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Physicians promoting bicycle helmets for children: a randomized trial.

R Cushman¹, W James, H Waclawik

¹Children's Hospital of Eastern Ontario (CHEO), Ottawa, Canada.

American Journal of Public Health

|August 1, 1991

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Physician counseling and pamphlets did not increase helmet purchases among children. Community-wide efforts may be more effective for promoting bicycle helmet use and preventing head injuries.

Area of Science:

Pediatrics
Public Health
Injury Prevention

Background:

Head injuries are a primary cause of death and disability in bicycle accidents.
Despite evidence supporting helmet use, child helmet adoption rates remain low.

Purpose of the Study:

To evaluate the effectiveness of physician counseling and take-home pamphlets in promoting bicycle helmet purchase among children.

Main Methods:

A randomized trial was conducted in primary care settings.
The study involved 339 families, with an intervention group receiving counseling and pamphlets, and a control group.
Follow-up was conducted via telephone 2-3 weeks post-intervention.

Main Results:

Helmet purchase rates were similar between the intervention (7.2%) and control (7.0%) groups.

Related Experiment Videos

Physician counseling showed no significant additional impact on helmet purchasing.

Both groups were exposed to community-wide "co-interventions" like media attention and discount campaigns.

Conclusions:

Physician-led interventions in primary care settings were ineffective in increasing bicycle helmet purchases.
Multidisciplinary, community-based campaigns may be a more successful strategy for promoting helmet use and preventing pediatric head injuries.