Table of Contents

Technical Report Documentation Page
Acknowledgements
Executive Summary
	Legislation
	Enforcement
	Combined Efforts (comprehensive approaches including two or more strategies)
		Technological Approaches
		Peer-Led Approaches
	Counseling
	Parental Involvement
	Summary
I.	Introduction
	A.	The Leading Cause of Death for Teens—Motor Vehicle Crashes
	B.	Safety Belt Use Among Teens and Contributing Factors
	C.	Effectiveness of Safety Belts in Reducing Injury and Fatalities in Motor Vehicle Crashes
	D.	Economic Costs of Not Wearing Safety Belts
	E.	Attitudes of Teens Regarding Safety Belt Use
	F.	Socioeconomic Impact of Nonbelt Use among Teens
	G.	The Problem Presented by Teenage Failure to Buckle Up
	H.	Theories on Why Teens Fail to Buckle Up
	I.	Key Programs and Interventions
II.	Objectives
III.	Methodology
	A.	Statistical Data
	B.	Literature Review and Collection of Relevant Information
		1.	Interviews
		2.	Literature Reviews
IV.	Results
	A.	Magnitude of the Problem
	B.	Literature Review
		Category 1:Programs Targeted to Increase Teen Safety Belt Use with Some Evidence of Program Effectiveness
		Category 2: Programs Targeted to Increase Safety Belt Use in General with Some Evidence of Effectiveness
		Category 3: Programs Targeted to Increase Teen Safety Belt Use - No Evidence of Effectiveness Provided
		Category 4: Programs Targeted Toward Other Teen Health Behaviors that Could Provide Insights for Teen Safety Belt Interventions
		Category 5: Programs to Increase Safety Belt Use in General with No Evidence of Effectiveness.
		Category 6: Documents Providing Evidence that Some Programs Are Not Effective
	C.	Review of Four Community Demonstration Programs Aimed at Teens
		Four Community Demonstration Programs: Descriptions and Timelines
	D.	Other Promising Public Health Approaches Aimed at Risky Youth Behaviors
		1.	Prevention Principals and Practices
		2.	Tobacco Control Programs, Interventions, and Strategies that May Be Relevant to the Teen Safety Belt Use Problem
		3.	Underage Drinking
		4.	Science-Based Prevention Resources
V.	Conclusions and Recommendations
	Programs, Interventions and Strategies That Have Potential to Increase Safety Belt Use by Teens
	Legislation
		Primary Safety Belt Law
		Graduated Driver Licensing Law
		Unique Legislatively/Administratively Mandated Penalties
	Enforcement
		Increased Enforcement
	Combined Efforts (Comprehensive Approaches Including Two or More Strategies)
		Technological Approaches
		Peer-Led Approaches
		Education
		Media
		Parental Involvement
		Incentives/ Promotion Programs
		Contracts/Pledges
		Normative Feedback/Education
		Interpersonal Skill Building/Social Emotional Competence Building
	Summary
IX.	References/Footnotes
Appendix A
	Teen Belt NHTSA Interview Guidelines
Appendix B
	Teen Safety Belt Use Study
Appendix C
	Sources for Literature
Appendix D
	SAMSHA’s Model Programs
List of Figures
	Figure 1. Safety Belt Use and Number of Passengers in the Vehicle – States with Secondary Laws (Source: FARS)
	Figure 2. Safety Belt Use by 16- to 20-Year-Old Drivers in Fatal Crashes as a Function of State Safety Belt Laws (FARS)
	Figure 3. Respondents Reporting That They “Always” Use Safety Belts by Age Group (Source: MVOSS, 2002) (N=5186)
	Figure 4. Safety Belt Use for Occupant Fatalities by Age (FARS, 1975-2002)
	Figure 5. Safety Belt Use for Occupant Fatalities, Front Seat vs. Rear Seat for 16-20-Year-Olds (FARS, 1995-2002)
List of Tables
	Table 1. Identification of Effective Teen Safety Belt Programs
	Table 2. Summary of Programs Targeted to Increase Teen Safety Belt Use with Some Evidence of Program Effectiveness
	Table 3. Summary of Programs Targeted to Increase Safety Belt Use in General with Some Evidence of Effectiveness
	Table 4. Summary of Site Program Elements