Research Supporting the Video

The following research was conducted on the original video completed in 2006. The new video is a modernized version that retains key theory-driven content from the original video.

Boost ’em in the Back Seat: A Safe Ride Program
Summary of Results

A complete report of this research is published in Accident Analysis and Prevention (Will, Sabo, & Porter, 2009). The main findings are summarized here. With funding from the Centers for Disease Control and Prevention (New Investigator Grant # 1 R49 CE000240-01), Dr. Kelli England Will’s research team at Eastern Virginia Medical School created and tested a 6-minute video-intervention entitled Boost ’em in the Back Seat that used a threat appeal approach.


Recent research supports the use of high-threat messages when they are targeted appropriately and designed to promote high efficacy as well as fear. This research examined the effectiveness of using a novel threat-appeal approach to encourage parents to place their children in booster seats and rear seats of vehicles.


A 6-min video-intervention was created and evaluated at after-school/daycare centers via an interrupted time series design with similar control sites for comparison. Caregivers (N = 226) completed knowledge and practice surveys and fear and efficacy estimations related to childhood motor vehicle hazards. Researchers observed booster-seat and rear-seat use in study site parking lots.


Compared to baseline and control assessments, the treatment groups’ child passenger safety knowledge, risk-reduction attitudes, behavioral intentions, sense of fear related to the hazard, and sense of efficacy related to the recommended behaviors increased significantly. Further, observed overall restraint use and booster-seat use increased significantly following the intervention.


Applying high-threat messages to child passenger safety interventions is promising and has the potential to be adapted to other health risk areas.

For the Complete Report of the Study:

Will, K. E., Sabo, C. S., & Porter, B. E. (2009). Evaluation of the Boost ’em in the Back Seat Program: Using fear and efficacy to increase booster seat use. Accident Analysis and Prevention, 41, 57-65.
Download PDF or visit doi:10.1016/j.aap.2008.09.007.