Motor vehicle collisions are among the leading causes of unintended injury-related deaths among children under the age of 14. The primary cause of these deaths is the improper use of child passenger safety restraints (CPSRs). Correctly installed CPSRs can decrease the risk of fatal injury by 45% to 95%. To date, no studies have used video…

Correctly installed child passenger safety restraints may reduce the risk of child injury and death during accidents. The present study evaluated behavioral skills training and self-monitoring to teach correct installation and use of a child passenger safety restraint in the rear-facing position. Extension probes were conducted with untrained…

The risk for serious injury and death to children during motor vehicle accidents can be greatly reduced through the correct use of child passenger safety restraints (CPSRs). Unfortunately, most CPSRs are installed or used incorrectly. This study examined the effectiveness of behavioral skills training (BST) to teach 10 participants to install…

This study evaluated a device that applied a sustained increase in accelerator pedal back force whenever drivers exceeded a preset speed criterion without buckling their seat belts. This force was removed once the belt was fastened. Participants were 6 commercial drivers who operated carpet-cleaning vans. During baseline, no contingency was in…

Researchers used two behavioral prompts to compare increases in safety belt use: a Click It or Ticket prompt or a Flash-for-Life prompt. Participants were 1,822 unbuckled drivers exiting two student parking lots of a large university. Research assistants identified unbuckled drivers, flashed one of the two prompts, and recorded whether drivers…

Seat belt use is an important factor in the prevention of automobile accidents involving injuries and fatalities. The current study used a multielement design to compare the "Click It or Ticket" and "Please Buckle Up--I Care" procedures. Results indicate that the Click It or Ticket prompt resulted in a 20-percentage-point increase in seat belt…

This study evaluated a device that prevents drivers from shifting vehicles into gear for up to 8 s unless seat belts are buckled. Participants were 101 commercial drivers who operated vans, pickups, or other light trucks from the U.S. and Canada. The driver could escape or avoid the delay by fastening his or her seat belt before shifting out of…

Complete stops at a high-traffic intersection on the campus of a public university were increased with a prompting and consequence intervention. Data were collected at two opposing stop signs (Stop A and Stop B); however, the intervention was implemented only at Stop A. During the intervention, a volunteer stood next to Stop A holding a poster…

A seatbelt-gearshift delay was evaluated in two U.S. and three Canadian vehicles using a reversal design. The seatbelt-gearshift delay required unbelted drivers either to buckle their seatbelts or to wait a specified time before they could put the vehicle in gear. After collecting behavioral prebaseline data, a data logger was installed in all…

Automobile crashes are the leading cause of death for those aged 3 to 33, with 43,005 (118 per day) Americans killed in 2002 alone. Seat belt use reduces the risk of serious injury in an accident, and refraining from using a cell phone while driving reduces the risk of an accident. Cell phone use while driving increases accident rates, and leads…

Observations of children ages birth to five years were collected in seven states before and after implementation of legislation requiring use of passenger safety devices. Among results were observed increases in safe seating for children ages one-five in four of the five states implementing legislation during this study. (JW)

Senior drivers are vulnerable to automobile crashes and subsequent injury and death. Safety belts reduce health risks associated with auto crashes. Therefore, it is important to encourage senior drivers to wear safety belts while driving. Using a repeated baseline design (AAB), we previously reported that motivating signs boosted safety belt usage…

Effects of using dashboard stickers and signature sheets providing information on safety belt regulations were evaluated among 893 occupants of state-owned vehicles in three Florida agencies. Safety belt use increased significantly during the intervention phase in all three agencies and maintained variable but high levels for five months. (JW)

Nighttime seat belt use by patrons of 10 taverns in two Canadian cities increased following an intervention consisting of police enforcement and the use of signs and posters. Separate observations of daytime seat belt use noted an increase in one city and maintenance at a high level in the other. (JW)

Safety belt use with and without addition of an incentive strategy was observed among 8,635 drivers at a drive-through restaurant. During the promotional campaign, average rate of belt use tripled compared to baseline following the introduction of a contingent reward (a large soft drink), and declined during followup. (JW)