The 2025 Nudges in Health Care Symposium will take place September 11–12 in Philadelphia. Submit an abstract by June 2!

Behavioral Interventions to Increase Seatbelt Use and Decrease Distracted Driving

Image of a driver buckling their seatbelt

Behavioral Interventions to Increase Seatbelt Use and Decrease Distracted Driving

Project status

Pilot/study with results

Innovation leads

Funding

General Motors

External partners

Kelsey Bartolozzi

Nicole Trevino

Katie DeGraaf

Opportunity

Using a cell phone while driving increases crash risk. And failing to use a seatbelt nearly doubles one's risk of death and injury if a collision occurs.   

Intervention 

In partnership with General Motors (GM), we explored whether interventions informed by behavioral science can reduce cell phone use and encourage drivers to buckle up.

GM customers from across the United States with Gen 10 vehicles were recruited to participate in the study, and participants were randomly assigned to one of four arms. Intervention arms tested the effect of a mix of behavioral engagement strategies and financial incentives on the driving behaviors of seatbelt use and handheld phone use. The four study groups were:

  • control,
  • behavioral engagement – consisting of education, personalized tips, a "wish-outcome-obstacle-plan" exercise, and weekly feedback about buckling and handheld-free streaks –
  • behavioral engagement plus raffle, and
  • behavioral engagement plus shared pot.

Driving behavior was tracked by our homegrown smartphone telematics app, Way to Drive.

Impact 

Participants in the behavioral engagement plus shared pot group had a significantly higher buckling rate (91.3 percent) than those in the control (88.3 percent) group. The difference persisted during the five-week follow-up period. Handheld phone use did not differ significantly among groups.

Way to Health Specs

Learn more about the platform
Activity monitoring
Arms and randomization
Criteria-based rules
Dashboard view
Device integration
eConsent
EHR integration
Email
Enrollment
Gamification
Incentives
IVR
Multiple languages
Patient portal messaging
Patient-reported outcomes capture
Photo messaging
Remote patient monitoring
Schedule-based rules
Survey administration
Two-way texting
Vitals monitoring