ATV Safety Summit: Training the Next Generation - STARs: Increasing Adolescent ATV Safety Knowledge Through an In-Classroom Educational Intervention
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ATV Safety Summit: Training the Next Generation - STARs: Increasing Adolescent ATV Safety Knowledge Through an In-Classroom Educational Intervention

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Gerene Denning, of the University of Iowa Department of Emergency Medicine, presented this at CPSC’s ATV Safety Summit Oct. 11, 2012. The study objective was to determine the effectiveness of an ...

Gerene Denning, of the University of Iowa Department of Emergency Medicine, presented this at CPSC’s ATV Safety Summit Oct. 11, 2012. The study objective was to determine the effectiveness of an in-classroom ATV safety education program that targets younger adolescents and highlights the 10 STARs --Safety Tips for ATV Riders. Methods: An audience response system was utilized to obtain data before and after the educational sessions. A one year follow-up written survey was administered. Results: About 2000 students in thirteen Iowa schools received the ATV safety program; 10 schools participated in the follow-up study. On the three knowledge questions, pre-intervention correct scores were 52%, 27% and 46% which rose to 93%, 80% and 79% on post-exam, respectively. Immediately after the program, 44% said they were likely or very likely to use the ATV safety tips, while 36% said they were unlikely or very unlikely to do so. One-year follow-up knowledge question scores were 77%, 45% and 58%. Lower percentages of students reported having ridden on an ATV with passengers or on a public road in the year following the education program. There were no differences in helmet use. Conclusion: Although it's unclear if ATV safety behavior definitely improved, the classroom educational intervention was able to increase short and long term safety knowledge. Repeated interventions may improve both knowledge retention and safety behaviors.

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ATV Safety Summit: Training the Next Generation - STARs: Increasing Adolescent ATV Safety Knowledge Through an In-Classroom Educational Intervention ATV Safety Summit: Training the Next Generation - STARs: Increasing Adolescent ATV Safety Knowledge Through an In-Classroom Educational Intervention Presentation Transcript

  • Safety Tips for ATV Riders (STARs) Increasing Adolescent ATV Safety KnowledgeThrough an In-Classroom Educational Intervention Gerene Denning, PhD Kristel Wetjen, RN Charles Jennissen, MD Pamela Hoogerwerf Karisa Harland, PhD Jeffrey Peck
  • ATV Deaths And Injuries:Children are at Increased Risk  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.  ATV crashes kill more children each year than bicycle crashes.
  • Objective of StudyDevelop, Implement, and Assess ASchool-Based ATV Safety Program Targeted to Adolescents
  • How do we get from here… ? …to here? ? ? ? ? ?
  • STARs ATV Safety Program  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
  • Program Design Recruit schools and schedule times: Invitation letters to principals Personal contacts School Nurse’s Conferences 10 Isolated 5 Urban 3 Rural (754)Rural (1,227) (1,204) Day of school visit Welcome Pre-program survey (Turning Point™) 40 min program Post-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) 1 Always wear your helmet 2 One person at a time 3 Ride the right size machine 4 Always wear your protective gear 5 Never ride on the road 6 Take a safety course 7 Tell someone where you are going 8 Respect private property 9 Never use alcohol or drugs 10 Always obey the rules
  • ATV Tilt Table Jeffrey Peck
  • Post-surveyTurning Point™ 1-Year Written Follow-up Survey 3 knowledge questions  Age Likelihood of  Gender using the  Riding and safety practices knowledge gained • Riding with passengers • Riding on public roads • Helmet use  Experienced a crash  3 knowledge questions
  • Results
  • Both Rural And Urban YouthWere Represented In The Study.  18 schools in Eastern and Central Iowa (3,185 students). 39% 38%  Rurality is based on zip codes and the Rural Urban Commuting 24% Codes (RUCA)  Males and females were equally represented. 10% 17% 21%  74% were in our original target age range of 12-15 years old. 53%
  • Baseline knowledge wasrelatively low. According to guidelines, what is the Most ATVs are made to largest ATV engine size carry how many people? recommended for use by 12-15 year Correct answer = 1 olds? Correct answer = 90 cc 26% 54% According to Iowa law, when can 44% someone ride an ATV on a public road? Correct answer = For farming purposes
  • The program improvedshort-term knowledge. Most ATVs are made to carry how many people? 54% 92%What is the largest ATV engine size recommended for use by 12-15 year olds? 26% 81% According to Iowa law, when can someone ride an ATV on a public road? 44% 77%
  • Increased knowledge waspartially retained. Values represent only students for whom short- and long-term follow-up data were available (9 of 18 original schools, N = 1046). Same Day Long-term Question Baseline Follow-up 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 26% 79% 44% 12-15 year olds? According to Iowa law, when can someone ride an ATV on a public road? 47% 79% 58%
  • Some improvement in reportedbehavior was observed. Program Day % Use knowledge Likely/Very Likely 47% Undecided 20% Not Likely/Unlikely 33% Variable Program Day 1 Year Riding with 95% *82% Passengers Riding on the roads 81% *54% Never/Almost never 76% 60% wear a helmet N = 1,046 students; *p<0.001
  • 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 ATVCrashes 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 2011When we have the power to save lives and health,we have the responsibility to do so.