Of the 500,000 children in the United States who are injured in bicycle crashes annually, 252 die—97% of whom were not wearing a helmet. Although many intervention programs promote the use of helmets by children, a paucity of school-based evaluation studies exist that report students’ knowledge retention or behavioral changes. The purposes of this study were to identify associations between student-reported knowledge of safety-related behaviors, reports of current safety-related practices, and students’ participation in the Safety Central program while in the 4th grade. The sample consisted of 284 students currently enrolled in 5th and 6th grades. Findings showed a statistically significant association between participation in the Safety Central program and retention of knowledge and enactment of safety messages after a 1- and 2-year period. Motivators and barriers for helmet use were also identified. Implications for modifications to the content and delivery of the program and future evaluations are addressed.
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References
1.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
2.
Bandura, A. (1997). Self-efficacy, the exercise of control. New York: Freeman.
3.
Becker, M.H., & Mainman. L.A. (1975). Sociobehavioral determinants of compliance with health and medical care recommendations. Medical Care, 13, 10-21.
4.
Becker, L.R., Mandell, M.B., Wood, K., Schmidt, E.R., & O’Hara, F. (1996). A community based approach to bicycle helmet use counts. Injury Prevention, 2, 283-285.
5.
Centers for Disease Control and Prevention. (2000). 1998 mortality tapes. Hyattsville, MD: National Center for Health Statistics, U.S. Public Health Service, Department of Health and Human Services.
6.
Collins, W.A., Harris, M., & Susman, A. (1995). Parenting during middle childhood. In M. Bornstein (Ed.), Handbook of parenting (Vol. 1, pp. 65-89). Hillsdale, NJ: Lawrence Erlbaum.
7.
Consumer Product Safety Commission. (1995). Kids speak out on bike helmets. Retrieved July 15, 2001, from http://www.cpsc.gov/cpscpub/pubs/345.htm
8.
Cote, T., Sacks, J.J., & Lambert-Huber, D.A. (1992). Bicycle helmet use among Maryland children. Pediatrics, 89, 1216-1220.
9.
Ekman, R., Schelp, L., Welander, G., & Swanstrom. L. (1997). Can a combination of local, regional and national information substantially increase bicycle-helmet wearing and reduce injuries? Accident Analysis and Prevention, 29, 321-328.
10.
Dannenberg, A.L., Gielen, A.C., Beilenson, P.L, & Wilson, M.H. (1994). Bicycle helmet laws and educational campaigns: An evaluation of strategies to increase children’s helmet use. American Journal of Public Health, 83, 667-674.
11.
Grossman, D.C., & Garcia, C.C. (1999). Effectiveness of health promotion programs to increase motor vehicle occupant restraint use among young children. American Journal of Preventive Medicine, 15, 12-22.
12.
Harborview Injury Prevention and Research Center. (2001). Bicycle injury interventions programs to increase helmet use education. Retrieved August 1, 2001, from http://depts.washington.edu/hiprc/childinjury/index.htm
13.
Janz, N.K., & Becker, M.H. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1-47.
14.
Kazdin, A.E. (1982). Single-case research designs. New York: Oxford University Press.
15.
Klassen, T.P., MacKay, J.M., Moher, D., Walker, A., & Jones, A.L. (2000). Community-based injury prevention interventions. The Future of Children, 10, 83-110.
16.
Liller, K.D., Smorynski, A., & McDermott, R.J. (1995). The MORE HEALTH bicycle safety project. Journal of School Health, 65, 87-90.
17.
Lillis, R.P. (1990). Method for evaluation of bicycle helmet projects: A manual for local programs. Albany: New York State Department of Health.
18.
Moore, D.W., & Adair, V. (1990). Effects of a school-based educational programme on safety helmet usage by 11- to 13-year-old cyclists. Educational Psychology, 10, 73-78.
19.
Munro, B.H. (1997). Statistical methods for health care research (3rd ed.). Philadelphia: Lippincott.
20.
Parkin, P.C., Hu, X., Spence, L.J. (1993). Evaluation of a subsidy program to increase bicycle helmet use by children of low-income families. Pediatrics, 96, 283-287.
21.
Rodgers, G.B. (2000). Bicycle and bicycle helmet use patterns in the United States in 1998. Journal of Safety Research, 31, 149-158.
22.
Sacks, J.J., Kresnow, M.J., Houston, B., & Russell, J. (1996). Bicycle helmet use among American children. Injury Prevention, 2, 258-262.
23.
Safety Central. (1997). [Video.] Available from Center for Childhood Safety, Mary Bridge Children’s Hospital and Health Center, P.O. Box 5299, Mailstop T1-CS, Tacoma, Washington, 98415-0299.
24.
Sosin, D.M., Sacks, J.J., & Webb, K.W. (1996). Pediatric head injuries and deaths from bicycling in the United States. Pediatrics, 98, 868-870.
25.
Streubert, H., & Carpenter, D. (1995). Qualitative research in nursing. Philadelphia: Lippincott.
26.
Tenn, L., & Dewis, M.E. (1996). An evaluation of a Canadian peer-driven injury prevention programme for high-risk adolescents. Journal of Advanced Nursing, 23, 329-337.
27.
Thompson, R.S., Rivara, F.P., & Thompson, D.C. (1989). A case-control study of the effectiveness of bicycle safety helmet. New England Journal of Medicine, 320, 1361-1367.
28.
Thompson, D.C., Rivara, F.P., & Thompson, R.S. (1996). Effectiveness of bicycle safety helmets in preventing head injuries: A case-control study. Journal of the American Medical Association, 276, 1968-1973.
29.
Towner, P., & Marvel, M.K. (1992). A school-based intervention to increase the use of bicycle helmets. Family Medicine, 24, 156-158.
