Evidence map›Paper›PMID 31848213›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2020

Integrating complex systems science into road safety research and practice, Part 2: applying systems tools to the problem of increasing pedestrian death rates.

Rebecca B Naumann, Jill Kuhlberg, Laura Sandt, Stephen Heiny, Wesley Kumfer, Stephen W Marshall, Kristen Hassmiller Lich

Abstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

7 authors.

Rebecca B NaumannEpidemiology Department and Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA rnaumann@unc.edu.ORCID 0000-0002-6648-0794
Jill KuhlbergHealth Policy and Management Department, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Laura SandtUniversity of North Carolina Highway Safety Research Center, Chapel Hill, North Carolina, USA.
Stephen HeinyUniversity of North Carolina Highway Safety Research Center, Chapel Hill, North Carolina, USA.
Wesley KumferUniversity of North Carolina Highway Safety Research Center, Chapel Hill, North Carolina, USA.
Stephen W MarshallEpidemiology Department and Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Kristen Hassmiller LichHealth Policy and Management Department, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Funding

NCIPC CDC HHS R49 CE002479
6 · The paper itself

Abstract

objectivesTo provide a specific example of how systems dynamics tools can increase understanding of stakeholder 'mental models' and generate robust systems-based hypotheses about the escalating problem of rising pedestrian death rates in the USA.

methodsWe designed and facilitated two group model building (GMB) workshops. Participants generated causal loop diagrams (CLDs) individually and in small groups to explore hypotheses concerning time-dynamic interacting factors underlying the increasing rates of pedestrian deaths. Using a grounded theory approach, research team members synthesised the structures and hypotheses into a single CLD.

resultsCLDs from the 41 participants indicated four core factors hypothesised to have a direct impact on pedestrian fatalities: pedestrian-vehicle crashes, vehicle speed at the time of the crash, vehicle size/dimensions and emergency response time. Participants diagrammed how actions and reactions impacted these proximal factors over time and led to ripple effects throughout a larger system to generate an increase in pedestrian deaths. Hypothesised contributing mechanisms fell within the following broad categories: community responses; research, policy and industry influence; potential unintended consequences of responses to pedestrian deaths; and the role of sprawl.

conclusionsThis application of systems science tools suggested several strategies for advancing injury prevention research and practice. The project generated robust hypotheses and advanced stakeholder communication and depth of understanding and engagement in this key issue. The CLD and GMB process detailed in this study provides a concrete example of how systems tools can be adopted and applied to a transportation safety topic.

Indexed as

PedestriansAccidents, TrafficEmergency Service, HospitalHumansTransportationWounds and Injuriesinjury preventionpedestrianroad safetysystem dynamicssystems science

Identifiers

PMID31848213
PMCPMC8126266

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.