Abstract
Background: Child pedestrian injury is a global public health concern. Our aim in the present study was to investigate the effects of active learning-based educational intervention on street-crossing behavior among male primary school students in Mehriz county, Iran.Methods: In this randomized controlled trial, 90 first grade elementary school students(experiment = 50, control group = 48) participated. The "ASSURE Model" was applied to design the template of this active learning-based educational program, which was implemented for the experiment group in eight sessions. Behaviors of the students about ‘’looking for vehicles on the street’’, "being cautious of dangers’’ and ‘’crossing from safe places’’ were observed and documented in actual traffic environments before, 1 week, and 6 months after intervention.Results: One week and 6 months after the intervention, the experiment group’s performance in all 3 behaviors were significantly improved (P < 0.001). Distraction-adjusted differences in the mean scores of behaviors between the experiment (Mean = 2.62) and control (Mean = 3.19)groups before and 6 months after intervention (Mean in experiment groups = 6.3, Mean in control group = 4.24) were also statistically significant (P < 0.001).Conclusion: Our educational intervention was found to be helpful in promoting the street crossing behaviors of primary school-aged children. School healthcare professionals may apply active learning education as the core category of their interventional programs to promote street-crossing behaviors among primary school students.
Highlights
Pedestrian injury is a major cause of child morbidity and mortality throughout the world.[1]
According to the Iranian Legal Medicine Organization (LMO) report, from 2006 to 2009, more than 8500 children aged 0–10 years died from pedestrian injuries.[3]
Despite the fact that cognitive skills in under 9-year-old children are not high enough to enable them for crossing the street, almost all children should perform this behavior on their own when they start going to school.[5,6]
Summary
Pedestrian injury is a major cause of child morbidity and mortality throughout the world.[1]. Among educational interventions conducted to promote the safety of street-crossing behavior among children, the practical training programs for small groups in actual street environments are the most successful programs.[7,8] Implementing such interventions, are reported to be with some limitations (such as high costs), which may be due to the need for multiple educators.[9] Besides, children education and empowerment for safe street crossing is suggested as an effective strategy to promote this behavior among school children.[10] In recent years, numerous studies have been conducted utilizing a variety of teaching/learning methods to enhance street-crossing skills among children.[7,11,12]. Our aim in the present study was to investigate the effects of active learning-based educational intervention on streetcrossing behavior among male primary school students in Mehriz county, Iran. School healthcare professionals may apply active learning education as the core category of their interventional programs to promote street-crossing behaviors among primary school students
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