The Advocacy for Pedestrian Safety Study: Cluster Randomised Trial Evaluating a Political Advocacy Approach to Reduce Pedestrian Injuries in Deprived Communities
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{"title"=>"The Advocacy for Pedestrian Safety Study: Cluster Randomised Trial Evaluating a Political Advocacy Approach to Reduce Pedestrian Injuries in Deprived Communities", "type"=>"journal", "authors"=>[{"first_name"=>"Ronan A.", "last_name"=>"Lyons", "scopus_author_id"=>"55259733900"}, {"first_name"=>"Denise", "last_name"=>"Kendrick", "scopus_author_id"=>"7006870304"}, {"first_name"=>"Elizabeth M.L.", "last_name"=>"Towner", "scopus_author_id"=>"6603700075"}, {"first_name"=>"Carol", "last_name"=>"Coupland", "scopus_author_id"=>"7003598940"}, {"first_name"=>"Mike", "last_name"=>"Hayes", "scopus_author_id"=>"56494017900"}, {"first_name"=>"Nicola", "last_name"=>"Christie", "scopus_author_id"=>"35939105100"}, {"first_name"=>"Judith", "last_name"=>"Sleney", "scopus_author_id"=>"23111755700"}, {"first_name"=>"Sarah", "last_name"=>"Jones", "scopus_author_id"=>"35566208100"}, {"first_name"=>"Richard", "last_name"=>"Kimberlee", "scopus_author_id"=>"24073367600"}, {"first_name"=>"Sarah E.", "last_name"=>"Rodgers", "scopus_author_id"=>"7102011661"}, {"first_name"=>"Samantha", "last_name"=>"Turner", "scopus_author_id"=>"7402275386"}, {"first_name"=>"Mariana", "last_name"=>"Brussoni", "scopus_author_id"=>"9636595500"}, {"first_name"=>"Yana", "last_name"=>"Vinogradova", "scopus_author_id"=>"16311003100"}, {"first_name"=>"Tinnu", "last_name"=>"Sarvotham", "scopus_author_id"=>"23394070000"}, {"first_name"=>"Steven", "last_name"=>"Macey", "scopus_author_id"=>"24071537700"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"368695888", "issn"=>"19326203", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0060158", "scopus"=>"2-s2.0-84875969414", "pmid"=>"23577088", "sgr"=>"84875969414"}, "id"=>"1ce1938d-2edb-3c61-aacb-aa51db8002bf", "abstract"=>"OBJECTIVE: To determine whether advocacy targeted at local politicians leads to action to reduce the risk of pedestrian injury in deprived areas.\\n\\nDESIGN: Cluster randomised controlled trial.\\n\\nSETTING: 239 electoral wards in 57 local authorities in England and Wales.\\n\\nPARTICIPANTS: 617 elected local politicians.\\n\\nINTERVENTIONS: Intervention group politicians were provided with tailored information packs, including maps of casualty sites, numbers injured and a synopsis of effective interventions.\\n\\nMAIN OUTCOME MEASURES: 25-30 months post intervention, primary outcomes included: electoral ward level: percentage of road traffic calmed; proportion with new interventions; school level: percentage with 20 mph zones, Safe Routes to School, pedestrian training or road safety education; politician level: percentage lobbying for safety measures. Secondary outcomes included politicians' interest and involvement in injury prevention, and facilitators and barriers to implementation.\\n\\nRESULTS: PRIMARY OUTCOMES DID NOT SIGNIFICANTLY DIFFER: % difference in traffic calming (0.07, 95%CI: -0.07 to 0.20); proportion of schools with 20 mph zones (RR 1.47, 95%CI: 0.93 to 2.32), Safe Routes to School (RR 1.34, 95%CI: 0.83 to 2.17), pedestrian training (RR 1.23, 95%CI: 0.95 to 1.61) or other safety education (RR 1.16, 95%CI: 0.97 to 1.39). Intervention group politicians reported greater interest in child injury prevention (RR 1.09, 95%CI 1.03 to 1.16), belief in potential to help prevent injuries (RR 1.36, 95%CI 1.16 to 1.61), particularly pedestrian safety (RR 1.55, 95%CI 1.19 to 2.03). 63% of intervention politicians reported supporting new pedestrian safety schemes. The majority found the advocacy information surprising, interesting, effectively presented, and could identify suitable local interventions.\\n\\nCONCLUSIONS: This study demonstrates the feasibility of an innovative approach to translational public health by targeting local politicians in a randomised controlled trial. The intervention package was positively viewed and raised interest but changes in interventions were not statistically significance. Longer term supported advocacy may be needed.\\n\\nTRIAL REGISTRATION: Current Controlled Trials ISRCTN91381117.", "link"=>"http://www.mendeley.com/research/advocacy-pedestrian-safety-study-cluster-randomised-trial-evaluating-political-advocacy-approach-red", "reader_count"=>63, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>2, "Librarian"=>2, "Researcher"=>14, "Student > Doctoral Student"=>3, "Student > Ph. D. 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Student"=>10, "Student > Postgraduate"=>2, "Student > Master"=>15, "Other"=>3, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Engineering"=>5, "Unspecified"=>6, "Nursing and Health Professions"=>7, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>25, "Agricultural and Biological Sciences"=>1, "Arts and Humanities"=>1, "Neuroscience"=>1, "Sports and Recreations"=>3, "Psychology"=>3, "Social Sciences"=>8, "Computer Science"=>1, "Decision Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>25}, "Social Sciences"=>{"Social Sciences"=>8}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>3}, "Psychology"=>{"Psychology"=>3}, "Unspecified"=>{"Unspecified"=>6}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Engineering"=>{"Engineering"=>5}, "Neuroscience"=>{"Neuroscience"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>7}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}}, "reader_count_by_country"=>{"Canada"=>2, "Netherlands"=>1, "Belgium"=>1, "United Kingdom"=>2, "Mexico"=>1}, "group_count"=>12}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1018222"], "description"=>"<p>Flow of participants through the trial.</p>", "links"=>[], "tags"=>["public health and epidemiology"], "article_id"=>677543, "categories"=>["Biotechnology"], "users"=>["Ronan A. Lyons", "Denise Kendrick", "Elizabeth M. L. Towner", "Carol Coupland", "Mike Hayes", "Nicola Christie", "Judith Sleney", "Sarah Jones", "Richard Kimberlee", "Sarah E. Rodgers", "Samantha Turner", "Mariana Brussoni", "Yana Vinogradova", "Tinnu Sarvotham", "Steven Macey"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060158.g002", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_of_participants_through_the_trial_/677543", "title"=>"Flow of participants through the trial.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-04-08 02:05:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/1018224"], "description"=>"<p>[] denotes missing values for responders to questionnaire.</p>1<p>regression coefficient, using cube root transformation.</p>", "links"=>[], "tags"=>["measures", "months"], "article_id"=>677544, "categories"=>["Biotechnology"], "users"=>["Ronan A. Lyons", "Denise Kendrick", "Elizabeth M. L. Towner", "Carol Coupland", "Mike Hayes", "Nicola Christie", "Judith Sleney", "Sarah Jones", "Richard Kimberlee", "Sarah E. Rodgers", "Samantha Turner", "Mariana Brussoni", "Yana Vinogradova", "Tinnu Sarvotham", "Steven Macey"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060158.t004", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Primary_outcome_measures_by_treatment_group_at_25_8211_30_months_post_intervention_/677544", "title"=>"Primary outcome measures by treatment group at 25–30 months post intervention.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-08 02:05:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/1018232", "https://ndownloader.figshare.com/files/1018234", "https://ndownloader.figshare.com/files/1018239", "https://ndownloader.figshare.com/files/1018259"], "description"=>"<div><p>Objective</p><p>To determine whether advocacy targeted at local politicians leads to action to reduce the risk of pedestrian injury in deprived areas.</p> <p>Design</p><p>Cluster randomised controlled trial.</p> <p>Setting</p><p>239 electoral wards in 57 local authorities in England and Wales.</p> <p>Participants</p><p>617 elected local politicians.</p> <p>Interventions</p><p>Intervention group politicians were provided with tailored information packs, including maps of casualty sites, numbers injured and a synopsis of effective interventions.</p> <p>Main outcome measures</p><p>25–30 months post intervention, primary outcomes included: electoral ward level: percentage of road traffic calmed; proportion with new interventions; school level: percentage with 20 mph zones, Safe Routes to School, pedestrian training or road safety education; politician level: percentage lobbying for safety measures. Secondary outcomes included politicians’ interest and involvement in injury prevention, and facilitators and barriers to implementation.</p> <p>Results</p><p>Primary outcomes did not significantly differ: % difference in traffic calming (0.07, 95%CI: −0.07 to 0.20); proportion of schools with 20 mph zones (RR 1.47, 95%CI: 0.93 to 2.32), Safe Routes to School (RR 1.34, 95%CI: 0.83 to 2.17), pedestrian training (RR 1.23, 95%CI: 0.95 to 1.61) or other safety education (RR 1.16, 95%CI: 0.97 to 1.39). Intervention group politicians reported greater interest in child injury prevention (RR 1.09, 95%CI 1.03 to 1.16), belief in potential to help prevent injuries (RR 1.36, 95%CI 1.16 to 1.61), particularly pedestrian safety (RR 1.55, 95%CI 1.19 to 2.03). 63% of intervention politicians reported supporting new pedestrian safety schemes. The majority found the advocacy information surprising, interesting, effectively presented, and could identify suitable local interventions.</p> <p>Conclusions</p><p>This study demonstrates the feasibility of an innovative approach to translational public health by targeting local politicians in a randomised controlled trial. The intervention package was positively viewed and raised interest but changes in interventions were not statistically significance. Longer term supported advocacy may be needed.</p> <p>Trial Registration</p><p>Current Controlled Trials <a href=\"http://currentcontrolledtrials/ct2/show/ISRCTN91381117\" target=\"_blank\">ISRCTN91381117</a></p> </div>", "links"=>[], "tags"=>["advocacy", "pedestrian", "randomised", "evaluating", "injuries", "deprived"], "article_id"=>677551, "categories"=>["Biotechnology"], "users"=>["Ronan A. Lyons", "Denise Kendrick", "Elizabeth M. L. Towner", "Carol Coupland", "Mike Hayes", "Nicola Christie", "Judith Sleney", "Sarah Jones", "Richard Kimberlee", "Sarah E. Rodgers", "Samantha Turner", "Mariana Brussoni", "Yana Vinogradova", "Tinnu Sarvotham", "Steven Macey"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0060158.s001", "https://dx.doi.org/10.1371/journal.pone.0060158.s002", "https://dx.doi.org/10.1371/journal.pone.0060158.s003", "https://dx.doi.org/10.1371/journal.pone.0060158.s004"], "stats"=>{"downloads"=>5, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_Advocacy_for_Pedestrian_Safety_Study_Cluster_Randomised_Trial_Evaluating_a_Political_Advocacy_Approach_to_Reduce_Pedestrian_Injuries_in_Deprived_Communities_/677551", "title"=>"The Advocacy for Pedestrian Safety Study: Cluster Randomised Trial Evaluating a Political Advocacy Approach to Reduce Pedestrian Injuries in Deprived Communities", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-04-08 02:05:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1018227"], "description"=>"<p>Councillors were not contacted for the following reasons; refusal to complete the 1<sup>st</sup> questionnaire, loss of seat, illness and if the councillor was deceased.</p>", "links"=>[], "tags"=>["numbers", "rates", "questionnaires", "interviews"], "article_id"=>677547, "categories"=>["Biotechnology"], "users"=>["Ronan A. Lyons", "Denise Kendrick", "Elizabeth M. L. Towner", "Carol Coupland", "Mike Hayes", "Nicola Christie", "Judith Sleney", "Sarah Jones", "Richard Kimberlee", "Sarah E. Rodgers", "Samantha Turner", "Mariana Brussoni", "Yana Vinogradova", "Tinnu Sarvotham", "Steven Macey"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060158.t001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Response_numbers_and_rates_for_all_questionnaires_and_interviews_with_politicians_/677547", "title"=>"Response numbers and rates for all questionnaires and interviews with politicians.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-08 02:05:47"}
  • {"files"=>["https://ndownloader.figshare.com/files/1018226"], "description"=>"<p>[] denotes missing values for responders to questionnaire.</p><p>Coding of problems in ward: Yes = Very big problem/Fairly big problem, No = Not a very big problem/Not a problem at all.</p>", "links"=>[], "tags"=>["wards", "politicians", "months"], "article_id"=>677546, "categories"=>["Biotechnology"], "users"=>["Ronan A. Lyons", "Denise Kendrick", "Elizabeth M. L. Towner", "Carol Coupland", "Mike Hayes", "Nicola Christie", "Judith Sleney", "Sarah Jones", "Richard Kimberlee", "Sarah E. Rodgers", "Samantha Turner", "Mariana Brussoni", "Yana Vinogradova", "Tinnu Sarvotham", "Steven Macey"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060158.t006", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Issues_reported_as_being_a_8216_very_big_8217_or_8216_fairly_big_8217_problem_in_their_wards_by_local_politicians_at_1_8211_3_months_after_baseline_/677546", "title"=>"Issues reported as being a ‘very big’ or ‘fairly big’ problem in their wards by local politicians at 1–3 months after baseline.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-08 02:05:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/1018219"], "description"=>"<p>Distribution of local politicians (district and/or county) between intervention and control local authorities and electoral wards.</p>", "links"=>[], "tags"=>["politicians", "authorities", "electoral"], "article_id"=>677541, "categories"=>["Biotechnology"], "users"=>["Ronan A. Lyons", "Denise Kendrick", "Elizabeth M. L. Towner", "Carol Coupland", "Mike Hayes", "Nicola Christie", "Judith Sleney", "Sarah Jones", "Richard Kimberlee", "Sarah E. Rodgers", "Samantha Turner", "Mariana Brussoni", "Yana Vinogradova", "Tinnu Sarvotham", "Steven Macey"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060158.g001", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Distribution_of_local_politicians_district_and_or_county_between_intervention_and_control_local_authorities_and_electoral_wards_/677541", "title"=>"Distribution of local politicians (district and/or county) between intervention and control local authorities and electoral wards.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-04-08 02:05:41"}

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  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"7", "full-text"=>"5", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"8", "full-text"=>"6", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"7", "full-text"=>"5", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}

Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Engineering and technology/Transportation", "average_usage"=>[324, 555, 709, 879, 1033, 1141, 1244, 1354, 1508, 1618, 1712, 1778, 1847]}, {"subject_area"=>"/Medicine and health sciences/Clinical medicine", "average_usage"=>[263, 451, 582, 699, 797, 889, 969, 1045, 1134, 1215, 1284, 1362, 1412]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[278, 463, 587, 692, 804, 897, 984, 1068, 1165, 1254, 1339, 1429, 1490]}, {"subject_area"=>"/Medicine and health sciences/Public and occupational health", "average_usage"=>[291, 491, 610, 723, 817, 906, 991, 1071, 1153, 1238, 1324, 1411, 1478]}, {"subject_area"=>"/Social sciences", "average_usage"=>[289, 475, 593, 703, 805, 902, 990, 1078, 1158, 1250, 1336, 1417, 1482]}]}
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