1
|
Goel R, Tiwari G, Varghese M, Bhalla K, Agrawal G, Saini G, Jha A, John D, Saran A, White H, Mohan D. Effectiveness of road safety interventions: An evidence and gap map. CAMPBELL SYSTEMATIC REVIEWS 2024; 20:e1367. [PMID: 38188231 PMCID: PMC10765170 DOI: 10.1002/cl2.1367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/09/2024]
Abstract
Background Road Traffic injuries (RTI) are among the top ten leading causes of death in the world resulting in 1.35 million deaths every year, about 93% of which occur in low- and middle-income countries (LMICs). Despite several global resolutions to reduce traffic injuries, they have continued to grow in many countries. Many high-income countries have successfully reduced RTI by using a public health approach and implementing evidence-based interventions. As many LMICs develop their highway infrastructure, adopting a similar scientific approach towards road safety is crucial. The evidence also needs to be evaluated to assess external validity because measures that have worked in high-income countries may not translate equally well to other contexts. An evidence gap map for RTI is the first step towards understanding what evidence is available, from where, and the key gaps in knowledge. Objectives The objective of this evidence gap map (EGM) is to identify existing evidence from all effectiveness studies and systematic reviews related to road safety interventions. In addition, the EGM identifies gaps in evidence where new primary studies and systematic reviews could add value. This will help direct future research and discussions based on systematic evidence towards the approaches and interventions which are most effective in the road safety sector. This could enable the generation of evidence for informing policy at global, regional or national levels. Search Methods The EGM includes systematic reviews and impact evaluations assessing the effect of interventions for RTI reported in academic databases, organization websites, and grey literature sources. The studies were searched up to December 2019. Selection Criteria The interventions were divided into five broad categories: (a) human factors (e.g., enforcement or road user education), (b) road design, infrastructure and traffic control, (c) legal and institutional framework, (d) post-crash pre-hospital care, and (e) vehicle factors (except car design for occupant protection) and protective devices. Included studies reported two primary outcomes: fatal crashes and non-fatal injury crashes; and four intermediate outcomes: change in use of seat belts, change in use of helmets, change in speed, and change in alcohol/drug use. Studies were excluded if they did not report injury or fatality as one of the outcomes. Data Collection and Analysis The EGM is presented in the form of a matrix with two primary dimensions: interventions (rows) and outcomes (columns). Additional dimensions are country income groups, region, quality level for systematic reviews, type of study design used (e.g., case-control), type of road user studied (e.g., pedestrian, cyclists), age groups, and road type. The EGM is available online where the matrix of interventions and outcomes can be filtered by one or more dimensions. The webpage includes a bibliography of the selected studies and titles and abstracts available for preview. Quality appraisal for systematic reviews was conducted using a critical appraisal tool for systematic reviews, AMSTAR 2. Main Results The EGM identified 1859 studies of which 322 were systematic reviews, 7 were protocol studies and 1530 were impact evaluations. Some studies included more than one intervention, outcome, study method, or study region. The studies were distributed among intervention categories as: human factors (n = 771), road design, infrastructure and traffic control (n = 661), legal and institutional framework (n = 424), post-crash pre-hospital care (n = 118) and vehicle factors and protective devices (n = 111). Fatal crashes as outcomes were reported in 1414 records and non-fatal injury crashes in 1252 records. Among the four intermediate outcomes, speed was most commonly reported (n = 298) followed by alcohol (n = 206), use of seatbelts (n = 167), and use of helmets (n = 66). Ninety-six percent of the studies were reported from high-income countries (HIC), 4.5% from upper-middle-income countries, and only 1.4% from lower-middle and low-income countries. There were 25 systematic reviews of high quality, 4 of moderate quality, and 293 of low quality. Authors' Conclusions The EGM shows that the distribution of available road safety evidence is skewed across the world. A vast majority of the literature is from HICs. In contrast, only a small fraction of the literature reports on the many LMICs that are fast expanding their road infrastructure, experiencing rapid changes in traffic patterns, and witnessing growth in road injuries. This bias in literature explains why many interventions that are of high importance in the context of LMICs remain poorly studied. Besides, many interventions that have been tested only in HICs may not work equally effectively in LMICs. Another important finding was that a large majority of systematic reviews are of low quality. The scarcity of evidence on many important interventions and lack of good quality evidence-synthesis have significant implications for future road safety research and practice in LMICs. The EGM presented here will help identify priority areas for researchers, while directing practitioners and policy makers towards proven interventions.
Collapse
Affiliation(s)
- Rahul Goel
- Transportation Research and Injury Prevention CentreIndian Institute of Technology DelhiNew DelhiIndia
| | - Geetam Tiwari
- Transportation Research and Injury Prevention CentreIndian Institute of Technology DelhiNew DelhiIndia
| | | | - Kavi Bhalla
- Department of Public Health SciencesUniversity of ChicagoChicagoIllinoisUSA
| | - Girish Agrawal
- Transportation Research and Injury Prevention CentreIndian Institute of Technology DelhiNew DelhiIndia
| | | | - Abhaya Jha
- Transportation Research and Injury Prevention CentreIndian Institute of Technology DelhiNew DelhiIndia
| | - Denny John
- Faculty of Life and Allied Health SciencesM S Ramaiah University of Applied Sciences, BangaloreKarnatakaIndia
| | | | | | - Dinesh Mohan
- Transportation Research and Injury Prevention CentreIndian Institute of Technology DelhiNew DelhiIndia
| |
Collapse
|
2
|
Abohassan A, Contini L, Elmasry H, El-Basyouny K. Assessing the effectiveness of speed limit reduction in Edmonton: A case study analysis. ACCIDENT; ANALYSIS AND PREVENTION 2024; 195:107379. [PMID: 37992498 DOI: 10.1016/j.aap.2023.107379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 10/19/2023] [Accepted: 11/10/2023] [Indexed: 11/24/2023]
Abstract
This study evaluates the impact of reducing the default speed limit from 50 km/h to 40 km/h on traffic safety and drivers' behavior in Edmonton, Canada. The research comprehensively examines collision and speed data to assess the outcomes of the new speed limit. Collision data was analyzed across three distinct periods: pre-COVID (2017-2019), the COVID period (2019-2021), and the after-implementation period (August 2021 to July 2022). Speed surveys were conducted on 219 road segments before and after the implementation of the speed limit change. The study utilized a before-and-after with a comparison group approach to evaluate the impact on collisions, using 50 km/h roads that maintained their speed limit throughout as the comparison group. The impact of the reduced speed limit on road safety was assessed by analyzing collision data for two periods, pre-COVID (2017-2019) and COVID (2019-2021), compared to the period after setting the new speed limit (2021-2022). Two-sample t-tests were employed to examine the change in speeds. The analysis revealed statistically significant reductions in the overall number of collisions and injuries and fatalities resulting from collisions, by 25% and 31%, respectively. The study also categorized neighborhoods and roads to demonstrate the areas that experienced the greatest benefits. Speed data showed statistically significant reductions in the average and 85th percentile speeds, with drivers lowering their speeds at 115 locations, accounting for 53% of the surveyed locations. Moreover, higher speed reductions were observed on local roads compared to collector roads, and narrower roads compared to wider roads.. Overall, the study demonstrates that reducing the speed limit can lead to lower speeds and fewer collisions on the roads, creating a safer road environment for drivers, pedestrians, and cyclists. Additionally, it provides a detailed framework for municipalities to evaluate the effectiveness of their speed limit reduction programs.
Collapse
Affiliation(s)
| | | | - Hesham Elmasry
- Department of Civil and Environmental Engineering, University of Alberta, Edmonton, Canada.
| | - Karim El-Basyouny
- Department of Civil and Environmental Engineering, University of Alberta, Edmonton, Canada.
| |
Collapse
|
3
|
Singh H, Kathuria A. Analyzing driver behavior under naturalistic driving conditions: A review. ACCIDENT; ANALYSIS AND PREVENTION 2021; 150:105908. [PMID: 33310431 DOI: 10.1016/j.aap.2020.105908] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 11/20/2020] [Accepted: 11/22/2020] [Indexed: 06/12/2023]
Abstract
For a decade, researchers working in the area of road safety have started exploring the use of driving behavior data for a better understanding of the causes related to road accidents. A review of the literature reveals the excellent potential of naturalistic driving studies carried out by collecting vehicle performance data and driver behavior data during normal, impaired, and safety-critical situations. An in-depth understanding of driver behavior helps analyze and implement pre-crash safety measures - the development of enforcement policies, infrastructure design, and intelligent vehicle safety systems. The present paper attempts to review the naturalistic driving studies that have been undertaken so far. The paper begins with an overview of different methods for collecting unobtrusive driver behavior data during their day to day trip, followed by a discussion of various factors affecting driving behavior and their influence on vehicle performance parameters. The paper also discusses the strategies mentioned in the literature for improving driving behavior using naturalistic driving studies to enhance road safety. Some of the major findings of this review suggest that i) driver behavior is a major cause in the majority of the road accidents ii) drivers generally reduce their speed and increases headway as a compensatory measure to reduce the workload imposed during distracting activity and adverse weather conditions iii) mobile phone has emerged as a potential device for collecting naturalistic driving data and, iv) improvement in driving behavior can be achieved by providing feedback to the drivers about their driving behavior. This can be done by implementing usage-based insurance schemes such as pay as you drive (PAYD), pay how you drive (PHYD), and manage how you drive (MHYD). While a considerable amount of research has been done to analyze driving behavior under naturalistic conditions, some areas which are yet to be explored are highlighted in the present paper.
Collapse
Affiliation(s)
- Harpreet Singh
- Department of Civil Engineering, Indian Institute of Technology Jammu (IIT-JMU), Jammu, India.
| | - Ankit Kathuria
- Department of Civil Engineering, Indian Institute of Technology Jammu (IIT-JMU), Jammu, India.
| |
Collapse
|
4
|
Quistberg DA, Thompson LL, Curtin J, Rivara FP, Ebel BE. Impact of automated photo enforcement of vehicle speed in school zones: interrupted time series analysis. Inj Prev 2019; 25:400-406. [PMID: 30279165 PMCID: PMC6445786 DOI: 10.1136/injuryprev-2018-042912] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Revised: 08/24/2018] [Accepted: 08/30/2018] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Measure the impact of automated photo speed enforcement in school zones on motorist speed and speeding violation rates during school travel. METHODS Automated enforcement cameras, active during school commuting hours, were installed around four elementary schools in Seattle, Washington, USA in 2012. We examined the effect of automated enforcement on motorist speeds and speed violation rates during the citation period (10 December 2012 to 15 January 2015) compared with the 'warning' period (1 November to 9 December 2012). We evaluated outcomes with an interrupted time series approach using multilevel mixed linear regression. RESULTS Motorist speed violation rates decreased by nearly half in the citation period compared with the warning period (standardised incident rate ratio 0.53, 95% CI 0.42 to 0.66). The hourly maximum violation speed and mean hourly speeds decreased 2.1 MPH (95% CI -2.88 to -1.39) and 1.1 MPH (95% CI -1.64 to - 0.60), respectively. The impact of automated enforcement was sustained during the second year of implementation. CONCLUSION Automated photo enforcement of speed limit in school zones was effective at reducing motorist speed violations and also achieved a significant reduction in mean motorist speed.
Collapse
Affiliation(s)
- D Alex Quistberg
- Harborview Injury Prevention & Research Center, University of Washington, Seattle, Washington, USA
- Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, Washington, USA
| | - Leah L Thompson
- Department of Pediatrics, University of Washington, Seattle, Washington, USA
| | - James Curtin
- Seattle Department of Transportation, City of Seattle, Seattle, Washington, USA
| | - Frederick P Rivara
- Harborview Injury Prevention & Research Center, University of Washington, Seattle, Washington, USA
- Department of Pediatrics, University of Washington, Seattle, Washington, USA
- Seattle Children's Research Institute, Seattle Children's Hospital, Seattle, Washington, USA
- Department of Epidemiology, University of Washington, Seattle, Washington, USA
| | - Beth E Ebel
- Harborview Injury Prevention & Research Center, University of Washington, Seattle, Washington, USA
- Department of Pediatrics, University of Washington, Seattle, Washington, USA
- Seattle Children's Research Institute, Seattle Children's Hospital, Seattle, Washington, USA
- Department of Epidemiology, University of Washington, Seattle, Washington, USA
| |
Collapse
|
5
|
Electromagnetic Energy Harvesting Technology: Key to Sustainability in Transportation Systems. SUSTAINABILITY 2019. [DOI: 10.3390/su11184906] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The convergence of concerns about environmental quality, economic vitality, social equity, and climate change have led to vast interest in the concept of sustainability. Energy harvesting from roadways is an innovative way to provide green and renewable energy for sustainable transportation. However, energy harvesting technologies are in their infancy, so limited studies were conducted to evaluate their performance. This article introduces innovative electromagnetic energy harvesting technology that includes two different mechanisms to generate electrical power: a cantilever generator mechanism and a rotational mechanism. Laboratory experimental tests were conducted to examine the performance of the two mechanisms in generating power under different simulated traffic conditions. The experimental results had approximately root mean square power 0.43 W and 0.04 W and maximum power of 2.8 W and 0.25 W for cantilever and rotational, respectively. These results showed promising capability for both mechanisms in generating power under real traffic conditions. In addition, the study revealed the potential benefits of energy harvesting from roadways to support sustainability in transportation systems. Overall, the findings show that energy harvesting can impact sustainable transportation systems significantly. However, further examination of the large-scale effects of energy harvesting from roadways on sustainability is needed.
Collapse
|
6
|
Ferenchak NN, Marshall WE. Redefining the child pedestrian safety paradigm: identifying high fatality concentrations in urban areas. Inj Prev 2017; 23:364-369. [PMID: 28073947 DOI: 10.1136/injuryprev-2016-042115] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 11/20/2016] [Accepted: 12/01/2016] [Indexed: 11/04/2022]
Abstract
OBJECTIVES Child pedestrians are some of the most vulnerable users of our transportation systems, and they deserve particular attention when we consider traffic safety. The objective of this work is to identify urban locations in which child pedestrians are at particular risk for fatal collisions with vehicles. METHODS This paper examines 30 years of crash data for six American cities to locate areas with high child pedestrian fatality concentrations. Phase I of the study, which examines Denver, Colorado, USA, reveals higher concentrations of child pedestrian fatalities around parks as compared with other areas that children have been shown to frequent. In phase II of the study, we specifically examine fatality concentrations near parks as compared with schools. RESULTS Statistical analyses suggest that, once exposure is controlled for, child pedestrian fatalities concentrate around parks in densities 1.04-2.23 times higher than around schools. Also, the concentration of child pedestrian fatalities around parks is 1.16-1.81 times higher than the respective citywide concentration. CONCLUSION Traffic risks for children around parks deserve further examination as we pursue the goals of Vision Zero and child safety on our streets.
Collapse
Affiliation(s)
- Nicholas N Ferenchak
- Civil Engineering Department, University of Colorado Denver, Denver, Colorado, USA
| | - Wesley E Marshall
- Civil Engineering Department, University of Colorado Denver, Denver, Colorado, USA
| |
Collapse
|
7
|
Zhao X, Li J, Ma J, Rong J. Evaluation of the effects of school zone signs and markings on speed reduction: a driving simulator study. SPRINGERPLUS 2016; 5:789. [PMID: 27390630 PMCID: PMC4916105 DOI: 10.1186/s40064-016-2396-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 05/24/2016] [Indexed: 11/10/2022]
Abstract
Traffic control devices are one of the most significant factors affecting driving behavior. In China, there is a lack of installation guidelines or standards for traffic control devices in school zones. In addition, little research has been done to examine the effects of traffic control devices on driving behavior. Few guidelines have been established for implementing traffic control devices in school zones in China. This research conducted a driving simulator experiment to assess the effects of school zone signs and markings for two different types of schools. The efficiency of these traffic control devices was evaluated using four variables derived from the driving simulation, including average speed, relative speed difference, standard deviation of acceleration, and 85th percentile speed. Results showed that traffic control devices such as the Flashing Beacon and School Crossing Ahead Warning Assembly, the Reduce Speed and School Crossing Warning Assembly, and the School Crossing Ahead Pavement Markings were recommended for school zones adjacent to a major multilane roadway, which is characterized by a median strip, high traffic volume, high-speed traffic and the presence of pedestrian crossing signals. The School Crossing Ahead Pavement Markings were recommended for school zones on a minor two-lane roadway, which is characterized by low traffic volume, low speed, and no pedestrian crossing signals.
Collapse
Affiliation(s)
- Xiaohua Zhao
- Beijing Engineering Research Center of Urban Transport Operation Guarantee, Beijing Collaborative Innovation Center for Metropolitan Transportation, Beijing University of Technology, Beijing, 100124 China
| | - Jiahui Li
- Road Safety Research Center, Research Institute of Highway Ministry of Transport, Beijing, 100088 China
| | - Jianming Ma
- Traffic Operations Division, Texas Department of Transportation, Austin, TX 78701-2483 USA
| | - Jian Rong
- Beijing Engineering Research Center of Urban Transport Operation Guarantee, Beijing Collaborative Innovation Center for Metropolitan Transportation, Beijing University of Technology, Beijing, 100124 China
| |
Collapse
|
8
|
Strawderman L, Rahman MM, Huang Y, Nandi A. Driver behavior and accident frequency in school zones: Assessing the impact of sign saturation. ACCIDENT; ANALYSIS AND PREVENTION 2015; 82:118-125. [PMID: 26070018 DOI: 10.1016/j.aap.2015.05.026] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 04/08/2015] [Accepted: 05/30/2015] [Indexed: 06/04/2023]
Abstract
Based on the models of human information processing, if a driver observes too many of the same signs, he or she may no longer pay attention to those signs. In the case of school zones, this expected effect may lead to non-compliance to posted speeds, negatively impacting safety around nearby schools. This study aims to investigate the effect of the number of nearby school zones on driver behavior (vehicle speed and compliance) and accident frequency. As a measure of the density of school zones, this study introduced and defined a new term sign saturation and presented a methodology to calculate sign saturation for school zones. Results found a significant effect of sign saturation on vehicle speed, compliance, and accident frequency. This study also examined the speeding behavior in school zones for different time of the day and day of the week. Results found that speeding was more prevalent in the early mornings and during the weekends.
Collapse
Affiliation(s)
- Lesley Strawderman
- Department of Industrial and Systems Engineering, Mississippi State University, P.O. Box 9542, Mississippi State, MS 39762, USA.
| | - Md Mahmudur Rahman
- Department of Industrial and Systems Engineering, Mississippi State University, P.O. Box 9542, Mississippi State, MS 39762, USA
| | - Yunchen Huang
- Department of Industrial and Systems Engineering, Mississippi State University, P.O. Box 9542, Mississippi State, MS 39762, USA
| | - Apurba Nandi
- Department of Industrial and Systems Engineering, Mississippi State University, P.O. Box 9542, Mississippi State, MS 39762, USA
| |
Collapse
|
9
|
Pinkerton B, Rosu A, Janssen I, Pickett W. Active transportation safety features around schools in Canada. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2013; 10:5711-25. [PMID: 24185844 PMCID: PMC3863867 DOI: 10.3390/ijerph10115711] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2013] [Revised: 10/10/2013] [Accepted: 10/26/2013] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to describe the presence and quality of active transportation safety features in Canadian school environments that relate to pedestrian and bicycle safety. Variations in these features and associated traffic concerns as perceived by school administrators were examined by geographic status and school type. The study was based on schools that participated in 2009/2010 Health Behaviour in School-aged Children (HBSC) survey. ArcGIS software version 10 and Google Earth were used to assess the presence and quality of ten different active transportation safety features. Findings suggest that there are crosswalks and good sidewalk coverage in the environments surrounding most Canadian schools, but a dearth of bicycle lanes and other traffic calming measures (e.g., speed bumps, traffic chokers). Significant urban/rural inequities exist with a greater prevalence of sidewalk coverage, crosswalks, traffic medians, and speed bumps in urban areas. With the exception of bicycle lanes, the active transportation safety features that were present were generally rated as high quality. Traffic was more of a concern to administrators in urban areas. This study provides novel information about active transportation safety features in Canadian school environments. This information could help guide public health efforts aimed at increasing active transportation levels while simultaneously decreasing active transportation injuries.
Collapse
Affiliation(s)
- Bryn Pinkerton
- Department of Public Health Sciences, Queen’s University, Kingston, ON K7L 3N6, Canada; E-Mails: (B.P.); (I.J.)
- Departments of Biology and International Development Studies, McGill University, Montreal, QC H3A 0G4, Canada
| | - Andrei Rosu
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada; E-Mail:
| | - Ian Janssen
- Department of Public Health Sciences, Queen’s University, Kingston, ON K7L 3N6, Canada; E-Mails: (B.P.); (I.J.)
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada; E-Mail:
| | - William Pickett
- Department of Public Health Sciences, Queen’s University, Kingston, ON K7L 3N6, Canada; E-Mails: (B.P.); (I.J.)
- Department of Emergency Medicine, Queen’s University, Kingston, ON K7L 2V7, Canada
| |
Collapse
|