Evidence map›Paper›PMID 34603959›Full record

ArticleJournal of transport & health2021

Use of natural experimental studies to evaluate 20mph speed limits in two major UK cities.

Karen Milton, Michael P Kelly, Graham Baker, Claire Cleland, Andy Cope, Neil Craig, Charlie Foster, Ruth Hunter, Frank Kee, Paul Kelly and 5 more

Abstract read
In one paragraph

Article in Journal of transport & health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Karen MiltonNorwich Medical School, University of East Anglia, UK.
Michael P KellyPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, UK.
Graham BakerPhysical Activity for Health Research Centre (PAHRC), Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, UK.
Claire ClelandSchool of Medicine, Dentistry, and Biomedical Sciences, Queen's University Belfast, UK.
Andy CopeSustrans, UK.
Neil CraigPublic Health Scotland, UK.
Charlie FosterCentre for Exercise, Nutrition and Health Sciences, University of Bristol, UK.
Ruth HunterCentre for Public Health, Queen's University Belfast, UK.
Frank KeeSchool of Medicine, Dentistry, and Biomedical Sciences, Queen's University Belfast, UK.
Paul KellyPhysical Activity for Health Research Centre (PAHRC), Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, UK.
Glenna NightingaleScottish Collaboration for Public Health Research and Policy, University of Edinburgh, UK.
Kieran TurnerScottish Collaboration for Public Health Research and Policy, University of Edinburgh, UK.
Andrew J WilliamsDivision of Population and Behavioural Science, School of Medicine, University of St Andrews, UK.
James WoodcockCentre for Diet and Activity Research, University of Cambridge, UK.
Ruth JepsonScottish Collaboration for Public Health Research and Policy, University of Edinburgh, UK.

Funding

Medical Research Council MR/K023209/1
6 · The paper itself

Abstract

introductionReductions in traffic speed can potentially offer multiple health and public health benefits. In 2016, implementation of 20mph (30kph) speed limit interventions began in Edinburgh (city-wide) and Belfast (city centre). The aims of this paper are to describe 1) the broad theoretical approach and design of two natural experimental studies to evaluate the 20mph speed limits in Edinburgh and Belfast and 2) how these studies allowed us to test and explore theoretical mechanisms of 20mph speed limit interventions.

methodsThe evaluation consisted of several work packages, each with different research foci, including the political decision-making processes that led to the schemes, their implementation processes, outcomes (including traffic speed, perceptions of safety, and casualties) and cost effectiveness. We used a combination of routinely and locally collected quantitative data and primary quantitative and qualitative data.

resultsThe evaluation identified many contextual factors influencing the likelihood of 20mph speed limits reaching the political agenda. There were substantial differences between the two sites in several aspects related to implementation. Reductions in speed resulted in significant reductions in collisions and casualties, particularly in Edinburgh, which had higher average speed at baseline. The monetary value of collisions and casualties prevented are likely to exceed the costs of the intervention and thus the overall balance of costs and benefits is likely to be favourable.

conclusionsInnovative study designs, including natural experiments, are important for assessing the impact of 'real world' public health interventions. Using multiple methods, this project enabled a deeper understanding of not only the effects of the intervention but the factors that explain how and why the intervention and the effects did or did not occur. Importantly it has shown that 20mph speed limits can lead to reductions in speed, collisions and casualties, and are therefore an effective public health intervention.

Indexed as

20mphEvaluationPolicySpeed limit

Identifiers

PMID34603959
PMCPMC8463832

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.