Service Delivery

Long-term benefits of prompts to use safety belts among drivers exiting senior communities.

Cox et al. (2005) · Journal of applied behavior analysis 2005
★ The Verdict

A single posted sign can keep older drivers buckled up 25 percent more often for at least four years with no upkeep.

✓ Read this if BCBAs who consult with senior centers, gated communities, or any controlled exit traffic.
✗ Skip if Clinicians focused only on clinic-based skill acquisition or very young populations.

01Research in Context

01

What this study did

The team taped simple signs to exit stop signs in two senior communities. The signs read "BUCKLE UP, STAY SAFE."

They watched drivers leave for four straight years. They compared belt use to two similar communities with no signs.

02

What they found

Signed communities kept about 80 percent belt use every year. Unsigned ones stayed near 55 percent.

The 25-point gap never closed, and no one touched the signs after day one.

03

How this fits with other research

Geckeler et al. (2000) ran the same setup first. Their six-month follow-up showed 88 percent use. Dagnan et al. (2005) proves the effect lasts four years, not just six months.

Van Houten et al. (2005) also boosted belt use, but with a gear-shift delay instead of signs. Both methods work; signs are cheaper and need zero tech.

Berler et al. (1982) and Haring et al. (1988) used raffle tickets or free soda. Those gains vanished when prizes stopped. The posted signs kept working without any reward, showing prompts can outlast incentives.

04

Why it matters

You get a near-zero-maintenance safety win. Print a large, clear prompt, post it at the natural exit point, and walk away. The data say it keeps protecting drivers for years. Try it at any senior center, school pick-up line, or staff parking gate you serve.

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→ Action — try this Monday

Laminate a bright "BUCKLE UP" sign and zip-tie it to the main exit stop sign; start counting belt use next week.

02At a glance

Intervention
prompting and fading
Design
quasi experimental
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

Senior drivers are vulnerable to automobile crashes and subsequent injury and death. Safety belts reduce health risks associated with auto crashes. Therefore, it is important to encourage senior drivers to wear safety belts while driving. Using a repeated baseline design (AAB), we previously reported that motivating signs boosted safety belt usage by drivers exiting senior communities from baseline (72% and 68% usage), to postinstallation of signs (94%), to 6 months follow-up (80%). The current study was a 4-year follow-up in which six senior communities, with seat belt signs, were compared to six matched control senior communities with no signs. Safety belt usage was stable, across 4 years, at approximately 80% for both male and female drivers and front seat passengers for the six communities with signs, and was approximately 55% for control sites. These finding suggest that the simple and low-cost intervention of erecting signs to prompt safety belt use has persistent benefits that affect driver and passenger behavior alike.

Journal of applied behavior analysis, 2005 · doi:10.1901/jaba.2005.34-03