{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:32:43Z","timestamp":1790908363394,"version":"4.1.0"},"reference-count":37,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>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\u2013combined 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>PATIENTS AND METHODS:<\/jats:title>\n                  <jats:p>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).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Children with ADHD-C chose riskier pedestrian environments to cross within (F1,72 = 4.83; P &amp;lt; .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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Children with ADHD-C seem to display appropriate curbside pedestrian behavior but fail to process perceived information adequately to permit crossing safely.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2010-3829","type":"journal-article","created":{"date-parts":[[2011,7,26]],"date-time":"2011-07-26T00:15:46Z","timestamp":1311639346000},"page":"296-302","source":"Crossref","is-referenced-by-count":47,"title":["Mediating Factors Associated With Pedestrian Injury in Children With Attention-Deficit\/Hyperactivity Disorder"],"prefix":"10.1542","volume":"128","author":[{"given":"Despina","family":"Stavrinos","sequence":"first","affiliation":[{"name":"University Transportation Center and Departments of,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred J.","family":"Biasini","sequence":"additional","affiliation":[{"name":"Psychology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip R.","family":"Fine","sequence":"additional","affiliation":[{"name":"University Transportation Center and Departments of,"},{"name":"Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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