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Evaluation of a Bicycle Helmet Safety Program for Children

Published online by Cambridge University Press:  23 September 2014

Michael D. Cusimano ,
Ahmed Faress ,
Wilson P. Luong ,
Sally Lockhart ,
Khizer Amin ,
Rhonda J. Garland  and
Kelly Russell
Michael D. Cusimano*
Affiliation:
Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario
Ahmed Faress
Affiliation:
Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario
Wilson P. Luong
Affiliation:
Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario
Sally Lockhart
Affiliation:
Spectrum Solutions, Coleman, Prince Edward Island, Canada
Khizer Amin
Affiliation:
Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario
Rhonda J. Garland
Affiliation:
Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario
Kelly Russell
Affiliation:
Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario
*
Injury Prevention Research Office, St. Michael's Hospital, 30 bond Street, Toronto, Ontario, M5B 1W8, Canada. Email: [email protected]
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Abstract:

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Background:

Helmets have been shown to decrease the risk of brain injury; however, helmets must be worn correctly and fit well in order to be effective. The objective of this study is to determine whether kindergarten-aged children could learn and retain appropriate helmet wearing technique through an educational bicycle safety program.

Methods:

Retrospective analysis of scores in questionnaires administered before and after an educational intervention to kindergarten students four to six years of age. The study took place in Prince Edward Island, Canada. A Wilcoxon Sign-Rank Test was used to determine if there was a significant overall increase in knowledge; McNemar chi-square tests were used to determine if there was an increase in knowledge for individual questions.

Results:

There was significant improvement in pre-test to immediate post-tests scores and pre-test to delay post-test scores when the results were stratified by age, sex, bike riding status, and helmet wearing status (p<0.001 for all comparisons). In particular, correct responses for the questions regarding appropriate helmet distances from the eyes increased from 38.9% in the pre-test to above 90% in the post-tests (p<0.001). Correct responses for the question pertaining to appropriate fitting of helmet straps increased from 71.7% pre-test to above 90% in the post-tests (p<0.001).

Conclusions:

There was improved knowledge of appropriate helmet-wearing technique among kindergarten-aged children as a result of the educational intervention, and knowledge gains were retained for at least one month.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 40 , Issue 5 , September 2013 , pp. 710 - 716
Copyright
Copyright © The Canadian Journal of Neurological 2013

References

1.Pucher, J, Buehler, R, Seinen, M.Bicycling renaissance in North America? An update and re-appraisal of cycling trends and policies. Transportation Research Part A. 2011;45:451–75.Google Scholar
2.Rodgers, GB.Bicycle and bicycle helmet use patterns in the United States in 1998. J Safety Research. 2000;31:149–58.Google Scholar
3.Selbst, SM, Alexander, D, Ruddy, R.Bicycle-related injuries. Am J Dis Child. 1987;141(2):140–4.Google Scholar
4.Linn, S, Smith, D, Sheps, S.Epidemiology of bicycle injury, head injury, and helmet use among children in British Columbia: a five year descriptive study. Canadian Hospitals Injury, Reporting and Prevention Program (CHIRPP). Inj Prev. 1998;4(2):122–5.Google Scholar
5.Rivara, FP, Thompson, DC, Thompson, RS.Epidemiology of bicycle injuries and risk factors for serious injury. Inj Prev. 1997;3:110–4.Google Scholar
6.Sacks, JJ, Holmgreen, P, Smith, SM, Sosin, DM.Bicycle-associated head injuries and deaths in the United States from 1984 through 1988. How many are preventable? JAMA. 1991;266(21):3016–8.Google Scholar
7.Thompson, DC, Rivara, FP, Thompson, RS.Helmets for preventing head and facial injuries in bicyclists. Cochrane Database Syst Rev. 2000;2:CD001855.Google Scholar
8.Lee, RS, Hagel, BE, Karkhaneh, M, Rowe, BH.A systematic review of correct bicycle helmet use: how varying definitions and study quality influence the results. Inj Prev. 2009;15(2):125–31.Google Scholar
9.Rivara, FP, Astley, SJ, Clarren, SK, Thompson, DC, Thompson, RS.Fit of bicycle safety helmets and risk of head injuries in children. Inj Prev. 1999;5(3):194–7.Google Scholar
10.Hagel, BE, Lee, RS, Karkhaneh, M, Voaklander, D, Rowe, BH.Factors associated with incorrect bicycle helmet use. Inj Prev. 2010;16:178–84.Google Scholar
11.Thompson, NJ, Sleet, D, Sacks, JJ.Increasing the use of bicycle helmets: lessons from behavioral science. Patient Educ Couns. 2002;46(3):191–7.CrossRefGoogle ScholarPubMed
12.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;86(1):46–51.Google Scholar
13.Parkin, PC, Spence, LJ, Hu, X, Kranz, KE, Shortt, LG, Wesson, DE.Evaluation of a promotional strategy to increase bicycle helmet use by children. Pediatrics 1993;91(4):772–7.CrossRefGoogle ScholarPubMed
14.DiGuiseppi, CG, Rivara, FP, Koepsell, TD, Polissar, L.Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989;262(16):2256–61.Google Scholar
15.Wood, T, Milne, P.Head injuries to pedal cyclists and the promotion of helmet use in Victoria, Australia. Accid Anal Prev. 1988;20(3):177–85.Google Scholar
16.Ekman, R, Schelp, L, Welander, G, Svanstrom, L.Can a combination of local, regional and national information substantially increase bicycle-helmet wearing and reduce injuries? Experiences from Sweden. Accid Anal Prev. 1997;229(3):321–8.Google Scholar
17.Renaud, L, Suissa, S.Evaluation of the efficacy of simulation games in traffic safety education of kindergarten children. Am J Public Health. 1989; 79(3):307–9.Google Scholar
18.Cohen, J.A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37–46.Google Scholar
19.Landis, JR, Koch, GG.The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.Google Scholar
20.Nagel, RW, Hankenhof, BJ, Kimmel, SR, Saxe, JM.Educating grade school children using a structured bicycle safety program. J Trauma. 2003;55(5):920–3.Google Scholar
21.Rugg, MD, Yonelinas, AP.Human recognition memory: a cognitive neuroscience perspective. Trends Cogn Sci. 2003;7(7):313–9.Google Scholar
22.Wassenberg, R, Hurks, PP, Hendriksen, JG, et al.Age-related improvement in complex language comprehension: results of a cross-sectional study with 361 children aged 5 to 15. J Clin Exp Neuropsychol. 2008;30(4):435–48.Google Scholar