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Evaluation of a Curriculum-Based Elementary School BikeSafe Program.

Michelina M Witte1,2, Alyson D Brady1, Hyuk Kim1

  • 1The KiDZ Neuroscience Center at the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida, USA.

The Journal of School Health
|May 5, 2026
PubMed
Summary
This summary is machine-generated.

The BikeSafe Elementary School Curriculum (BESC) significantly improved bicycle safety knowledge for elementary students. This off-bicycle program offers a scalable solution for enhancing youth injury prevention in schools.

Keywords:
bicycle safetycurriculum evaluationelementary schoolhealth equityinjury preventionphysical education

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Area of Science:

  • Public Health
  • Pediatric Injury Prevention
  • Health Education

Background:

  • Urban children face high risks of bicycle-related injuries.
  • Limited evidence-based curricula exist for elementary school physical education (P.E.) bicycle safety.
  • The BikeSafe Elementary School Curriculum (BESC) was developed to address this gap.

Purpose of the Study:

  • To evaluate the effectiveness of the BESC program in improving bicycle safety knowledge among elementary school students.
  • To assess the feasibility of implementing an off-bicycle curriculum in P.E. settings.

Main Methods:

  • The BESC program was implemented by P.E. teachers in nine public elementary schools for grades 2-5.
  • Students (grades 2-3 and 4-5) completed pre- and post-assessments.
  • Statistical analyses included McNemar's test and the Wilcoxon signed-rank test to evaluate knowledge changes.

Main Results:

  • Significant improvements in safety knowledge scores were observed for both younger (grades 2-3) and older (grades 4-5) students.
  • Students demonstrated enhanced understanding of visibility, hand signals, and built environment awareness.
  • The curriculum requires minimal equipment, facilitating integration into existing P.E. programs.

Conclusions:

  • The BESC program effectively improved elementary students' bicycle safety knowledge.
  • BESC is a scalable and viable alternative to on-bike instruction for school settings.
  • Wider adoption of BESC can contribute to youth injury prevention and promote safe cycling behaviors.