0
Education and Training for All-terrain Vehicle Safety                            Mary E. Aitken, MD MPH                 In...
ATV Injury Admissions,                 Arkansas Childrens Hospital Trauma Service        100                         by Ye...
ATV Safety Activities• ATV Safety Workgroup (2001):  – Multidisciplinary group: healthcare, public health, community  – Ac...
Arkansas ATV Research Group• Arkansas                       • West Virginia  – Mary Aitken, Pediatrics        – Maria Bran...
ATV Education• Doing education directed toward children is  complicated and controversial• Little formal evaluation of ATV...
Educational Studies• Community Education Campaign  – Non-randomized, controlled design  – Worked with health coalition in ...
Intervention Results by County                   ATV Use and Behavior by County and Time                                  ...
Targeted ATV Education Program• Aims:   – To develop and evaluate educational materials for use in     general community b...
Hunter Safety Intervention• More focused educational program targeting  youth and adults taking AR hunter safety class• Pr...
Hunter Safety Education Project                          Change in Correct Response, Safe ATV Use,                        ...
ATV Safety Toolkit Distribution by State                                                           Through June 2012      ...
Training on proven strategies• Little study of protective gear or helmet effectiveness   • reduction of 42% for mortality;...
Why Low Helmet use?• What are barriers and facilitators to ATV  helmet use?   – Focus groups of ATV riders (adult and yout...
Focus Group Comments• Teen: “I’ve been known to have pretty quick reflexes, so I  would probably jump off soon enough to n...
Engineering studies as a tool in education• Educational directions may be clearer if ATV  performance and stability better...
Engineering projects• Co-investigators at UAMS, ACH, University of AR, UA  Cooperative Extension, private engineering firm...
Engineering Researcharchildrens.org           arpediatrics.org                              arpediatrics.org   uams.edu
Simulation Factorial Study      ATV Speed 10mph      Slope 30 degrees       Slope length 2marchildrens.org          arpedi...
Simulation videos• Animation added to computer simulations to  use in educational interventions• Status: draft form for su...
Planned Studies• Engineering studies--next steps   – Tire and road surface characterization   – Grip strength testing   – ...
Challenges and Next Steps• Improve and expand training/educational  evaluation• Short term: Use novel and more sophisticat...
Acknowledgements• Arkansas Biosciences Institute• Children’s University Medical Group Fund• HRSA Emergency Medical Service...
Upcoming SlideShare
Loading in...5
×

ATV Safety Summit: Consumer Awareness: Getting the Message Out - Education and Training for All-terrain Vehicle Safety

517

Published on

Mary Aitken, Professor of Pediatrics with the Injury Prevention Center, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, presented this at CPSC's ATV Safety Summit Oct. 12, 2012. Education for parents and youth riders of all-terrain vehicles (ATVs) has focused on increasing rider use of helmets and other safety equipment, along with reducing other risky behaviors on the vehicles (passengers, road use). Recent focus group and survey data collected by the University of Arkansas for Medical Sciences ATV research group has led to educational material that is clearer and more practical. Users requested information that demonstrated consequences of risky ATV use and targeted both parents and youth riders. The focus group data also indicated that many users have a very inaccurate perception of ATV risk and stability, thereby reducing the perceived need for use of personal safety equipment. We are therefore working with engineers to develop validated computer models of ATVs to simulate performance with child riders and passengers. Recent speed, inclination and surface simulation models are compelling regarding risk to child riders and riders with passengers, showing ejection and ATV instability even at low speeds (10 mph) in some scenarios. When fully validated, these models may inform educational interventions to provide users with more realistic ATV safety images and motivate individual behavior change. The computer simulations can also highlight where ATV stability and performance may be improved.

Published in: Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
517
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
11
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "ATV Safety Summit: Consumer Awareness: Getting the Message Out - Education and Training for All-terrain Vehicle Safety"

  1. 1. Education and Training for All-terrain Vehicle Safety Mary E. Aitken, MD MPH Injury Prevention Center, Arkansas Children’s Hospital Center for Applied Research and Evaluation, University of Arkansas for Medical Sciences Arkansas ATV Research Group Presented to ATV Safety Summit US Consumer Product Safety Commission, October 2012 archildrens.org arpediatrics.org arpediatrics.org uams.edu
  2. 2. ATV Injury Admissions, Arkansas Childrens Hospital Trauma Service 100 by Year and Age, 1998-2011 90 80 70 60 15 to 18Count 10 to 14 50 5 to 9 40 0 to 4 30 20 10 0 1998 2011 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Year
  3. 3. ATV Safety Activities• ATV Safety Workgroup (2001): – Multidisciplinary group: healthcare, public health, community – Activities: Planning, research, education, and advocacy – Practical and evidence-based solutions sought• Arkansas ATV Safety Research Group (2009): – Epidemiology – Educational program development and evaluation – Advocacy and policy research – Engineering and vehicle factors archildrens.org arpediatrics.org arpediatrics.org uams.edu
  4. 4. Arkansas ATV Research Group• Arkansas • West Virginia – Mary Aitken, Pediatrics – Maria Brann, Mass – James Graham, Pediatric Communications Emergency Medicine • Denver – Beverly Miller, Education – Jim Helmkamp, Epidemiology – Hope Mullins, Public Health • Baltimore – Chandra Thorbole, – Steve Bowman, Health Engineering Services Research• Oklahoma – Mike Klumpp, 4-H/Agriculture archildrens.org arpediatrics.org arpediatrics.org uams.edu
  5. 5. ATV Education• Doing education directed toward children is complicated and controversial• Little formal evaluation of ATV training and education has been published• What has been published largely examines knowledge gains, rather than intended or actual behavior• Methods to assess behavior in actual use exist but are challenging archildrens.org arpediatrics.org arpediatrics.org uams.edu
  6. 6. Educational Studies• Community Education Campaign – Non-randomized, controlled design – Worked with health coalition in AR counties with high ATV injury rates – Pre/post knowledge, self-reported behavior surveys in secondary schools• Revealed very high levels of ATV exposure and risk taking behaviors archildrens.org arpediatrics.org arpediatrics.org uams.edu
  7. 7. Intervention Results by County ATV Use and Behavior by County and Time Intervention Comparison Pre Post Pre PostExposure to ATV 85% 91% 74% 75%Passenger Exposure 23% 20% 22% 22%Helmet Use 15% 14% 17% 16%Parent Awareness of ATV Use 63% 66% 57% 54%Recall of ATV Safety Message 49% 63%* 35% 44%Participation in ATV Safety Training 12% 29%* 21% 22% * p<0.05 Aitken et al, J Invest Med, 2007 archildrens.org arpediatrics.org arpediatrics.org uams.edu
  8. 8. Targeted ATV Education Program• Aims: – To develop and evaluate educational materials for use in general community based ATV injury prevention – To develop and evaluate more targeted educational strategies for use in populations at high risk for ATV injury – To explore innovative message delivery strategies for ATV injury prevention for children and adolescents EMSC Targeted Issues Grant # H34MC08514-01-00: Development and Evaluation of Targeted ATV Education Strategies for Rural Children, 9/1/07-8/31/11) archildrens.org arpediatrics.org arpediatrics.org uams.edu
  9. 9. Hunter Safety Intervention• More focused educational program targeting youth and adults taking AR hunter safety class• Pre/post knowledge surveys• Baseline Cycle (N=3015 surveys) and Intervention Cycle (1402 surveys)• Very popular with Hunter Safety Instructors Williams, J of Rural Health, 2010 archildrens.org arpediatrics.org arpediatrics.org uams.edu
  10. 10. Hunter Safety Education Project Change in Correct Response, Safe ATV Use, Baseline and Video Intervention (%) 21.6 Baseline Intervention 15.9 11.2 10.3 6.5 6.5 5.7 4.4 3 3.2 2.6 2.4 0.5Children as Children Children <16 Children <16 Children <16 Training Alcohol Unloaded -1.4 -3.3 -3.5passengers experience child Supervised No ATVS Weapon vehicles only Williams et al, J Rural Health, 2010 archildrens.org arpediatrics.org arpediatrics.org uams.edu
  11. 11. ATV Safety Toolkit Distribution by State Through June 2012 ATV Toolkit Distribution 0 1-5 6-25 26-50 51-100 100+Date: 6-21-12Source: Injury Prevention Center at Arkansas Children’s Hospital
  12. 12. Training on proven strategies• Little study of protective gear or helmet effectiveness • reduction of 42% for mortality; 62% reduction in head injury Rodgers, Accident Anal Prev 1990• Among ATV riders of all ages admitted to trauma centers, unhelmeted riders are: • > 60% increased risk for any TBI and 3X more likely to sustain severe TBI • more than twice as likely to die in hospital Bowman, Injury Prevention, 2009• Despite effectiveness, helmet use among ATV riders is very low archildrens.org arpediatrics.org arpediatrics.org uams.edu
  13. 13. Why Low Helmet use?• What are barriers and facilitators to ATV helmet use? – Focus groups of ATV riders (adult and youth) – Helmet wearers and non wearers – Presumed barriers and facilitators explored – Cost, comfort, and style less frequently cited factors than lack of perceived risk archildrens.org arpediatrics.org arpediatrics.org uams.edu
  14. 14. Focus Group Comments• Teen: “I’ve been known to have pretty quick reflexes, so I would probably jump off soon enough to not cause much damage to my head.”• Adult: “I’m not gonna be going fast enough, I’m not gonna be doing anything that’s gonna give me a reason to need it.”• Adult: “…they are so much safer today that when we were children that we just don’t see the importance.”• Adult: “I’m really more afraid of her breaking and arm and a leg than I am hitting her head.”• Adult: “…a lot of people just think that 4 wheelers are relatively stable, unlike a motorcycle.” archildrens.org arpediatrics.org arpediatrics.org uams.edu
  15. 15. Engineering studies as a tool in education• Educational directions may be clearer if ATV performance and stability better understood• Limited research on ATV dynamics with child riders• Some studies on anthropomorphics (Bernard, 2010) emerging but other evidence is lacking archildrens.org arpediatrics.org arpediatrics.org uams.edu
  16. 16. Engineering projects• Co-investigators at UAMS, ACH, University of AR, UA Cooperative Extension, private engineering firm• Use advanced computer simulation technology to simulate ATV performance with children on board• Potential applications – Education (short term) – Improved ATV and helmet design archildrens.org arpediatrics.org arpediatrics.org uams.edu
  17. 17. Engineering Researcharchildrens.org arpediatrics.org arpediatrics.org uams.edu
  18. 18. Simulation Factorial Study ATV Speed 10mph Slope 30 degrees Slope length 2marchildrens.org arpediatrics.org arpediatrics.org uams.edu
  19. 19. Simulation videos• Animation added to computer simulations to use in educational interventions• Status: draft form for suggestions and edits• http://www.enginst.org/files archildrens.org arpediatrics.org arpediatrics.org uams.edu
  20. 20. Planned Studies• Engineering studies--next steps – Tire and road surface characterization – Grip strength testing – Multiple passengers—in progress• Educational intervention – Grant application planned for early 2013: intervention to modify risk perception• Helmet and TBI studies – TBI characterization under varying scenarios – Helmet strength requirements – Other helmet design issues/barriers (visual field, comfort, etc.) archildrens.org arpediatrics.org arpediatrics.org uams.edu
  21. 21. Challenges and Next Steps• Improve and expand training/educational evaluation• Short term: Use novel and more sophisticated methods to convey ATV risk to families• Longer term: Engineering modifications to improve vehicle design and stability as well as reduce child access and passenger use archildrens.org arpediatrics.org arpediatrics.org uams.edu
  22. 22. Acknowledgements• Arkansas Biosciences Institute• Children’s University Medical Group Fund• HRSA Emergency Medical Services for Children Targeted Issues Grant program• Center for Translational Neuroscience archildrens.org arpediatrics.org arpediatrics.org uams.edu
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×