Submitted: 02 Jun 2018
Accepted: 11 Aug 2018
ePublished: 27 Oct 2018
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Health Promot Perspect. 2018;8(4): 308-314.
doi: 10.15171/hpp.2018.44
PMID: 30479986
PMCID: PMC6249492
Scopus ID: 85061186744
WOSID: 000448483900011
  Abstract View: 488
  PDF Download: 280
  Full Text View: 199

Original Article

Improving safe street-crossing behaviors among primary school students: a randomized controlled trial

Hamide Zare 1, Shamsadin Niknami 1 ORCID logo, Alireza Heidarnia 1, Mohamad Hossein Fallah 2

1 Department of Health Education,Tarbiat Modares University, Tehran, Iran
2 Department of Psychology, Islamic Azad University, Yazd, Iran


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.
Keywords: Active learning, ASSURE Model, Children, Pedestrian, Traffic behavior
Citation: Zare H, Niknami S, Heidarnia A, Fallah MH. Improving safe street-crossing behaviors among primary school students: a randomized controlled trial. Health Promot Perspect. 2018;8(4):308-314. doi: 10.15171/hpp.2018.44.
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