266943 Effects of service learning on teen seat belt use

Monday, October 29, 2012 : 11:30 AM - 11:50 AM

Paul Juarez, PhD , Department of Family & Community Medicine, Meharry Medical College, Nashville, TN
Barbara Kilbourne, PhD , Department of Family & Community Medicine, Meharry Medical College, Nashville, TN
The specific aim of the research was to evaluate the impact of a targeted, school-based, peer-to-peer, service learning intervention that promotes seatbelt use by students in Jackson public high schools. The study sampling frame included all students (n= ~ 8,493/year) enrolled in the eight high schools (4 intervention and 4 control schools). A school-based, service learning intervention was used in which students developed and implemented an intervention that utilized the principles of service learning. Thirty-one waves of parking lot observations were conducted across the four years of the study resulting in 72,212 observations. Study findings showed that the service learning intervention produced statistically significant increases in seat belt use during the intervention phases over non-intervention phases. During each service learning phase, seatbelt use increased by roughly 15%-18% and as much as 56% (b=0.4416, OR 1.56) after controlling for school, vehicle and driver characteristics. This increase is on top of a secular increase in seatbelt use over time of 4.8% (b=0.047, OR=1.048, p<0.0001) per semester over the four academic years. Results of the three hierarchical linear models showed that when compared to vans, driver seatbelt use was lower in cars (OR = 0.84) and pickup trucks (OR = 0.80). Higher rates of seatbelt use were observed for female passengers (OR=2.79), and adults passengers (OR=2.25). Compared to Whites and others, African American passengers had lower rates of observed seatbelt use (OR=0.29). Rates were higher when the driver was a female (OR=1.15) and lower when the driver was an adult (OR=0.86).

Learning Areas:
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. Identify the principles of service learning 2. Discuss how to conduct street observations of seat belt usage 3. Identify the difficulties of undertaking research in a school setting

Keywords: Adolescent Health, Motor Vehicles

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have extensive experience in academic family medicine including leadership positions in community medicine, research, and health information technology. My previous experience includes the Director of Research and Evaluation at White Memorial Medical Center in East LA and Director of Research and Telehealth for the Department of Family Medicine at Charles R. Drew University. My research interests include Youth Violence prevention, Cancer, Motor vehicle safety and cultural influences, racial and ethnic risk factors since 1979.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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