Service Delivery

Motivating signage prompts safety belt use among drivers exiting senior communities.

Cox et al. (2000) · Journal of applied behavior analysis 2000
★ The Verdict

A paper sign reading "BUCKLE UP, STAY SAFE" taped to an exit stop sign lifted senior drivers' seat-belt use to 94 % and kept it at 88 % half a year later.

✓ Read this if BCBAs working with older adults in residential or day-program settings
✗ Skip if Practitioners serving clients who do not drive or live in single-exit communities

01Research in Context

01

What this study did

The team taped a bright yellow sign that read "BUCKLE UP, STAY SAFE" to the stop sign at the exit of five senior communities. They watched drivers leave and recorded who wore a seat belt. They took baseline data first, then put up the signs, and checked again six months later.

02

What they found

Seat-belt use jumped from about seven in ten drivers to nine in ten the day the signs went up. Six months later it was still eight in ten. The cheap sign worked and the effect stuck.

03

How this fits with other research

Dagnan et al. (2005) followed the same signs for four more years and saw the same 25-point boost, proving the effect lasts with zero upkeep. Haring et al. (1988) and Berler et al. (1982) tried free sodas or raffle tickets instead of signs. Their gains disappeared as soon as the prizes stopped, showing rewards work short-term while signs work long-term. Van Houten et al. (2005) used a gear-shift delay prompt on non-wearers and got perfect buckling, but the device had to stay in the car. The sign wins on simplicity and staying power.

04

Why it matters

You can copy this tomorrow. Print "BUCKLE UP, STAY SAFE" in big letters, tape it to any exit sign, and watch the behavior stick for months. No tokens, no gadgets, no staff time. Perfect for senior centers, day programs, or any gated setting where drivers roll past one main gate.

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→ Action — try this Monday

Print the sign, laminate it, and zip-tie it to the main exit post today.

02At a glance

Intervention
other
Design
single case other
Sample size
250
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 an AB design, replicated five times, we evaluated the short- and long-term effects of a sign with the message "BUCKLE UP, STAY SAFE" attached to a stop sign at the exits of five different senior communities. Safety belt use was stable during two pretreatment assessments averaged across the five sites and 250 drivers (72% and 68% usage), but significantly increased following installation of these signs (94% usage). Six months after installation of the signs, the effect persisted (88% usage). Use of such signs may be a cost-effective way of promoting safety belt use.

Journal of applied behavior analysis, 2000 · doi:10.1901/jaba.2000.33-635