A randomized trial of skin cancer prevention in aquatics settings: the Pool Cool program.

Skin cancer is increasing, and prevention programs are essential. This study evaluated the impact of a skin cancer prevention program on sun-protection habits and swimming pool environments. The intervention included staff training; sun-safety lessons; interactive activities; providing sunscreen, shade, and signage; and promoting sun-safe environments. A randomized trial at 28 swimming pools in Hawaii and Massachusetts tested the efficacy of this program (Pool Cool) compared with an attention-matched injury-prevention control program. Results showed significant positive changes in children's use of sunscreen and shade, overall sun-protection habits, and number of sunburns and improvements in parents' hat use, sun-protection habits, and reported sun-protection policies and environments. Observations corroborated the positive findings. Pool Cool had significant positive effects at swimming pools in diverse audiences.     

Comparing interventions to motivate work-site collection of home-generated recyclables

Compared the efficacy of eight different intervention strategies to increase the work-site delivery of employees' home-generated recyclables. The interventions incorporated appeals, reciprocity, goals plus feedback, and raffles. Results indicated that relatively few employees participated during any phase of the 25-week program. Raffles of prizes donated by community businesses were the only effective intervention, motivating substantial deliveries of aluminum cans. This suggests that low-cost, impersonal interventions targeting employees' delivery of recyclables to work are not effective. Reasons for the low participation rates are discussed as well as suggestions for improving future corporate-based recycling programs. This report is based on the first author's doctoral dissertation research, supervised by the second author, and conducted at Virginia Polytechnic Institute and State University. Parts of the research were presented at the 1991 Annual Meeting of the Association for Behavior Analysis, Atlanta, Georgia. We thank the other members of the dissertation committee for their helpful input, specifically, W. David Conn, Jack W. Finney, Thomas H. Ollendick, and Richard A. Winett.     

Rewarding safety belt usage at an industrial setting: Tests of treatment generality and response maintenance

An incentive program to motivate seat belt use was implemented at a large munitions plant. Seat belt usage was assessed daily at an entrance/exit gate of the industrial complex when employees arrived for work in the morning and departed in the afternoon. During treatment incentive fliers, which prompted seat belt usage and gave belt wearers opportunities to win prizes, were distributed only in the afternoon. Seat belt wearing increased from baseline means of 20.4% and 17.3% during the morning and afternoon, respectively, to averages of 55.5% during afternoon departures and 31.1% during morning arrivals. During follow-up, mean belt use dropped almost to baseline levels. Categorizing vehicles according to driver sex and license plate number enabled a study of belt wearing practices of individuals, and revealed that the incentive program influenced some drivers to wear their seat belts during morning arrival when incentives were not distributed (i.e., treatment generalization) and during a follow-up period after the incentives were withdrawn (i.e., response maintenance).     

Stimulus probability and prediction outcome as determinants of choice reaction time: Some procedural considerations

Effects of stimulus probability and prediction outcome on two-choice reaction speed (CRS) were determined when a frequency imbalance was reversed half-way through 300 samples of a 70/30 stimulus distribution and when the same 70/30 distribution was sampled for 1200 trials. Prior to each presentation Ss made a prediction; following each presentation Ss identified the stimulus by pressing a right-hand or left-hand trigger. CRS was faster to correctly predicted stimuli, and faster to the more probable stimulus. Ss who were informed of the frequency imbalance reacted significantly faster than Ss who were not. Both practice and boredom effects were demonstrated by using the extended number of trials. CRS was faster during the second session of 300 trials than during the first; after two sessions, CRS was slower during the second half of two additional sessions.     

Promoting Safety Belt Use on a University Campus: An Integration of Commitment and Incentive Strategies1

Safety belt use on a university campus was substantially increased by offering faculty/ staff and students who signed and returned “buckle up” pledge cards the opportunity to win prizes donated by community merchants. The 28,000 pledge cards, committing signers to buckle up for an academic quarter, were distributed during the spring and fall of 1985. One portion of the card was designed to be hung from a vehicle's rearview mirror as a reminder of the pledge to buckle up. The other portion served as a sweepstakes ticket and was deposited in boxes located throughout the campus community. Each quarter, winners were drawn from the returned pledge cards during three consecutive weeks. Although a relatively small proportion of the pledge cards were signed and turned in (i.e., 11.9% during spring and 9.4% during fall), those who signed and returned a pledge card (n = 3117) increased their safety belt use significantly. Across both quarters, faculty/ staff pledgers went from a high pre-pledge belt use level of 32.2% to a post-pledge level of 46.7%, and students increased their belt use from a pre-pledge use of 21.4% to a post-pledge level of 36.6%.     

A behavioral analysis of incentive prompts for motivating seat belt use

The seat belt usage of drivers was observed at the entrance to two campus parking lots during morning arrival times. After 11 days of baseline, fliers which prompted seat belt wearing were handed to drivers of incoming vehicles. At one parking lot all fliers offered a chance to win a prize (noncontingent rewards); while at the second lot only those fliers given to seat belt wearers included a chance to win a prize (contingent rewards). After 24 consecutive observation days, these interventions were removed for 14 days of withdrawal. The recording of vehicle license plates enabled an analysis of belt usage per individual over repeated exposures to the experimental conditions. At the lot with the contingent reward intervention, mean belt usage was 26.3% during baseline, 45.7% during treatment, and 37.9% during withdrawal. At the noncontingent reward lot, the mean percentage of belt wearing was 22.2% during baseline, 24.1% during treatment, and 21.8% during withdrawal. The analysis of repeated exposures per individual verified that only contingent rewards influenced substantial increases in belt wearing, and showed that most of the influence occurred after the initial incentive prompt.     

"Flash for life": Community-based prompting for safety belt promotion

A community-based strategy for promoting safety belt use was field-tested in two adjacent rural communities, one populated by a preponderance of students, faculty, and staff of a major university. The intervention involved the front-seat passenger of a stopped vehicle displaying to the driver of an adjacent, stopped vehicle an 11 x 14 inch flash card that read, "PLEASE BUCKLE UP-I CARE." If the driver buckled up, the "flasher" flipped over the card and displayed the message, "THANK YOU." This flash card was shown to 1,087 unbuckled drivers; 82% of these drivers looked at the flash card and 22% of these complied with the buckle-up request. Compliance was not influenced by the age or gender of the "flasher" (young child vs. college student), nor by the gender of the driver; but significantly more drivers in the university town buckled up following the flash card presentation (25% mean compliance in the college town vs. 14% in the other community). To date, over 2,000 individuals have received a buckle-up flash card for their own use.