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Physicians promoting bicycle helmets for children

A randomized trial

Bibliographic Data

ID11028613
AuthorsR A Cushman (0000-0003-1522-4181, Children's Hospital of Eastern Ontario), R Cushman, William James (0000-0002-3273-4688), Helen Waclawik
Year1991
Volume81
Issue8
Pages1044-1046
Publication date1991-08-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.81.8.1044
PMID1853997
OpenAlexW2074279061
LanguageEN
Citations received10
References cited5

Head injury is the leading cause of death and serious morbidity in bicycle accidents. There is good evidence to recommend helmets, yet few children wear them. We evaluated helmet promotion in a randomized trial targeting children presenting to primary care settings for routine ambulatory care. The intervention consisted of physician counseling and take-home pamphlets. The study involved 339 families, 167 in the intervention group and 172 in the control group. In a follow-up telephone call, 2 to 3 weeks later, only 7.2% of the intervention group had purchased helmets, compared with 7.0% of the control group (chi 2 = 0.0056, P = .94). During the latter half of the study, bicycle safety received considerable media attention in Ottawa, and the provincial medical society sponsored a $5 discount campaign. Therefore both groups were subject to community "co-intervention." Nonetheless, we were surprised that physician counseling made no additional impact. Our results and the success of certain community programs suggest that physicians interested in helmet promotion would do better to participate in the design and implementation of multidisciplinary campaigns

Ambulatory · Family medicine · Health promotion · Injury prevention · Intervention (counseling) · Medical emergency · Occupational safety and health · Poison control · Promotion (chess) · Public health · Randomized controlled trial · Suicide prevention · Agriculture and Farm Safety · Injury Epidemiology and Prevention · Medicine · Nursing · Surgery · Traffic and Road Safety

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  • Individual-Level Injury Prevention Strategies in the Clinical Setting

    Carolyn DiGuiseppi, Ian Roberts et al.•The Future of Children•2000

  • A cost-benefit analysis of legislation for bicycle safety helmets in Israel

    Gary Ginsberg, G M Ginsberg et al.•American Journal of Public Health•1994

  • Accounting for cluster randomization

    Joseph M Simpson, Neil Klar et al.•American Journal of Public Health•1995

  • Adverse working conditions and premature delivery

    Marian C Marbury•American Journal of Public Health•1991

  • Bicycle helmet laws and educational campaigns

    Andrew L Dannenberg, Andrea C Gielen et al.•American Journal of Public Health•1993

  • The effects of a 4-year program promoting bicycle helmet use among children in Quebec

    Céline Farley, S Haddad et al.•American Journal of Public Health•1996

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    C W Runyan, D K Runyan•American Journal of Public Health•1991

  • Evaluation of a Four-year Bicycle Helmet Promotion Campaign in Quebec Aimed at Children Ages 8 to 12

    Open Access•Céline Farley, Joanne Otis et al.•Canadian Journal of Public Health•1997

  • Maternal Intervention Strategies in Enforcing Children's Bicycle Helmet Use

    Open Access•Lizette Peterson, Lisa Saldana et al.•Journal of Health Psychology•1997

  • Incidence, severity, and outcomes of brain injuries involving bicycles

    J F Kraus, Daniel Fife et al.•American Journal of Public Health•1987

Citations per year0.29
Citation span1991 - 2000 (10)
Highly citedNo

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