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Original Articles

Persuasion and Licensure: A Randomized Controlled Intervention Trial to Increase Licensure Rates among Maryland Motorcycle Owners

, , , , , & show all
Pages 39-46 | Received 08 Jun 2006, Accepted 08 Aug 2006, Published online: 24 Jan 2007
 

Abstract

Objective. This study aimed to determine whether a persuasive educational intervention could increase licensure among motorcycle owners. Unlicensed motorcycle operators appear to be disproportionately involved in police-reported motorcycle crashes in Maryland, accounting for about 27% of motorcycle operators in police-reported crashes, although unlicensed owners comprise 17% of primary motorcycle owners.

Methods. A randomized controlled trial was conducted among unlicensed owners. Linking Maryland records of registered motorcycles with license files, 8,499 unlicensed owners who had no licensed co-owners were identified. Half were randomized to receive a persuasive educational mailing in early June 2005 from Maryland Motor Vehicle Administration (MVA). Motorcycle licenses can be attained by passing an accredited motorcycle training class or passing knowledge and skills tests administered by the state driver licensing agency. Licensure rates and motorcycle class enrollment were followed for 6 months post-intervention.

Results. As of December 16, 2005, 280 intervention group owners had obtained Class M motorcycle licenses and 158 had obtained Class R motorcycle learner's permits. The comparison group obtained 209 M licenses and 122 R permits. The overall success rate in the intervention group, defined as obtaining Class M or R, was 10.4% compared with 7.9% in the comparison group (licensure ratio (LR) = 1.33; 95% confidence interval (CI) = 1.16–1.52). The intervention was most successful among men, whose LR for obtaining M licenses was 1.45 (95% CI = 1.21–1.75). LRs were higher among owners ages 40–48 and 49+ receiving the intervention compared with younger groups. Motorcycle training class enrollment rates were higher in the intervention group, particularly among those taking a course for riders with intermediate skills (enrollment ratio = 2.24; 95% CI = 1.41–3.55).

Conclusion. The intervention appeared to increase licensure, yet the licensure rate remained low among the intervention group. Potential risks and benefits of increasing the percentage of motorcyclists who are licensed need to be studied.

Notes

1Licensed defined as a primary motorcycle owner with a Class M motorcycle license.

2Unlicensed defined as primary motorcycle owner lacking either a Class M motorcycle license or a current (unexpired) Class R motorcycle learner's permit and not having a licensed co-owner.

3Chi-squared tests.

4Quartiles defined by age distribution among unlicensed drivers.

5Capital includes Frederick, Montgomery, and Prince George's counties; central includes Baltimore City and counties of Anne Arundel, Baltimore, Carroll, Harford, Howard; eastern shore includes Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico, and Worcester Counties; southern includes Calvert, Charles, and Saint Mary's Counties; western includes Allegany, Garrett, and Washington counties.

1Unlicensed defined as primary owner of a registered motorcycle lacking either a Class M motorcycle license or a current (unexpired) Class R motorcycle learner's permit; additional condition was absence of a licensed co-owner on the vehicle registration.

2Total excludes unlicensed owners who received licenses or learner's permits between May 31, 2005 (date of randomization) and June 12 (earliest date that mailing was received).

1Includes Frederick, Montgomery, and Prince George's counties.

2Includes Baltimore City and counties of Anne Arundel, Baltimore, Carroll, Harford, Howard.

3Includes Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico, and Worcester counties.

4Includes Calvert, Charles, and Saint Mary's counties.

5Includes Allegany, Garrett, and Washington counties.

∗Intervention group relative to comparison group of unlicensed motorcycle owners.

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