Get access

Behavioral skills training to improve installation and use of child passenger safety restraints


  • This study was supported by a University of Utah Undergraduate Research Opportunities Program assistantship awarded to Kalon A. Wright under the supervision of the first author. We thank McKenzie Adams for her assistance in data collection.


The risk for serious injury and death to children during motor vehicle accidents can be greatly reduced through the correct use of child passenger safety restraints (CPSRs). Unfortunately, most CPSRs are installed or used incorrectly. This study examined the effectiveness of behavioral skills training (BST) to teach 10 participants to install rear-facing CPSRs correctly using a multiple baseline design. Results show that installation errors were common for all participants during baseline. After BST, all 10 participants were able to install the rear-facing CPSR without error. An extension probe to assess whether the skills taught during BST extended to forward-facing installation showed that each participant made at least 1 critical error.