Promoting ear plugs at music events: evaluation of the Celebrate Safe approach

Rik Crutzen*, Judith Noijen, Gjalt-Jorn Ygram Peters

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objective: The Celebrate Safe approach is a collaboration between public health organisations and music event/venue organisers to encourage health promotion interventions in nightlife settings and at music events. The purpose of this study was to evaluate the Celebrate Safe approach with regard to its impact on use of ear plugs among visitors of music events.
Design: A pre-registered cluster-randomised controlled trial conducted at music events throughout the Netherlands (k = 15). In the experimental condition, event organisers were asked to share an online pre-event message about ear plugs, clearly indicate where visitors could buy ear plugs, and sell ear plugs at busy locations on the premises. Visitors were encouraged to wear ear plugs by means of an ‘ear check’ at the beginning of the event.
Study sample : Observations to assess whether event visitors wear ear plugs (N = 3836).
Results: A multilevel model, taking into account nesting of visitors within events, revealed that use of ear plugs at music events in the experimental condition was higher in comparison to events in the control condition (23% vs. 14%, OR = 1.9, 95%CI 1.2–3.0, p = 0.004).
Conclusions: The Celebrate Safe approach has a positive impact on use of ear plugs among visitors of music events.
Original languageEnglish
Pages (from-to)359-364
Number of pages6
JournalInternational Journal of Audiology
Issue number5
Early online date5 Oct 2020
Publication statusPublished - 4 May 2021


  • Ear plugs
  • music events
  • health promotion
  • behaviour change

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