Evaluation of a Four-year Bicycle Helmet Promotion Campaign in Quebec Aimed at Children Ages 8 to 12: Impact on Attitudes, Norms and Behaviours

Overview

Journal Can J Public Health

Publisher Springer Nature

Specialty Public Health

Date 1997 Jan 1

PMID 9094808

Citations 2

Authors

C Farley

J Otis

M Benoit

Affiliations

Soon will be listed here.

Abstract

Objective: This study evaluated a four-year bicycle helmet promotion campaign.

Methods: Children's attitudes, social norms, intentions to wear a bicycle helmet as well as helmet ownership were measured. Evaluation was based on a pre-experimental static group comparison design repeated at two (1991) and four years (1993) after implantation, with a non-randomized control group. 3,424 students completed a self-administered questionnaire (experimental: 2,097, control: 1,327).

Results: The program had a significant impact on helmet ownership (1989: 4%; 1991: 26%; 1993: 56%). The program was the principal predictor of high intention to use a bicycle helmet. Time was the principal predictor of ownership with exposure to the program being the next predictor.

Conclusion: This study showed that time is an important factor in bicycle helmet acquisition, and that a long-term community-based program can accelerate the process of adopting this behaviour.

Citing Articles

Bicycle helmet campaigns and head injuries among children. Does poverty matter?.

Farley C, Laflamme L, Vaez M J Epidemiol Community Health. 2003; 57(9):668-72.

PMID: 12933770 PMC: 1732585. DOI: 10.1136/jech.57.9.668.

Bicycle helmet use among schoolchldren--the influence of parental involvement and children's attitudes.

Berg P, Westerling R Inj Prev. 2001; 7(3):218-22.

PMID: 11565988 PMC: 1730748. DOI: 10.1136/ip.7.3.218.

References

Morris B, Trimble N . Promotion of bicycle helmet use among schoolchildren: a randomized clinical trial. Can J Public Health. 1991; 82(2):92-4. View

Kraus J, Fife D, Conroy C . Incidence, severity, and outcomes of brain injuries involving bicycles. Am J Public Health. 1987; 77(1):76-8. PMC: 1646815. DOI: 10.2105/ajph.77.1.76. View

Dannenberg A, Gielen A, Beilenson P, Wilson M, Joffe A . Bicycle helmet laws and educational campaigns: an evaluation of strategies to increase children's helmet use. Am J Public Health. 1993; 83(5):667-74. PMC: 1694700. DOI: 10.2105/ajph.83.5.667. View

Weiss B . Childhood bicycle injuries. What can we do?. Am J Dis Child. 1987; 141(2):135-6. DOI: 10.1001/archpedi.1987.04460020025018. View

DiGuiseppi C, Rivara F, Koepsell T, Polissar L . Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989; 262(16):2256-61. View

Cushman R, Down J, Macmillan N, Waclawik H . Helmet promotion in the emergency room following a bicycle injury: a randomized trial. Pediatrics. 1991; 88(1):43-7. View

Farley C, Haddad S, Brown B . The effects of a 4-year program promoting bicycle helmet use among children in Quebec. Am J Public Health. 1996; 86(1):46-51. PMC: 1380359. DOI: 10.2105/ajph.86.1.46. View

Fife D, Davis J, Tate L, Wells J, Mohan D, Williams A . Fatal injuries to bicyclists: the experience of Dade County, Florida. J Trauma. 1983; 23(8):745-55. View

Gallagher S, Finison K, Guyer B, Goodenough S . The incidence of injuries among 87,000 Massachusetts children and adolescents: results of the 1980-81 Statewide Childhood Injury Prevention Program Surveillance System. Am J Public Health. 1984; 74(12):1340-7. PMC: 1652665. DOI: 10.2105/ajph.74.12.1340. View

10.

Bergman A, Rivara F, Richards D, Rogers L . The Seattle children's bicycle helmet campaign. Am J Dis Child. 1990; 144(6):727-31. DOI: 10.1001/archpedi.1990.02150300127033. View

11.

Parkin P, Spence L, Hu X, Kranz K, Shortt L, Wesson D . Evaluation of a promotional strategy to increase bicycle helmet use by children. Pediatrics. 1993; 91(4):772-7. View

12.

Otis J, Lesage D, Godin G, Brown B, Farley C, Lambert J . Predicting and reinforcing children's intentions to wear protective helmets while bicycling. Public Health Rep. 1992; 107(3):283-9. PMC: 1403648. View

13.

Wood T, Milne P . Head injuries to pedal cyclists and the promotion of helmet use in Victoria, Australia. Accid Anal Prev. 1988; 20(3):177-85. DOI: 10.1016/0001-4575(88)90002-4. View

14.

Stevenson T, Lennie J . Empowering school students in developing strategies to increase bicycle helmet wearing. Health Educ Res. 1992; 7(4):555-66. DOI: 10.1093/her/7.4.555. View

15.

Dorsch M, Woodward A, Somers R . Do bicycle safety helmets reduce severity of head injury in real crashes?. Accid Anal Prev. 1987; 19(3):183-90. DOI: 10.1016/0001-4575(87)90002-9. View

16.

Cushman R, James W, Waclawik H . Physicians promoting bicycle helmets for children: a randomized trial. Am J Public Health. 1991; 81(8):1044-6. PMC: 1405730. DOI: 10.2105/ajph.81.8.1044. View

17.

Schneider M, Ituarte P, Stokols D . Evaluation of a community bicycle helmet promotion campaign: what works and why. Am J Health Promot. 1993; 7(4):281-7. DOI: 10.4278/0890-1171-7.4.281. View

18.

Thompson R, Rivara F, Thompson D . A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989; 320(21):1361-7. DOI: 10.1056/NEJM198905253202101. View

19.

Cote T, Sacks J, Dannenberg A, Kresnow M, Lipsitz C, SCHMIDT E . Bicycle helmet use among Maryland children: effect of legislation and education. Pediatrics. 1992; 89(6 Pt 2):1216-20. View