Safe Transportation of Children With Disabilities and Medical Conditions in Motor Vehicles in Australia:

Children with disabilities and medical conditions are at an increased risk of injury or death during road vehicle transportation. In 2020, a national Australian survey of health professionals and organisations involved in the safe transport of children with disabilities and medical conditions identified a critical need for improved access to training, education, and resources. In response, Mobility and Accessibility for Children and Adults (MACA) Ltd developed targeted information and training resources. This study examined the impact of these resources on current road safety practices in Australia. A follow-up national survey was conducted with health professionals (n=126) and organisations (n=40) involved in supporting the safe transport of children with disabilities and medical conditions. Respondents included 74 participants (health professionals, n=56 health organisations, n=18) who also completed the 2020 survey, enabling direct comparison over time. Statistical and descriptive analyses of repeat participants reported greater confidence in their knowledge and more frequent assessment of transport needs for children with disabilities and medical conditions. The results reported a reduced frequency of barriers like lack of specialised knowledge, difficulty gaining funding for equipment, insufficient training and professional support, and unclear processes. However, many challenges persisted, with most respondents still reporting barriers. Health professionals and organisations that accessed the resources generally found them helpful, suggesting their potential benefits. Overall, the findings indicate promising improvements in the safe transport for children with disabilities and medical conditions, but additional efforts are required.