Evidence map›Paper›PMID 23577088›Full record

Trial reportPloS one2013

The advocacy for pedestrian safety study: cluster randomised trial evaluating a political advocacy approach to reduce pedestrian injuries in deprived communities.

Ronan A Lyons, Denise Kendrick, Elizabeth M L Towner, Carol Coupland, Mike Hayes, Nicola Christie, Judith Sleney, Sarah Jones, Richard Kimberlee, Sarah E Rodgers and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. All Wales Injury Surveillance System revised: development of a population-based system to evaluate single-level and multilevel interventions.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2016
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Ronan A LyonsSwansea University, Swansea, Wales, England. r.a.lyons@swansea.ac.uk
Denise Kendrick
Elizabeth M L Towner
Carol Coupland
Mike Hayes
Nicola Christie
Judith Sleney
Sarah Jones
Richard Kimberlee
Sarah E Rodgers
Samantha Turner
Mariana Brussoni
Yana Vinogradova
Tinnu Sarvotham
Steven Macey

Funding

Medical Research Council MR/K006525/1
6 · The paper itself

Abstract

objectiveTo determine whether advocacy targeted at local politicians leads to action to reduce the risk of pedestrian injury in deprived areas.

designCluster randomised controlled trial.

setting239 electoral wards in 57 local authorities in England and Wales.

participants617 elected local politicians.

interventionsIntervention group politicians were provided with tailored information packs, including maps of casualty sites, numbers injured and a synopsis of effective interventions.

main outcome measures25-30 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.

resultsPRIMARY 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.

conclusionsThis 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.

trial registrationCurrent Controlled Trials ISRCTN91381117.

Indexed as

PoliticsSocial ClassWalkingAccidents, TrafficAdolescentChildChild, PreschoolConsumer AdvocacyHumansMiddle AgedResidence CharacteristicsRiskSafety

Identifiers

PMID23577088
PMCPMC3620122

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.