Citation

Lee BC, Westaby JD, Berg RL. Am. J. Public Health 2004; 94(10): 1743-1749.

Affiliation

RN, Marshfield Clinic Research Foundation, 1000 North Oak Avenue, Marshfield, WI 54449. lee. barbara@mcrf.mfldclin.edu

Copyright

(Copyright © 2004, American Public Health Association)

DOI

unavailable

PMID

15451744

PMCID

PMC1448528

Abstract

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.