Journal article
Mediating Factors Associated With Pedestrian Injury in Children With Attention-Deficit/Hyperactivity Disorder
Pediatrics (Evanston), Vol.128(2), pp.296-302
08/01/2011
DOI: 10.1542/peds.2010-3829
PMID: 21788213
Abstract
OBJECTIVE: Unintentional injury is the leading cause of pediatric mortality. One leading cause of unintentional injury is pedestrian injury. Children with developmental disabilities, particularly those with attention-deficit/hyperactivity disorder-combined type (ADHD-C) seem to have increased pedestrian injury risk. This study examined (1) the differences in pedestrian behavior between children with ADHD-C and normally developing comparison children and (2) the mediating factors that might link ADHD-C with pedestrian injury risk.
PATIENTS AND METHODS: A total of 78 children aged 7 to 10 years (39 children with ADHD-C diagnoses and 39 age-and gender-matched typically developing children) participated. The main outcome measure was pedestrian behavior, as measured in a semi-immersive, interactive, virtual pedestrian environment. Key pedestrian variables related to different aspects of the crossing process were identified: (1) before the cross (ie, evaluating aspects of the crossing environment); (2) making the cross (ie, deciding to cross and initiating movement); and (3) safety of the cross (ie, safety within the pedestrian environment after the decision to cross was made).
RESULTS: Children with ADHD-C chose riskier pedestrian environments to cross within (F-1,F-72 = 4.83; P < .05). No significant differences emerged in other aspects of the crossing process. Executive function played a mediating role in the relationship between ADHD-C and the safety of the cross.
CONCLUSIONS: Children with ADHD-C seem to display appropriate curbside pedestrian behavior but fail to process perceived information adequately to permit crossing safely. Pediatrics 2011;128:296-302
Details
- Title: Subtitle
- Mediating Factors Associated With Pedestrian Injury in Children With Attention-Deficit/Hyperactivity Disorder
- Creators
- Despina Stavrinos - University of Alabama at BirminghamFred J. Biasini - University of Alabama at BirminghamPhilip R. Fine - University of Alabama at BirminghamJ. Bart Hodgens - University of Alabama at BirminghamSnehal Khatri - University of Alabama at BirminghamSylvie Mrug - University of Alabama at BirminghamDavid C. Schwebel - University of Alabama at Birmingham
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.128(2), pp.296-302
- DOI
- 10.1542/peds.2010-3829
- PMID
- 21788213
- NLM abbreviation
- Pediatrics
- ISSN
- 0031-4005
- eISSN
- 1098-4275
- Publisher
- Amer Acad Pediatrics
- Number of pages
- 7
- Grant note
- Society for Public Health Education National Science Foundation; National Science Foundation (NSF) Society for Pediatric Psychology Center for Child Injury Prevention Studies R49/CE000191 / University of Alabama at Birmingham Injury Control Research Center through National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA ICRC [1]/PL 106-346 / Federal Highway Administration
- Language
- English
- Date published
- 08/01/2011
- Academic Unit
- Research Administration
- Record Identifier
- 9984949185402771
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