Objective School environment has been often identified as a prosperous venue for injury prevention and safety promotion. This study sought to investigate the impact of a school-based helmet promotion program on knowledge, attitudes and practices of eligible adolescent drivers.
Methods A cluster randomised controlled trial was implemented, with schools as the unit of randomisation. Four public, four private and four vocational high-schools situated in Attica, Greece, were sorted by type and randomly assigned to receive a one-month intervention, based on the key concepts of the Health Belief Model, or serve as controls. Self-report data were collected at baseline from 741 second grade students (∼16 years) and immediately after program completion.
Results After program completion, helmet-related knowledge was significantly improved for all intervention students. The adjusted mean changes from baseline to post-test were: 1.71 for students attending public schools (p=0.0001); 2.31 for students attending private schools (p=0.0001); and 1.31 for students attending vocational schools (p=0.0001). Notwithstanding the greatest increase observed in private high-school students, the intervention had no impact on their attitudes and practices. Of note, individuals enrolled in private education had the lowest frequency of two-wheel motorised vehicle use, with 18.2% reporting frequent use, as contrasted to 38.6% in public schools and 61.1% in vocational.
Conclusions The intervention was successful in increasing students knowledge about helmet use. Nevertheless, its impact on helmet-related attitudes and practices of participants appeared to vary across different school types.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.