The advocacy for pedestrian safety study: cluster randomised trial evaluating a political advocacy approach to reduce pedestrian injuries in deprived communities.
Authors/Editors
Research Areas
No matching items found.
Publication Details
Output type: Journal article
Author list: Lyons, Kendrick, Towner, Coupland, Hayes, Christie, Sleney, Jones, Kimberlee, Rodgers, Turner, Brussoni, Vinogradova, Sarvotham, Macey
Publisher: Public Library of Science
Publication year: 2013
Journal: PLoS ONE (1932-6203)
Journal acronym: PLOS ONE
Volume number: 8
Issue number: 4
ISSN: 1932-6203
eISSN: 1932-6203
Languages: English-Great Britain (EN-GB)
Unpaywall Data
Open access status: gold
Full text URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0060158&type=printable
Abstract
OBJECTIVE\nTo determine whether advocacy targeted at local politicians leads to action to reduce the risk of pedestrian injury in deprived areas.\nDESIGN\nCluster randomised controlled trial.\nSETTING\n239 electoral wards in 57 local authorities in England and Wales.\nPARTICIPANTS\n617 elected local politicians.\nINTERVENTIONS\nIntervention group politicians were provided with tailored information packs, including maps of casualty sites, numbers injured and a synopsis of effective interventions.\nMAIN OUTCOME MEASURES\n25-30 months post intervention, primary outcomes included: electoral ward level: percentage of road traffic calmed; proportion with new interventions; school level: percentage with 20 mph zones, Safe Routes to School, pedestrian training or road safety education; politician level: percentage lobbying for safety measures. Secondary outcomes included politicians' interest and involvement in injury prevention, and facilitators and barriers to implementation.\nRESULTS\nPRIMARY OUTCOMES DID NOT SIGNIFICANTLY DIFFER: % difference in traffic calming (0.07, 95%CI: -0.07 to 0.20); proportion of schools with 20 mph zones (RR 1.47, 95%CI: 0.93 to 2.32), Safe Routes to School (RR 1.34, 95%CI: 0.83 to 2.17), pedestrian training (RR 1.23, 95%CI: 0.95 to 1.61) or other safety education (RR 1.16, 95%CI: 0.97 to 1.39). Intervention group politicians reported greater interest in child injury prevention (RR 1.09, 95%CI 1.03 to 1.16), belief in potential to help prevent injuries (RR 1.36, 95%CI 1.16 to 1.61), particularly pedestrian safety (RR 1.55, 95%CI 1.19 to 2.03). 63% of intervention politicians reported supporting new pedestrian safety schemes. The majority found the advocacy information surprising, interesting, effectively presented, and could identify suitable local interventions.\nCONCLUSIONS\nThis study demonstrates the feasibility of an innovative approach to translational public health by targeting local politicians in a randomised controlled trial. The intervention package was positively viewed and raised interest but changes in interventions were not statistically significance. Longer term supported advocacy may be needed.\nTRIAL REGISTRATION\nCurrent Controlled Trials ISRCTN91381117.
Keywords
No matching items found.
Documents
No matching items found.
