| Community-level interventions generally focus on changing safety behaviors by altering social norms, either through legislation or community change. Interventions were reviewed if they included a control group, had a target population between 0 and 19 years of age and the study reported changes in injury rates or injury reducing behavior. For bicycle helmet use, Klassen and colleagues (2000) concluded that the most effective strategies were those that used multiple pathways, such as passing legislation requiring helmet use paired with an educational campaign. This strategy proved to be effective in a Mid-Atlantic state, with 47 percent of the legislation-plus-education group using helmets compared with 19 percent of the education-only group and 4 percent of a control. |
