Evidence map›Paper›PMID 24861418›Full record

Trial reportInjury2014

Effect of free distribution of safety equipment on usage among motorcycle-taxi drivers in Tanzania--A cluster randomised controlled trial.

Steven A Sumner, Anthony J Pallangyo, Elizabeth A Reddy, Venance Maro, Brian W Pence, Catherine Lynch, Elizabeth L Turner, Joseph R Egger, Nathan M Thielman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Injury, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Observational
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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

9 authors.

Steven A SumnerDuke University, Hubert Yeargan Center for Global Health, Durham, United States. Electronic address: steven.sumner@duke.edu.
Anthony J PallangyoKilimanjaro Christian Medical Centre, Orthopaedics Department, Moshi, Tanzania.
Elizabeth A ReddyDuke University, Department of Infectious Diseases and International Health, Durham, United States.
Venance MaroKilimanjaro Christian Medical Centre, Department of Medicine, Moshi, Tanzania.
Brian W PenceDepartment of Epidemiology, The University of North Carolina at Chapel Hill, Chapel Hill, United States.
Catherine LynchDuke University, Division of Emergency Medicine and Duke Global Health Institute, Durham, United States.
Elizabeth L TurnerDuke University, Duke Global Health Institute, Durham, United States.
Joseph R EggerDuke University, Duke Global Health Institute, Durham, United States.
Nathan M ThielmanDuke University, Department of Infectious Diseases and International Health, Durham, United States.

Funding

Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
FIC NIH HHS R25 TW009337
6 · The paper itself

Abstract

introductionDeaths due to road traffic injuries, particularly motorcycle crashes, have increased rapidly in many African nations and context-specific strategies to improve preventative behaviours are needed. Although adhering to conspicuity measures by wearing reflective safety vests is a highly effective crash prevention strategy and mandated by law among motorcycle-taxi drivers in some African countries, actual use is currently low. We aimed to test whether eliminating cost-barriers through the provision of free reflective, fluorescent motorcycle safety vests would lead to increased utilisation among a high-risk population of motorcycle-taxi drivers in Tanzania.

methodsA cluster randomised controlled trial was conducted among 180 motorcycle-taxi drivers. Participants randomised to the intervention arm (90) received free, reflective, fluorescent vests; participants randomised to the control arm (90) did not receive free vests. Participants' use of reflective vests was then observed on city streets over a three month period and differential uptake was estimated using mixed-effects logistic regression.

resultsBaseline use of reflective vests was 3.3% in both arms. Seventy-nine drivers in the intervention arm and 82 drivers in the control arm were observed during follow-up. The average proportion of observations during which motorcycle drivers were using a reflective vest was 9.5% in the intervention arm, compared to 2.0% in the control arm (odds ratio: 5.5, 95% confidence interval: 1.1-26.9, p-value: 0.04).

conclusionAlthough distribution of free reflective vests led to a statistically significant increase in vest usage, the absolute increase was modest. Additional strategies beyond removing economic barriers are important to augment adherence to road safety behaviours for injury prevention.

Indexed as

AutomobilesMotorcyclesAccidents, TrafficAdultFemaleHealth PromotionHumansMaleProtective DevicesSafety ManagementTanzaniaConspicuityConspicuity measuresCrashInjuryMotorcyclePrevention

Identifiers

PMID24861418
PMCPMC4213314

What OpenQuestion holds

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Registered trials

None linked

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.