Abstract
Objective—While community interventions to increase bicycle helmet use have increased markedly, few of these studies are theoretically based. The purpose of this study was to determine relationships among PRECEDE model predictors and self reported helmet use among 407 fourth graders from nine low income, non-urban schools.
Setting—Low income schools, with high minority populations in eight non-metropolitan Central Texas counties were chosen.
Methods—Schools were randomly assigned in a repeated measures design to either classroom only, parent-child, or control groups. School nurses were educated by the researchers to present a head injury prevention program in all but the experimental schools. Researchers made contact by phone with the parents of children in the parent-child group.
Results and conclusions—Participation in either of the educational interventions, followed by belief that helmets protect your head (a predisposing factor), and participation in the parent intervention condition, added significant unique variance to the prediction of helmet use after helmet ownership is accounted. These four variables, taken together, account for 72% of the variance in predicting bicycle helmet use.
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Selected References
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- 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 Jan;86(1):46–51. doi: 10.2105/ajph.86.1.46. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lau R. R., Quadrel M. J., Hartman K. A. Development and change of young adults' preventive health beliefs and behavior: influence from parents and peers. J Health Soc Behav. 1990 Sep;31(3):240–259. [PubMed] [Google Scholar]
- Macknin M. L., Medendorp S. V. Association between bicycle helmet legislation, bicycle safety education, and use of bicycle helmets in children. Arch Pediatr Adolesc Med. 1994 Mar;148(3):255–259. doi: 10.1001/archpedi.1994.02170030025005. [DOI] [PubMed] [Google Scholar]
- McEvoy M. Increasing bicycle helmet use among school-age children. Nurse Pract. 1996 Apr;21(4):14-6, 150. [PubMed] [Google Scholar]
- Mullen P. D., Hersey J. C., Iverson D. C. Health behavior models compared. Soc Sci Med. 1987;24(11):973–981. doi: 10.1016/0277-9536(87)90291-7. [DOI] [PubMed] [Google Scholar]
- 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 May-Jun;107(3):283–289. [PMC free article] [PubMed] [Google Scholar]
- Parkin P. C., Spence L. J., Hu X., Kranz K. E., Shortt L. G., Wesson D. E. Evaluation of a promotional strategy to increase bicycle helmet use by children. Pediatrics. 1993 Apr;91(4):772–777. [PubMed] [Google Scholar]
- Peterson L., Bartelstone J., Kern T., Gillies R. Parents' socialization of children's injury prevention: description and some initial parameters. Child Dev. 1995 Feb;66(1):224–235. doi: 10.1111/j.1467-8624.1995.tb00867.x. [DOI] [PubMed] [Google Scholar]
- Ratner P. A., Green L. W., Frankish C. J., Chomik T., Larsen C. Setting the stage for health impact assessment. J Public Health Policy. 1997;18(1):67–79. [PubMed] [Google Scholar]
- Rivara F. P., Thompson D. C., Thompson R. S., Rogers L. W., Alexander B., Felix D., Bergman A. B. The Seattle children's bicycle helmet campaign: changes in helmet use and head injury admissions. Pediatrics. 1994 Apr;93(4):567–569. [PubMed] [Google Scholar]
- Russell K. M., Champion V. L. Health beliefs and social influence in home safety practices of mothers with preschool children. Image J Nurs Sch. 1996 Spring;28(1):59–64. doi: 10.1111/j.1547-5069.1996.tb01180.x. [DOI] [PubMed] [Google Scholar]
- Schneider M. L., Ituarte P., Stokols D. Evaluation of a community bicycle helmet promotion campaign: what works and why. Am J Health Promot. 1993 Mar-Apr;7(4):281–287. doi: 10.4278/0890-1171-7.4.281. [DOI] [PubMed] [Google Scholar]
- Thompson D. C., Rivara F. P., Thompson R. S. Effectiveness of bicycle safety helmets in preventing head injuries. A case-control study. JAMA. 1996 Dec 25;276(24):1968–1973. [PubMed] [Google Scholar]
- Thompson R. S., Rivara F. P., Thompson D. C. A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989 May 25;320(21):1361–1367. doi: 10.1056/NEJM198905253202101. [DOI] [PubMed] [Google Scholar]