title: Video intervention changes parent perception of all-terrain vehicle (ATV) safety for children.
abstract: Children aged <16 years account for 25% of deaths on all-terrain vehicles (ATVs), despite public health and industry warning against paediatric use. Parents often underestimate instability and other risks associated with ATVs.
  
  
  
  To determine if a brief intervention consisting of validated computer simulations of ATV performance with a child driver changes attitudes, beliefs and planned safety behaviours of parents of children who ride ATVs.
  
  
  
  Participants were parents of children presenting to a children's hospital emergency department. All participants had children who had ridden an ATV in the past year. Subjects viewed a video simulation of ATVs in scenarios featuring 6-year-old and 10-year-old biofidelic anthropomorphic test devices. Parents completed a survey both before and after viewing the video to report attitudes/beliefs on ATV safety for children, use of safety equipment and family ATV use, as well as risk and safety perception.
  
  
  
  Surveys were collected from 99 parents, mostly mothers (79%), Caucasian (61%) and had high school education or less (64%). The intervention shifted parents' belief in overall ATV safety (48% unsafe pre-intervention, 73% unsafe post-intervention, p<0.001). After viewing the video simulation, parents were almost six times more likely to perceive ATVs as unsafe (OR 5.96, 95% CI 2.32 to 15.31, p<0.001) and many parents (71%) planned to change family ATV safety rules.
  
  
  
  Video simulations of ATV performance with child riders changed short-term risk perception and planned safety behaviours of parents whose children ride ATVs. Similar educational interventions hold promise for larger-scale studies in at-risk populations.
authors: Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
authors: Taylor
authors: T
authors: House
authors: Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors: David C
authors: DC
authors: Schwebel
authors: Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
authors: Samantha H
authors: SH
authors: Mullins
authors: College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
authors: Andrea J
authors: AJ
authors: Sutton
authors: Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
authors: Christopher J
authors: CJ
authors: Swearingen
authors: Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
authors: Shasha
authors: S
authors: Bai
authors: Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
authors: Mary E
authors: ME
authors: Aitken
mesh_terms: D000056:Accident Prevention / Q000379:methods; D000063:Accidents, Traffic / Q000517:prevention & control* / Q000523:psychology; D000293:Adolescent; D000328:Adult; D002648:Child; D003198:Computer Simulation; D003257:Consumer Product Safety; D005260:Female; D006260:Head Protective Devices; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D015541:Off-Road Motor Vehicles; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000193:education / Q000523:psychology*; D015397:Program Evaluation; D017751:Safety Management; D014481:United States; D014741:Video Recording; D055815:Young Adult