title: Evaluation of the Think First head and spinal cord injury prevention program.
abstract: OBJECTIVE
  Evaluation of the impact of the Think First head and spinal cord injury prevention program on knowledge, attitudes, and behavior of 11-15 year old students toward injury risks and preventive strategies.
  
  
  METHODS
  Three junior high and three senior high schools in rural and urban areas of Washington state.
  
  
  METHODS
  Questionnaire survey before intervention, two weeks and three months after intervention to assess knowledge, attitude, and self reported behavior change. Observations of students as they left school property to determine bicycle helmet and seat belt use.
  
  
  RESULTS
  Little impact on attitudes and no consistent change in knowledge or self reported behaviors. Too few students rode bicycles to accurately assess helmet use; no consistent change in seat belt use.
  
  
  CONCLUSIONS
  The Think First program appears to have little impact on changes in knowledge, self reported behavior, or observed behavior. Other strategies to decrease injuries in adolescents may be more successful.
authors.affiliation: Harborview Injury Prevention and Research Center, Seattle, WA 98104, USA.
authors.forename: M
authors.initials: M
authors.lastname: Wright
authors.forename: F P
authors.initials: FP
authors.lastname: Rivara
authors.forename: D
authors.initials: D
authors.lastname: Ferse
mesh_terms: D000056:Accident Prevention; D000293:Adolescent; D002648:Child; D006259:Craniocerebral Trauma / Q000517:prevention & control*; D003625:Data Collection; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D015397:Program Evaluation; D012309:Risk-Taking; D013119:Spinal Cord Injuries / Q000517:prevention & control*; D014861:Washington