Evidence map›Paper›PMID 39223646›Full record

ArticleHealth research policy and systems2024

The tales of two cities: use of evidence for introducing 20 miles per hour speed limits in Edinburgh and Belfast (United Kingdom).

Karen Milton, Graham Baker, Claire L Cleland, Andy Cope, Ruth F Hunter, Ruth Jepson, Frank Kee, Paul Kelly, Andrew J Williams, Michael P Kelly

Abstract read
In one paragraph

Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Karen MiltonNorwich Medical School, University of East Anglia, Norwich, Norfolk, NR4 7TJ, United Kingdom. K.Milton@uea.ac.uk.ORCID http://orcid.org/0000-0002-0506-2214
Graham BakerPhysical Activity for Health Research Centre (PAHRC), Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Claire L ClelandSchool of Medicine, Dentistry, and Biomedical Sciences, Queen's University, Belfast, United Kingdom.
Andy Cope, Sustrans, United Kingdom.
Ruth F HunterCentre for Public Health, Queen's University, Belfast, United Kingdom.
Ruth JepsonScottish Collaboration for Public Health Research and Policy, University of Edinburgh, Edinburgh, United Kingdom.
Frank KeeSchool of Medicine, Dentistry, and Biomedical Sciences, Queen's University, Belfast, United Kingdom.
Paul KellyPhysical Activity for Health Research Centre (PAHRC), Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Andrew J WilliamsDivision of Population and Behavioural Science, School of Medicine, University of St Andrews, St Andrews, United Kingdom.
Michael P KellyPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.

Funding

Public Health Research Programme 15/82/12
6 · The paper itself

Abstract

backgroundIn 2016, large-scale 20 miles per hour speed limits were introduced in the United Kingdom cities of Edinburgh and Belfast. This paper investigates the role that scientific evidence played in the policy decisions to implement lower speed limits in the two cities.

methodsUsing a qualitative case study design, we undertook content analysis of a range of documents to explore and describe the evolution of the two schemes and the ways in which evidence informed decision-making. In total, we identified 16 documents for Edinburgh, published between 2006 and 2016, and 19 documents for Belfast, published between 2002 and 2016.

findingsIn both cities, evidence on speed, collisions and casualties was important for initiating discussions on large-scale 20 mph policies. However, the narrative shifted over time to the idea that 20 mph would contribute to a wider range of aspirations, none of which were firmly grounded in evidence, but may have helped to neutralize opposing discourses. DISCUSSION AND

conclusionsThe relationship between evidence and decision-making in Edinburgh and Belfast was neither simple nor linear. Widening of the narrative appears to have helped to frame the idea in such a way that it had broad acceptability, without which there would have been no implementation, and probably a lot more push back from vested interests and communities than there was.

Indexed as

Accidents, TrafficAutomobile DrivingCitiesDecision MakingHumansPolicy MakingQualitative ResearchUnited Kingdom20 mphEvidencePolicySpeed limit

Identifiers

PMID39223646
PMCPMC11367795

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.