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2015 Traffic Safety Conference Corpus Christi, TX
June 9, 2015
Evaluation of Bis-Man Clicks: An Employer-Led Seat Belt Use
Promotion Program
Renée M. St. Louis, MPH
Project overview
Employer-led initiative to increase belt use of employees and community members
Literature review, NETS member survey, site selection process, program development, CCR pilot program implementation and evaluation, community program implementation and evaluation
Background Lack of seat belt use is still an important safety issue
Motor vehicle crashes cost employers approximately $60 billion annually Private medical care Disability compensation Workplace disruption/rehiring expenses
Employers can reach large segments of the population
Successful employer-led community health education initiatives: tobacco use, alcohol addiction, diet and nutrition, preventative health screenings
Purpose
Test hypothesis that employers can have a positive impact on influencing employee and community seat belt use rates
Final deliverable: Toolkit made available free-of-charge to employers interested in increasing seat belt use of employees and community members
Respected employer committed to community Area with a population of ~60,000
Bismarck + Mandan = Bis-Man
Secondary state with a lower average belt use rate than the nationwide average North Dakota = 81% US = 87%
Bismarck and Mandan, North Dakota
Bis-Man
Bis-Man Clicks 6-week program
1: Kickoff presentation
Bis-Man Clicks 6-week program
1: Kickoff presentation 2: Reissue seat belt policy, Commit to Click pledge cards
Bis-Man Clicks 6-week program
1: Kickoff presentation 2: Reissue seat belt policy, Commit to Click pledge cards 3: Myths and Facts, Saved by the Belt stories
Bis-Man Clicks 6-week program
1: Kickoff presentation 2: Reissue seat belt policy, Commit to Click pledge cards 3: Myths and Facts, Saved by the Belt stories 4: My Inspiration to Buckle Up cards
Bis-Man Clicks 6-week program
1: Kickoff presentation 2: Reissue seat belt policy, Commit to Click pledge cards 3: Myths and Facts, Saved by the Belt stories 4: My Inspiration to Buckle Up cards 5: Seat Belt Selfies
Bis-Man Clicks 6-week program
1: Kickoff presentation 2: Reissue seat belt policy, Commit to Click pledge cards 3: Myths and Facts, Saved by the Belt stories 4: My Inspiration to Buckle Up cards 5: Seat Belt Selfies 6: What Would You Say? activity
Bis-Man Clicks 6-week program
1: Kickoff presentation 2: Reissue seat belt policy, Commit to Click pledge cards 3: Myths and Facts, Saved by the Belt stories 4: My Inspiration to Buckle Up cards 5: Seat Belt Selfies 6: What Would You Say? activity
Summary of Evaluation Activities
Attitude and awareness survey at CCR
CCR direct observation (DO) surveys
Community DO surveys Process evaluation of CCR program
activities
Pre/post survey to assess self-reported seat belt use, knowledge and attitudes toward belt use, and awareness of seat belt promotion activities in the workplace
Paper and pencil
~10 minutes to complete Completed prior to kickoff presentation and
following program completion
Attitude Survey
Results – Attitude Survey
Demographics (pre n=55, post n=41) 35-54 years, ~35% under 35, ~65% 35+ Male High school diploma/some college Primarily drive passenger cars and pickup trucks Did not drive as part of job
Self-reported belt use All/most of the time: 71% 73% Rarely/never: 22% 13%
Results – Attitude Survey
Believe seat belt law is primary
Existing favorable attitudes
Top 3 reasons to buckle up Wanting to be safe Seeing bad drivers Family wants you to
Employer wants you to: 7/9
Few significant differences across waves
Direct Observation Surveys
CCR DO: 3 Waves Pre-program Post-program 4-month follow up
Community DO: 3 Waves Pre-program Mid-program Post-program
Methods
Training Reliability
CCR DO
Employee arrival - 11:30 AM – 12:15 PM End of shift - 3:30 PM – 6:00 PM
Results – CCR DO
Significant increase between Waves 1 & 2 Maintained significant increase at Wave 3
30 randomly selected sites throughout Bis-Man
Statistically unchanged between Waves 1 & 2 71% 74%
Final DO planned for September 2015
Community DO
Process Evaluation Purpose
Examine how Bis-Man Clicks was implemented Determine whether components identified as critical
were implemented as planned Make changes to the program before implementation at
other local businesses
Site leadership filled out customized form for each week of program Activity implemented, % employees reached, staff time
to implement program, costs incurred, effectiveness of activity, problems
Results – Process Evaluation
70-75% of employees reached each week
Well-received by employees
Minimal effort and material cost
Activity effectiveness ratings
Competing with other business priorities
Things that Work
Support of senior management
Dedicated site leadership
Incorporate belt use into regularly scheduled safety meetings
Visible marketing throughout building
Jeff Brezden
Craig Hammer
Recommendations
Consider the use of incentives for employees
Use company email to send seat belt safety messages
Keep materials dynamic throughout program
Tailor activities to company demographics Use attitude survey results to inform program
Discussion
Results from pilot suggest program is effective in increasing belt use of employees
Limitations of pilot Small n Comparison site
Influencing large community is a challenge
Next Steps Currently recruiting other businesses in the
Bis-Man community to implement program
Implementation Expected summer 2015
Final Community DO September 2015
Toolkit to NHTSA December 2015
