Calls for communitywide interventions to promote bicycle safety helmet
usage among children abound, yet little is known about the factors th
at cause parents to purchase helmets and consistently insist on their
usage. The health belief model proposes that cues to action are import
ant influences on self-protective behaviors. A communitywide field stu
dy was conducted to test the effectiveness of six different kinds of c
ues to action. Parents of children between the ages of 5 and 18 were s
elected via random-digit-dialing techniques for participation in the s
tudy. The results indicated that cues to action affected perceptions o
f threat but were unrelated to attitudes, intentions, or behaviors. Ho
wever, perceptions of threat were found to be important influences on
bicycle helmet attitudes, intentions, and behaviors.