Martinez 1996.
Methods | Non‐RCT | |
Participants | Participants were from 2 high schools (grades 10, 11 and 12) in the US, matched for socioeconomic factors but geographically separated, with enrolment of participants occurring in 4 sections of a physics class. Number of participants: 129 students in the intervention group and 74 students in the control group. |
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Interventions | Intervention: a 5‐component course consisting of audio‐visual aids, physical demonstration and a didactic lecture. A researcher delivered the course over 1 week, with each contact lasting 1 hour. The 5 components were basic energy lesson; safety features of vehicles including seat belts; occupant kinematics and forces/crash prevention, e.g. airbags; review of days 1 to 3 and a demonstration of a rollover, students then designed crash vehicles; the students tested their crash design. Control: usual physics lesson. |
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Outcomes | All outcomes measured by questionnaire 2 weeks, and 6 months after intervention. Self‐reported behaviour and practices (seat‐belt use, speeding and drink driving). Safety knowledge (physics of crashes, demographics of people involved in crashes and characteristics of automobiles). |
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Injury mechanisms | Pedestrian, cycle, motorcycle, vehicle (non‐specific). | |
Notes | No sample size calculation; non‐significant results may have occurred due to lack of power. There was a difference in the school grade of control and intervention groups at baseline. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation to intervention/control (selection bias) (for non‐RCT and CBA studies) | Unclear risk | Allocation was not described, except that they were 'chosen'. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | It was clear which group the participants were in as the intervention group received the lessons and the control group had lessons as normal ‐ blinding not possible. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Paper did not report who analysed the data. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Only results for students with scores for before instruction (time T1), and at 2 weeks (T2) and then T1 and T3 scores (6 months after instruction was completed) were included. No imputation for the missing data was carried out. There was also a large dropout rate in the control group at T3 (differential). |
Selective reporting (reporting bias) | Unclear risk | Unclear how many children were in each group for the analyses and the authors did not mention removing outliers. |
Other bias | Unclear risk | Methods of adjustment used in the regression modelling not described. |
Risk of bias due to confounding (for non‐RCTs and CBA studies) | High risk | There were slightly more males in the intervention group, and a difference of 1 school grade between most of the intervention and control group. Schools were matched on socioeconomic status. |