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October 2004, Vol 94, No. 10 | American Journal of Public Health 1743-1749
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Impact of a National Rural Youth Health and Safety Initiative: Results from a Randomized Controlled Trial

Barbara C. Lee, PhD, RN, James D. Westaby, PhD and Richard L. Berg, MS

Barbara C. Lee and Richard L. Berg are with Marshfield Clinic Research Foundation, Marshfield, Wisc. James D. Westaby is with Teachers College, Columbia University, New York.

Correspondence: Requests for reprints should be sent to Barbara C. Lee, PhD, RN, Marshfield Clinic Research Foundation, 1000 North Oak Avenue, Marshfield, WI 54449 (e-mail: lee. barbara{at}mcrf.mfldclin.edu).

Objectives. We conducted a comprehensive evaluation of a rural youth health and safety initiative implemented in 4000 National FFA (formerly Future Farmers of America) chapters across the United States.

Methods. Data were collected from high school students and their FFA advisers at 3 time intervals (preintervention, immediate postintervention, and 1 year postintervention) with a 3-group (standard, enhanced, and control), cluster-randomized, controlled trial design.

Results. Matched data from 3081 students and 81 advisers revealed no significant effect of this initiative on agricultural health and safety knowledge, safety attitudes, leadership, self-concept, and self-reported injuries of project participants. Data from 30 public health nurses following the intervention confirmed the program’s failure to develop sustainable community partnerships.

Conclusions. This nationally coordinated initiative was funded with more than $1 million donated by agribusinesses. Program implementation was inconsistent, and desired outcomes were not achieved. Future efforts should better guide effective use of private sector resources aimed at reducing agricultural disease and injury among rural youths.




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