education programs have been shown to increase infant and convertible seat use when implemented in daycare centers and across communities. Such programs have demonstrated effects up to five months after completion1, however, additional evidence is needed to confirm long-term effects3.
Incentive and education programs also appear to increase use of booster seats among children 4 to 8 years old4.
How could this strategy impact health disparities? This strategy is rated no impact on disparities likely.
Footnotes
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1 CG-Motor vehicle injury - The Guide to Community Preventive Services (The Community Guide). Motor vehicle injury prevention.
2 NHTSA-Car seats - How to find the right car seat? Parents Central. National Highway Traffic Safety Administration (NHTSA).
3 Zaza 2001 - Zaza S, Sleet DA, Thompson RS, Sosin DM, Bolen JC, Task Force on Community Preventive Services. Reviews of evidence regarding interventions to increase use of child safety seats. American Journal of Preventive Medicine. 2001;21(4 Suppl):31–47.
4 Cochrane-Ehiri 2006 - Ehiri JE, Ejere HOD, Magnussen L, et al. Interventions for promoting booster seat use in four to eight year olds travelling in motor vehicles. Cochrane Database Systematic Reviews. 2006;(1):CD004334.
5 Porter 2011 - Porter BE, ed. Handbook of Traffic Psychology. London: Elsevier; 2011.
6 Dellinger 2007 - Dellinger A, Sleet D, Shults RA, Rinehart C. Handbook of injury and violence prevention, Chapter 4: Interventions to prevent motor vehicle injuries. In: Doll L, Bonzo S, Sleet D, Mercy J, Haas E, eds. Handbook of injury and violence prevention. Atlanta: Springer; 2007:55-79.
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