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A STANDARDIZED BICYCLE SAFETY COUNSELING PROGRAM IS EFFECTIVE AT IMPROVING BICYCLING BEHAVIORS IN AN ADOLESCENT POPULATION.
Christine Santos1, Lauren Malloy2, Beatrice C Brathwaite1, Rosemary Acosta Wright1, Karen Sun3, Sinan Akosman3, *Susan Ziegfeld1, *Felipe E Pedroso1, *Isam W Nasr1
1Johns Hopkins Children's Center, Baltimore, MD;2Johns Hopkins Medicine, Baltimore, MD;3Johns Hopkins University, Baltimore, MD

Background: The purpose of this study was to determine the efficacy of a standardized bicycle safety-counseling program to improve bicycle safety knowledge and increase safe bicycling behaviors in an adolescent population.Methods: Patients, 10-15 years of age, being treated at a major urban children's emergency department from July 2016 to October 2018 were randomized into two study groups. Both groups were provided a free helmet; the intervention group participated in an additional standardized counseling program on bicycle safety. Both groups completed a baseline survey on bicycle safety knowledge, and an assessment on current bicycling behaviors. Follow up surveys at 4 and 16 weeks were performed to assess bicycle safety knowledge retention and changes in bicycling behaviors between study groups.Results: There were no significant differences in baseline patient characteristics (Age, Gender, Race, and Ethnicity) between control (N=86) and intervention (N=104) groups. Follow-up compliance at 4 weeks and 16 weeks were 64.7% and 57.9% respectively. At 4 weeks there was a 4.47 times greater improvement in bicycle safety knowledge score (Mean S.D) in the intervention group compared to the control group (2.282.93 vs. 0.512.82, P<0.01) and this significant difference was maintained at 16 weeks (2.323.19 vs. 1.023.37, P<0.05). There was a non-significant 1.84 times greater improvement in bicycle behavior scores in the intervention group as compared to the control group at 4 weeks (1.071.71 vs. 0.581.74, P=0.12).Conclusions: We have shown that a standardized bicycle safety-counseling program in adolescent patients results in a lasting improvement in overall bicycle safety knowledge over time and improvement in bicycling behaviors.


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