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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

Thank You

Questions?

Renée M. St. Louis rstloui@umich.edu

Website: bis-manclicks.org