Neuroscience Research Australia, University of New South Wales (UNSW), New South Wales, Australia.
Inj Prev. 2013 Feb;19(1):6-12. doi: 10.1136/injuryprev-2011-040211. Epub 2012 May 26.
To qualitatively explore barriers to optimal child restraint use using the integrative behaviour change model in culturally and linguistically diverse (CALD) communities in New South Wales (NSW), Australia.
A semi-structured discussion was used to conduct 11 language specific focus groups in Arabic, Assyrian, Cantonese, Mandarin, Vietnamese and Turkish. Translated transcriptions were analysed using the major concepts of the integrative behaviour change model.
Restraint use intent among CALD community carers is related to perceived safety of their children and complying with the law. While most participants appreciated the safety benefits of correct and appropriate use, a minority did not. Child restraint legislation may positively influence social norms, and enforcement appears to increase parental self-efficacy. However, concerns over child comfort may negatively influence both norms and self-efficacy. There are clear deficits in knowledge that may act as barriers as well as confusion over best practice in safely transporting children. Large family size, vehicle size and cost appear to be real environmental constraints in CALD communities.
Determinants of intent and deficits in knowledge in this diverse range of CALD communities in NSW Australia are similar to those reported in other qualitative studies regardless of the population studied. This indicates that key messages should be the same regardless of the target population. However, for CALD communities there is a specific need to ensure access to detailed information through appropriate delivery strategies and languages. Furthermore, practical constraints such as cost of restraints and family size may be particularly important in CALD communities.
使用综合行为改变模型在澳大利亚新南威尔士州（NSW）的文化和语言多样化（CALD）社区中定性探讨最佳儿童约束使用的障碍。
使用半结构化讨论在阿拉伯语、亚述语、粤语、普通话、越南语和土耳其语中进行了 11 个语言特定的焦点小组。使用综合行为改变模型的主要概念对翻译后的抄本进行分析。
CALD 社区照顾者的约束使用意图与他们对孩子安全的看法和遵守法律有关。虽然大多数参与者赞赏正确和适当使用的安全益处，但少数人不这样认为。儿童约束立法可能会对社会规范产生积极影响，执法似乎会提高父母的自我效能感。然而，对儿童舒适度的关注可能会对规范和自我效能产生负面影响。知识上的明显缺陷可能会成为障碍，并且在安全运输儿童方面存在混乱。大家庭规模、车辆尺寸和成本似乎是 CALD 社区的实际环境限制。
新南威尔士州澳大利亚这个多样化的 CALD 社区中意图和知识缺陷的决定因素与其他定性研究报告的决定因素相似，无论研究的是哪个人群。这表明无论目标人群如何，关键信息都应该是相同的。然而，对于 CALD 社区来说，特别需要通过适当的传递策略和语言来确保获得详细信息。此外，在 CALD 社区中，约束成本和家庭规模等实际限制可能特别重要。
