Supported by a grant from the National Center for Injury Control and Prevention, Centers for Disease Control and Prevention (1R49CE000681-01).
Brief Motivational Intervention to Increase Self-reported Safety Belt Use among Emergency Department Patients
Article first published online: 29 MAR 2008
© 2008 by the Society for Academic Emergency Medicine
Academic Emergency Medicine
Volume 15, Issue 5, pages 419–425, May 2008
How to Cite
Fernandez, W. G., Mitchell, P. M., Jamanka, A. S., Winter, M. R., Bullock, H., Donovan, J., George, J. St., Feldman, J. A., Gallagher, S. S., McKay, M. P., Bernstein, E. and Colton, T. (2008), Brief Motivational Intervention to Increase Self-reported Safety Belt Use among Emergency Department Patients. Academic Emergency Medicine, 15: 419–425. doi: 10.1111/j.1553-2712.2008.00096.x
- Issue published online: 29 MAR 2008
- Article first published online: 29 MAR 2008
- Received October 1, 2007; revisions received December 3, 2007 and January 12, 2008; accepted January 14, 2008.
- brief motivational intervention;
- injury prevention;
- emergency department;
- safety belt use
Objectives: Brief motivational interventions have shown promise in reducing harmful behaviors. The authors tested an intervention to increase safety belt use (SBU) among emergency department (ED) patients.
Methods: From February 2006 to May 2006, the authors conducted a randomized trial of adult ED patients at a teaching hospital in Boston. ED patients were systematically sampled for self-reported SBU. Those with SBU other than “always” were asked to participate. At baseline, participants answered a 9-item series of situational SBU questions, each scored on a 5-point Likert scale. SBU was defined as a continuous variable (9-item average) and as a dichotomous variable (response of “always” across all items). Participants were randomized to an intervention or a control group. The intervention group received a 5- to 7-minute intervention, adapted from classic motivational interviewing techniques, by a trained interventionist. Participants completed a 3-month follow-up phone survey to determine changes from baseline SBU. Continuous and dichotomous SBU were analyzed via analysis of covariance and chi-square testing.
Results: Of 432 eligible patients, 292 enrolled (mean age 35 years, standard deviation [SD] ±11 years; 61% male). At baseline, the intervention and control groups had similar mean (±SD) SBU scores (2.8 [±1.1] vs. 2.6 [±1.1], p = 0.31) and SBU prevalence (each 0%). At 3 months, 81% completed follow-up. The intervention group had significantly greater improvement in mean (±SD) SBU scores than controls (0.76 [±0.91] vs. 0.34 [±0.88], p < 0.001). Also, SBU prevalence of “always” was higher for the intervention group than controls (14.4% vs. 5.9%, p = 0.03).
Conclusions: Participants receiving a brief motivational intervention reported higher SBU at follow-up compared to controls. An ED-based intervention may be useful to increase SBU.