Post on 25-Jun-2015
description
Increasing Adolescent ATV Safety Knowledge Through an In-Classroom Educational Intervention
Safety Tips for ATV Riders (STARs)
Gerene Denning, PhD Kristel Wetjen, RNCharles Jennissen, MD Pamela HoogerwerfKarisa Harland, PhD Jeffrey Peck
ATV Deaths And Injuries:
ATV crashes disproportionately affect the young:
• 1 in 4 deaths and 1 in 3 injuries involve children and teens.
Children and teens account for the majority of passenger deaths and injuries.
Children are at Increased Risk
ATV crashes kill more children each year than bicycle crashes.
Objective of Study
Develop, Implement, and Assess A School-Based ATV Safety Program
Targeted to Adolescents
How do we get from here…
…to here?
? ? ? ? ? ?
School-based format
Target age range of 12-15 years old
Interactive and engaging
Partner ATV safety experts and injury prevention experts
Do evaluative research
STARs ATV Safety Program
Program DesignRecruit schools and schedule times:Invitation letters to principalsPersonal contactsSchool Nurse’s Conferences
10 Isolated Rural (1,227)
3 Rural (754)5 Urban (1,204)
Day of school visitWelcomePre-program survey (Turning Point™)40 min programPost-program survey (Turning Point™)
1-year follow-up (9 schools)Written follow-up survey
Pre-surveyTurning Point™ Age
Gender
ATV use and frequency
Riding and safety practices
• Riding with passengers
• Riding on public roads
• Helmet use
Whether experienced a crash
3 knowledge questions
Safety Tips for ATV Riders (STARs) Always wear your helmet
One person at a time
Ride the right size machine
Always wear your protective gear
Never ride on the road
Take a safety course
Tell someone where you are going
Respect private property
Never use alcohol or drugs
Always obey the rules
1
2
3
4
5
6
7
8
9
10
ATV Tilt Table
JeffreyPeck
Post-surveyTurning Point™
3 knowledge questions
Likelihood of using the knowledge gained
1-Year Written Follow-up Survey
Age
Gender
Riding and safety practices
• Riding with passengers
• Riding on public roads
• Helmet use
Experienced a crash
3 knowledge questions
Results
Both Rural And Urban Youth Were Represented In The Study.
18 schools in Eastern and Central Iowa (3,185 students).
Rurality is based on zip codes and the Rural Urban Commuting Codes (RUCA)
Males and females were equally represented.
74% were in our original target age range of 12-15 years old.
38%
24%
39%
17%
53%
21%
10%
Baseline knowledge was relatively low.
Most ATVs are made to carry how many people? Correct answer = 1
According to Iowa law, when can someone ride an ATV on a public road?Correct answer = For farming purposes
According to guidelines, what is the largest ATV engine size recommended for use by 12-15 year olds?Correct answer = 90 cc
54%26%
44%
The program improved short-term knowledge.
54%
26%
44%
92%
81%
77%
Most ATVs are made to carry how many people?
What is the largest ATV engine size recommended for use by 12-15 year olds?
According to Iowa law, when can someone ride an ATV on a public road?
Increased knowledge was partially retained.
Values represent only students for whom short- and long-term follow-up data were available (9 of 18 original schools, N = 1046).
Question BaselineSame Day Follow-up
Long-term Follow-up
Most ATVs are made to carry how many people?
53% 93% 78%
According to guidelines, what is the largest ATV engine size recommended for use by 12-15 year olds?
26% 79% 44%
According to Iowa law, when can someone ride an ATV on a public road? 47% 79% 58%
Some improvement in reported behavior was observed.
Variable Program Day 1 Year
Riding with Passengers
95% *82%
Riding on the roads 81% *54%
Never/Almost never wear a helmet
76% 60%
N = 1,046 students; *p<0.001
Program DayUse knowledge
%
Likely/Very Likely 47%
Undecided 20%
Not Likely/Unlikely 33%
Conclusions
Over 3,000 students received training.
Short-term knowledge was increased.
Long-term knowledge was partially
retained.
Some improvement in safety behaviors
was observed.
Unsafe behaviors remain unacceptably
high.
Future Directions Develop, implement, and assess a multi-state school-
based ATV safety intervention.
Develop and make accessible toolkits for teaching ATV safety for teachers, scout leaders, 4-H, FFA, and healthcare provider.
Deaths and Injuries from ATV Crashes are Preventable!
To prevent deaths and injuries and their accompanying financial costs, we need:
• EDUCATION and Public Awareness
• ENGINEERING Safer Vehicles
• ENFORCEMENT of Evidence-Based Public Health and Safety Laws
It takes all stakeholders working together.
Why We Do What We Do
5 of 8 Iowa children killed by ATVs in 2011
When we have the power to save lives and health, we have the responsibility to do so.