Evaluation of a school-based peer leader bicycle helmet intervention

Inj Control Saf Promot. 2004 Sep;11(3):165-74. doi: 10.1080/156609704/233/289652.


Objectives: Bicycle-related injury remains a major cause of death and injury hospitalization among Australian children. The study aimed to assess the effectiveness of a whole-school intervention to increase the correct wearing of bicycle helmets by primary school children.

Methods: A randomized intervention trial was conducted in 27 Western Australian primary schools. A major component of the intervention was a peer-led classroom curriculum for 10-12 year old children. Helmet use by cyclists was observed as children were leaving school at baseline (May 2000) and after the first year and second year of the intervention. A cohort of 10-11 year old children in study schools completed a self-administered questionnaire at the same three data collection points.

Results: Over the 2 years of the study, observed helmet wearing rates declined by 13% in the control group (from 93% at baseline to 80% at post-test 2) and by 5% in the intervention group (from 89% to 84%) (F = 1.745, p = 0.185). Among the Grade 5/6 cohort students who were regular riders, the likelihood of reporting always wearing a helmet was 1.9 times higher at post-test 1 (z = 2.51, p = 0.012) and 1.7 times higher at post-test 2 (z = 2.13, p = 0.033) for the intervention group than the control group students who did not always wear a helmet at baseline.

Conclusions: The data suggest that school-based activities can arrest the rate of decline in helmet use by children. Using peer teachers is a useful strategy to engage students in normative-based protective behaviours. The logistical challenges this strategy presents appear to be worth the outcomes.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Australia / epidemiology
  • Bicycling / injuries*
  • Child
  • Child Behavior / psychology*
  • Craniocerebral Trauma / epidemiology
  • Craniocerebral Trauma / prevention & control*
  • Curriculum
  • Female
  • Head Protective Devices / statistics & numerical data*
  • Health Promotion / organization & administration*
  • Humans
  • Leadership
  • Male
  • Peer Group
  • Program Development
  • School Health Services / organization & administration*
  • Surveys and Questionnaires