Gerald McGwin, Jr., M.S., Ph.D. - PowerPoint PPT Presentation

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Gerald McGwin, Jr., M.S., Ph.D.

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Title: Gerald McGwin, Jr., M.S., Ph.D.


1
Gerald McGwin, Jr., M.S., Ph.D.
  • Associate Professor
  • Departments of Epidemiology, Surgery, and
    Ophthalmology
  • University of Alabama at Birmingham

2
An Educational Intervention to Promote Proper
Seat Belt Use During Pregnancy
3
Background
  • Restraint use during pregnancy contributes to
    improved maternal and fetal survival after MVCs.
  • Research suggests 25 to 50 do not follow
    guidelines for seatbelt use during pregnancy.
  • Discomfort and concerns about harm to themselves
    or fetus common reasons for lack of restraint.
  • Few interventions to improve seat belt knowledge
    and practices during pregnancy.

4
Purpose
  • To evaluate an education intervention focused on
    increasing the proper use and knowledge regarding
    seat belt use during pregnancy.

5
Methods
  • Phase I Collect baseline information regarding
    seat belt use knowledge and behaviors
  • Phase II Developing and implementing
    educational intervention
  • Phase III Evaluating impact of educational
    intervention

6
Methods Phase I III
  • The Jefferson County Alabama Department of Health
    operates nine health centers distributed
    throughout the county seven of these centers
    provide prenatal care.
  • To qualify for services at the County health
    centers, patients need to be residents of
    Jefferson County, Alabama or have Medicaid
    indigent patients also qualify for services.

7
Methods Phase I III
  • Research team visited County health centers and
    approached all pregnant women for participation
    in the study (Phase I 6-8/2001 Phase III
    10-12/2002)
  • Staff members rotated among all seven centers in
    a manner that provided a random sample of all
    women seeking prenatal care.
  • Patients given description of study and asked if
    they were willing to participate.

8
Methods Phase I III
  • Self-administered questionnaire collected
    demographic and pregnancy information and
    restraint use characteristics.
  • Information on restraint use in previous
    pregnancies and under different driving
    situations also collected.
  • Patients asked whether they had received any
    information regarding restraint use from a
    variety of sources.
  • Survey available in both English and Spanish.

9
Methods Phase II
  • Data from Phase 1 identified gaps in knowledge
    and behavior as targets for educational material.
  • Focus groups conducted with clinic patients and
    staff to identify barriers regarding proper seat
    belt use during pregnancy and techniques for
    addressing these issues.
  • Collectively, this information was used to create
    a variety of material for distribution to
    prenatal care clinics, patients, and staff.

10
Methods Phase II
  • Posters depicting proper seat belt placement
    created and installed at prenatal care clinics.
  • All patients given gift bag containing brochure
    explaining benefits and correct use of seat
    belts.
  • Clinic staff provided buttons encouraging proper
    seat belt use.
  • All material was available in both English and
    Spanish.

11
Methods Summary
Baseline Intervention Intervention
Post-Invention Survey Development
Dissemination Survey
6/2001 1/2002 3/2002
10/2002
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15
FIGURE 2A. Knowledge of seat belt effectiveness
for a non- pregnant woman among pre- and
post-intervention groups.
(p0.005)
16
FIGURE 2B. Knowledge of seat belt effectiveness
for a pregnant woman among pre- and
post-intervention groups.
(plt0.0001)
17
FIGURE 2C. Knowledge of seat belt effectiveness
for a baby among pre- and post-intervention
groups.
(p0.0009)
18
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19
Conclusions
  • Although frequency of seat belt use high, many
    not wearing seat belts properly.
  • This study demonstrated potential for educational
    tools to change knowledge and behavior.
  • Education regarding proper seat belt use is now a
    regular component of pre-natal care at county
    health department pre-natal care clinics.

20
An Educational Intervention to Promote Proper
Seat Belt Use During Pregnancy
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