Child Safety in Grocery Stores: The Impact of Verbal Prompts and Reinforcement on Safety Strap Use in Shopping Carts

Head and face injuries requiring a hospital visit are a consistent problem for young children shopping with their caregivers. Falls from shopping carts are the most common cause of such injuries. Using a reversal design with a 2-month follow-up, research assistants verbally prompted caregivers with small children seated in a shopping cart to put a safety strap on their child when entering a grocery store. Compliance resulted in the child receiving a gold star sticker. The sticker was used to identify participants for subsequent data collection when exiting the store. Verbal prompts and stickers increased safety belt use, and most children (95%) remained strapped in during their entire visit. A 2-month follow-up showed the effects to be short lived.