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Health Promotion Practice, Vol. 4, No. 2, 138-145 (2003)
DOI: 10.1177/1524839902250765

Evaluation of a School-Based Education Program to Promote Bicycle Safety

Sallie E. Davis Kirsch, PhD, RN

Nancy Pullen, BS, CHES, MPHc

Of the 500,000 children in the United States who are injured in bicycle crashes annually, 252 die—97% of whom were not wearing a helmet. Although many intervention programs promote the use of helmets by children, a paucity of school-based evaluation studies exist that report students’ knowledge retention or behavioral changes. The purposes of this study were to identify associations between student-reported knowledge of safety-related behaviors, reports of current safety-related practices, and students’ participation in the Safety Central program while in the 4th grade. The sample consisted of 284 students currently enrolled in 5th and 6th grades. Findings showed a statistically significant association between participation in the Safety Central program and retention of knowledge and enactment of safety messages after a 1- and 2-year period. Motivators and barriers for helmet use were also identified. Implications for modifications to the content and delivery of the program and future evaluations are addressed.

Key Words: program evaluation • school curriculum • bicycle safety • helmet health promotion • injury prevention


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