High Five Rural Seat Belt Program Demonstration and Evaluation

This project demonstrated the High Five Seat Belt program in two States, Arkansas and Kentucky, over a 12-month program period and evaluated program processes and outcomes on observed seat belt usage. Statistically significant increases in seat belt use were measured in several High Five counties in Kentucky but the increase could not be clearly tied to the program. Part 1 of the report describes Iowa’s High Five model, the development of two demonstration programs, summarizes the efforts of project teams, and provides qualitative insights including lessons learned, program limitations, future adjustments, and suggested steps to replicate the program. Part 2 of this report details the methods and outcomes of observational seat belt surveys used to indicate effects of the program on usage.