An evaluation of the impact of 'Lifeskills' training on road safety, substance use and hospital attendance in adolescence. (January 2016)

• Record Type: Journal Article
• Authors: Teyhan, Alison; Cornish, Rosie; Macleod, John; Boyd, Andy; Doerner, Rita; Sissons Joshi, Mary
• Is Part Of: Accident analysis and prevention. Volume 86(2016)
• Page Start: 108
• Page End: 113
• Publication Date: 2016-01
• Subjects: Safety training -- Accident prevention -- Pedestrian skills -- Cycle safety -- Adolescence -- ALSPAC; Accidents -- Prevention -- Periodicals; Accident Prevention -- Periodicals; Accidents -- Prévention -- Périodiques; 363.106
• DOI: 10.1016/j.aap.2015.10.017
• Languages: English
• ISSNs: 0001-4575

Abstract

Highlights: Lifeskills training is for 10–11 year olds and covers many safety domains. Evaluated using longitudinal cohort data linked to hospital attendance data. Attendance at A&E common but hospital admissions coded as due to an accident rare. Lifeskills attendance associated with some reported safer behaviours in adolescence. Use of cycle helmets and reflective/fluorescent clothing low overall. Abstract: Purpose: To evaluate if attendance at Lifeskills, a safety education centre for children in Year 6 (10–11 years), is associated with engagement in safer behaviours, and with fewer accidents and injuries, in adolescence. Methods: The sample are participants in the Avon Longitudinal Study of Parents and Children who attended school in the Lifeskills catchment area in Year 6; 60% attended Lifeskills. At 14–15 years, participants (n approximately 3000, varies by outcome) self-reported road safety behaviours and accidents, and perceived health effects and use of alcohol, cannabis, and tobacco. Additional outcomes from linkage to Hospital Episodes Statistics were available for a sub-sample (n = 1768): hospital admittance (for accident-related reason, from 11–16 years) and A&E attendance (for any reason, from approximately 14–16 years). Results: Children who attended Lifeskills were more likely to report using pedestrian crossings on their way to school than children who did not attend (59% versus 52%). Lifeskills attendance was unrelated to the ownership of cycle helmets, or the use of cycle helmets, seat belts, or reflective/fluorescent clothing, or to A&E attendance. Use of cycle helmets (37%) and reflective/fluorescent clothing (<4%) on last cycle was low irrespective of Lifeskills attendance. Lifeskills attendance was associated with less reported smoking and cannabis use, but was generally unrelated to perceptions of the health impact of substance use. Conclusions: Lifeskills attendance was associated with some safer behaviours in adolescence. The overall low use of cycle helmets and reflective/fluorescent clothing evidences the need for powerful promotion of some safer behaviours at Lifeskills and at follow-up in schools.