Two observational surveys were conducted with a one year interval to determine if an educational campaign focusing on pediatricians has been able to increase the use of automobile child restraint devices in selected North Carolina cities. Although usage rates were higher for the follow-up survey, little, if any, of this increase could be attributed to the educational campaign. Furthermore, it was determined that possible benefits of higher usage rates for these restraints may be negated by continued high rates of misuse of the restraints obtained by parents.