Mobile phone use and social interactions among caregivers can reduce their ability to provide constant supervision to children at Australian public swimming pools.

Issue addressed: Caregivers have a crucial role to play in keeping children safe at public swimming pool facilities, with the most common factor contributing to childhood drowning being a lapse in adult supervision. Methods: A mixed methods approach was used to collect observations (n = 301) and interviews (n = 10) with caregivers of children aged 0‐10 years at two public swimming pool facilities located in the Perth metropolitan area, Western Australia (WA). Results: Of the 449 children observed, children aged 6‐10 years were significantly less likely to be provided with ideal supervision (26%) compared to younger children aged 0‐5 years (62%). Of the caregivers who were using their mobile phone while supervising children (n = 100, 22% of children observed), none provided ideal supervision. Overall supervision levels among caregivers differed with gender, with only 44% (n = 74) of female caregivers providing ideal supervision, compared to 72% (n = 96) of male caregivers. The 10 interviews revealed several themes, including the following: caregivers' perceptions of their supervision responsibilities; barriers to supervision; and awareness and perceptions of a communications campaign designed by the Royal Life Saving WA Branch, known as Watch Around Water (WAW). Conclusion: Caregiver supervision at public swimming pools remains an important issue, particularly the use of mobile phones and its deleterious impact on supervision. The WAW program plays an integral role in educating caregivers of supervision responsibilities. Furthermore, this study adds to the limited evaluation of the WAW program, and thus will help guide future improvements to ensure caregiver supervision is consistent. So what?: Further research is needed to create strategies to reduce mobile phone use among caregivers, in order to provide safer swimming environments. [ABSTRACT FROM AUTHOR]