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Health Education & Behavior
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Effectiveness and Cost Effectiveness of Persuasive Communications and Incentives in Increasing Safety Belt Use

Bruce G. Simons-Morton, EdD, MPH

School of Allied Health Sciences, University of Texas Medical Branch, Galveston, Texas 77550

Susan Brink, DrPH

School of Allied Health Sciences, University of Texas Medical Branch, Galveston, Texas 77550

Deana Bates, MPH

School of Allied Health Sciences, University of Texas Medical Branch, Galveston, Texas 77550

The Safety Belt Connection Project was a worksite health promotion project con ducted at a medical school and hospital complex to test the effectiveness and cost effectiveness of four treatment conditions (TCs): TCl, Persuasive Communications (PCs) alone; TC2, PCs plus overt monitoring; TC3, PCs plus incentives; and TC4, PCs plus incentives and prompts. Parking lots were randomized to treatment condition. A community traffic intersection served as a comparison group. Trained observers re corded safety belt use rates (SBURs) of subjects (front seat occupants) over a two- week period at baseline and after a four-week period of intervention. Results were analyzed by chi-square comparisons of pre-treatment and post-treatment SBURs. At baseline, significant differences in SBURs between treatment groups were observed. Significant pre-to-post differences were found for TC3 and TC4: the SBUR in TC3 went from 18.3% - 38.4% (p < 0.001) and the SBUR in TC4 went from 16.9%- 44.8% (p < 0.001). Both TC3 and TC4 were effective, but TC4 cost 2.6 times more per person influenced to wear their safety belt.

Health Education & Behavior, Vol. 14, No. 2, 167-179 (1987)
DOI: 10.1177/109019818701400204
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