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.
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.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Success of community-based system dynamics in prevention interventions: A systematic review of the literature.Frontiers in public health · 2023Pooled it
- Application of group model building in implementation research: A systematic review of the public health and healthcare literature.PloS one · 2023Pooled it
- Mental Health Treatment Delays for Youth in Foster Care: Understanding System Decisions and Dynamics.Administration and policy in mental health · 2025Article
- Mixed-methods approach to describing Vision Zero initiatives in United States' municipalities.Accident; analysis and prevention · 2023Article
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Authors and funding
7 authors.
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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.
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