Background The Eastern Mediterranean Region (EMR) suffers disproportionately from pediatric traffic-related injuries and deaths. Despite governmental laws, Lebanon – an EMR country – has low child restraint (CR) use prevalence.

Objective This study examined the impact of utilizing car seat Distribution and child passenger safety (CPS), Educational and Awareness (DEA) intervention to improve CPS knowledge and practices among caregivers in Lebanon.

Methods This pre-post study recruited Lebanese caregivers meeting the criteria of having one child or more, using a 4-wheel motor vehicle, and not using a car seat. The intervention comprised an educational session followed by a car seat or booster seat distribution and installation check by a certified CPS technician (CPST). A baseline assessment questionnaire identified the reasons for the lack of prior CR use. A CPS knowledge test was administered before, immediately after, and three months post-intervention to assess CPS knowledge retention and compare it to the baseline using the conditional logit model for pre-post interventions.

Results Fifty-eight participants underwent the adopted intervention. Financial constraints were identified as the primary reason for not using a car seat. Three months after the intervention, compliance with the use of CRs was reported at 100%, and correct responses on the car seat knowledge test significantly increased (p<0.05) for all items except for harness tightness (p=0.673).

Conclusions Our child passenger safety intervention resulted in improved knowledge and increased self-reported use of CRs in a caregivers’ cohort in Lebanon. Further efforts should address sociocultural and economic barriers and the lack of local CPS technicians to mitigate the region’s pediatric road traffic injury and death toll.