Journal of Transport & Health最新文献

{"title":"Does walking for transport contribute to the longitudinal association between neighbourhood walkability and body mass index among mid-to older-aged Australian adults?","authors":"Samjhana Shrestha ,&nbsp;Gavin Turrell ,&nbsp;Suzanne J. Carroll","doi":"10.1016/j.jth.2025.102056","DOIUrl":"10.1016/j.jth.2025.102056","url":null,"abstract":"<div><h3>Introduction</h3><div>Studies examining the associations between neighbourhood walkability and adult body weight, as well as the potential mediating role of walking for transport (WfT), are mainly cross-sectional, and longitudinal evidence is lacking. This study investigated the longitudinal association between walkability and body mass index (BMI) and assessed the contribution of WfT to this association.</div></div><div><h3>Methods</h3><div>Data from the HABITAT multilevel longitudinal (2007–16) study of 11,035 middle-aged adult residents of 200 neighbourhoods in Brisbane, Australia, were used. Neighbourhood walkability within a 1 km network buffer around residents’ homes was objectively measured using land use mix, street connectivity, and residential density, and BMI was measured using self-reported height and weight. At each wave (2007, 2009, 2011, 2013 and 2016), respondents estimated the duration (minutes) of WfT in the previous 7 days, which was modelled as both a binary and continuous measure. Mixed-effects regression models were used to examine whether any WfT (yes/no) contributed to the association between walkability and BMI, and generalised structural equation modelling was used to estimate the mediating effect of minutes WfT on this relationship. The models were adjusted for age, sex, education, occupation, household income, neighbourhood disadvantage, survey year, and residential self-selection.</div></div><div><h3>Results</h3><div>Living in a walkable neighbourhood was significantly associated with greater odds of engaging in any WfT and more minutes of walking, and each measure of walking was associated with a lower BMI. Any WfT made no apparent contribution to the association between walkability and BMI, whereas minutes spent walking explained approximately 7.8 % of this relationship.</div></div><div><h3>Conclusions</h3><div>Walkable neighbourhoods may help reduce BMI at the population and individual levels by promoting WfT. Creating walkable communities to support WfT holds the potential for maintaining a healthy body weight and preventing the onset of weight-related chronic conditions such as diabetes and cardiovascular disease.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102056"},"PeriodicalIF":3.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I didn't know nothing” - yarning up on access to compensation from road traffic injury with Aboriginal people","authors":"Courtney Ryder ,&nbsp;Patrick Sharpe ,&nbsp;Shanti Omodei-James ,&nbsp;Georga Sallows ,&nbsp;Brett Shannon ,&nbsp;Holger Möller ,&nbsp;Marnie Campbell ,&nbsp;Rebecca Kimlin ,&nbsp;Bobby Porykali ,&nbsp;Sadia Hossain ,&nbsp;Nicole Kelly ,&nbsp;Dan Ellis ,&nbsp;Tachelle Ting ,&nbsp;Jody Gray ,&nbsp;Hossain Afzali ,&nbsp;Rebecca Q. Ivers","doi":"10.1016/j.jth.2025.102055","DOIUrl":"10.1016/j.jth.2025.102055","url":null,"abstract":"<div><h3>Background</h3><div>Road safety is a major public health concern in Australia. In the last decade over 12 thousand Australians have died from a road crash, and even more live with lifelong injuries and disabilities from these events. Individuals injured in a road traffic crash can access support through compensation schemes, which differ across jurisdictions. Here we show a lack of knowledge among high burden populations in accessing compensation schemes for road traffic injuries.</div></div><div><h3>Methods</h3><div>An Aboriginal and Torres Strait Islander Traffic Governance Group oversaw this study to centralise Indigenous knowledge. Yarning an Indigenous research method for data collection was used with participants. Aboriginal participants who lived near major highways in metropolitan, rural and remote regions, were recruited through social media and community networks. Qualitative analysis software was used to thematically code transcripts.</div></div><div><h3>Results</h3><div>A total of eight yarning sessions were conducted with Aboriginal participants. We identified Aboriginal people had limited knowledge, access or support for accessing compensation schemes. This impacted on their labour force engagement, leisure and community activities creating a loss of autonomy for individuals, of which family support and connection to Country assisted in healing for individuals.</div></div><div><h3>Conclusion</h3><div>Our outcomes identify an urgent need for compensation scheme review and co-design with community, to decrease burden on Aboriginal people, and ensure strength-based, culturally specific, whole of life compensation is provided.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102055"},"PeriodicalIF":3.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants and impacts of e-biking among adults living with chronic diseases: A scoping review","authors":"John Benedict Lagarde ,&nbsp;Louise Foley ,&nbsp;James Green","doi":"10.1016/j.jth.2025.102051","DOIUrl":"10.1016/j.jth.2025.102051","url":null,"abstract":"<div><h3>Background</h3><div>Habitual engagement in physical activity is recommended as a self-management measure for many chronic diseases. However, physical inactivity remains prevalent among adults with such conditions, in some cases, due to challenges related to physical functioning and mobility. With the advent of electric mobility, e-bikes may provide an opportunity for regular physical activity during transport, with the support of electrical assistance activated by pedalling.</div></div><div><h3>Methods</h3><div>Guided by the methodological framework of the Joanna Briggs Institute, a scoping review was conducted to explore the extent of existing literature reporting the determinants and potential impacts of e-biking among adults with chronic conditions. Articles published from January 2000 to June 2024 were systematically searched using MEDLINE, APA PsycINFO, CINAHL, Scopus, and Web of Science databases and underwent two-tiered screening by two independent reviewers. The evidence synthesis process included a descriptive numerical analysis and a basic qualitative content analysis.</div></div><div><h3>Results</h3><div>Of the 1042 articles identified in the database search, eight were included in the scoping review. Engagement in e-biking was found to be influenced by various individual, social, and environmental factors. Consequently, this led to physical, psychological, behavioural, and social impacts.</div></div><div><h3>Conclusion</h3><div>Current studies involving adults with chronic diseases present unique insights regarding the determinants and impacts of e-biking. Developing this evidence base further would be valuable for individuals living with chronic conditions, health professionals and policymakers, to understand the potential for e-biking as a form of physically active transport. Further research is recommended to expand the diversity of populations and contexts represented in this literature.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102051"},"PeriodicalIF":3.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children's happiness and the school route: Linking perceptions of the built environment to wellbeing","authors":"Adriana Ortegon-Sanchez ,&nbsp;Lisa Dowling ,&nbsp;Sophia Arthurs-Hartnett ,&nbsp;Nicola Christie ,&nbsp;Rosemary R.C. McEachan","doi":"10.1016/j.jth.2025.102034","DOIUrl":"10.1016/j.jth.2025.102034","url":null,"abstract":"<div><h3>Background</h3><div>The urban built environment can impact children's wellbeing through exposure to health hazards or conditions that hinder or promote street activities (e.g. active travel, leisure). Children's travel to school is an important way children interact with their environment. However, little is known about the relationship between children's perceptions of the built environment on the route to school, travel mode and the impact this has on their subjective wellbeing.</div></div><div><h3>Methods</h3><div>Using a bespoke questionnaire, we gathered children's perceptions of the built environment on their school journey (including home street, trip and road outside the school characteristics), frequent active travel to school (3+ days/week) and three wellbeing outcomes: liking the journey, feeling happy and relaxed during the journey, and feeling happy. Multivariate logistic regression was used to explore the association of wellbeing with perceptions of the built environment.</div></div><div><h3>Results</h3><div>740 children, aged 8–11 years, in seven schools in Bradford, UK. Three built environment perceptions were consistently associated with all measures of wellbeing, feeling: safe from traffic on their trip, that sidewalks were in good condition on their trip, and that there were things to see and do near school. Frequent active travel to school and good air quality were associated with children liking their trip to school but not with feeling happy and relaxed on the journey or generally happy.</div></div><div><h3>Conclusion</h3><div>Our results suggest that children's perceptions of certain built environment characteristics are important predictors of wellbeing on the school journey. Policy and decision-makers are encouraged to improve the quality of these built environment features (e.g. traffic safety, sidewalks, crossings, and having pleasant things to see and do) to foster children's wellbeing.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102034"},"PeriodicalIF":3.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty km/h speed limits for better public health: Study protocol of a natural experiment in Rotterdam, the Netherlands","authors":"Carel-Peter L. van Erpecum ,&nbsp;Anna Bornioli ,&nbsp;Pilar García-Gómez ,&nbsp;Famke J.M. Mölenberg ,&nbsp;Nicolette R. den Braver","doi":"10.1016/j.jth.2025.102042","DOIUrl":"10.1016/j.jth.2025.102042","url":null,"abstract":"<div><h3>Background</h3><div>Thirty kilometre per hour (km/h) interventions effectively reduce road-traffic injuries, yet its broader health and social impacts remain unclear. The Municipality of Rotterdam, the Netherlands will implement 30 km/h interventions, offering opportunities for prospective natural experimental evaluation. This study aims, firstly, to assess impacts of 30 km/h interventions on <em>self-reported</em> changes in health outcomes, including physical activity (PA), active travel, noise exposure, and sleep quality and social outcomes, including neighbourhood cohesion and safety perceptions. Secondly, we aim to investigate impacts of 30 km/h interventions on changes in <em>objective</em> PA. Thirdly, we explore to what extent these impacts are moderated by age, individual and neighbourhood socio-economic position (SEP), ethnicity, and health status.</div></div><div><h3>Methods</h3><div>We designed a prospective natural experiment by setting up a longitudinal open cohort study with pre-intervention (June–October 2023) and one-year follow-up (June–October 2024) measurements. Intervention sites are 15 streets in Rotterdam with speed limit changes from 50 km/h to 30 km/h, accompanied with physical calming measures. Control streets remained 50 km/h. To investigate unintended outcomes at adjacent streets, streets remaining 50 km/h and within &lt;250 m from the nearest intervention street were categorized as spillover streets. At baseline, 10,860 households are invited for a household survey about socio-demographic characteristics and health and social outcomes. Survey participants could additionally wear an accelerometer (Actigraph GT3X) for 8 consecutive days. To assess impacts of 30 km/h interventions on changes in self-reported health and social outcomes and objective PA, we will use difference-in-difference analyses. We will also evaluate unintended effects on adjacent streets (i.e., spill-over effects). Stratified analyses will be conducted to assess moderation.</div></div><div><h3>Expected results and discussion</h3><div>This study improves the understanding on health and social impacts of 30 km/h interventions. Furthermore, this study sets a real-world example of how to investigate outcomes through a natural experimental evaluation that are not routinely collected. Ultimately, this can inform policies towards healthy, liveable, and inclusive cities.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102042"},"PeriodicalIF":3.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143842655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revolutionizing healthcare logistics: The strategic role of drone technology in blood bag deliveries for remote and emergency care","authors":"Tejinder Singh Lakhwani,&nbsp;Yerasani Sinjana,&nbsp;Anuj Pal Kapoor","doi":"10.1016/j.jth.2025.102053","DOIUrl":"10.1016/j.jth.2025.102053","url":null,"abstract":"<div><h3>Introduction</h3><div>Timely delivery of blood products is essential for emergency medical care, including trauma response, surgeries, and maternal health interventions. However, existing healthcare logistics systems face critical delays due to geographic barriers, traffic congestion, and infrastructure limitations.</div></div><div><h3>Objective</h3><div>This study presents an AI-driven drone-based healthcare logistics framework to optimize emergency blood transportation. The proposed model integrates the Flying Sidekick Traveling Salesman Problem with Drones (FSTSPD) for real-time route optimization under dynamic conditions. The framework is evaluated through a real-world case study involving 40 Delhi hospitals and 4 blood depots.</div></div><div><h3>Methods</h3><div>A mixed-methods approach combines real-world operational data from Zipline, Matternet, and Wingcopter with optimization modeling. The FSTSPD algorithm dynamically recalculates routes based on traffic congestion, airspace constraints, and emergency demand patterns. The case study applies GIS-based mapping to model urban healthcare logistics, with hospital demand rates and congestion conditions simulated based on publicly available urban mobility datasets.</div></div><div><h3>Results</h3><div>The integration of AI-driven route optimization led to a 15 % improvement in delivery efficiency, reducing average blood transport time from 90 min to 20 min during peak hours. Emergency response success rates increased from 80 % to 95 %, demonstrating effectiveness in critical care scenarios. The system also enhanced cold-chain compliance from 92 % to 99 %, minimizing blood wastage. Additionally, sustainability benefits included a 42 % increase in energy efficiency and a 67 % reduction in carbon emissions, supporting environmentally friendly medical logistics solutions.</div></div><div><h3>Conclusions</h3><div>While drones offer a transformative shift in medical logistics, challenges remain in airspace integration, infrastructure readiness, and regulatory approvals. This study provides actionable strategies for addressing these challenges, offering insights for policymakers, healthcare providers, and logistics developers. This research establishes drones as a viable solution for optimizing healthcare logistics worldwide by demonstrating scalability, efficiency, and environmental benefits.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102053"},"PeriodicalIF":3.2,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older adults' perspectives on annual medical assessments for driving: A qualitative investigation","authors":"Kayla B. Stefanidis ,&nbsp;Taren Mieran ,&nbsp;Mathew. J. Summers","doi":"10.1016/j.jth.2025.102047","DOIUrl":"10.1016/j.jth.2025.102047","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite their importance, annual medical assessments for driving (AMAD) can be considered stressful or confronting for older adults. A driver's licence represents a sense of freedom and independence, both of which are needed for optimal quality of life. This qualitative study explored older adults' experiences and opinions regarding these assessments, focusing particularly on cognitive function and how it relates to driving.</div></div><div><h3>Methods</h3><div>A total of 34 (14 females) older adults aged 60 years and over (<em>M</em>age = 73 years, <em>SD</em> = 9, range = 60–93) were included in this study, and underwent an interview via telephone. Seventeen participants (50%) reported having experience with AMAD due to meeting the age requirement of 75 years, with an additional two participants having prior experience with assessments due to a health condition. The data was analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Five themes and 2 subthemes were produced from the data: (1) AMAD are important for road safety; (2) AMAD produce a variety of emotional responses; (3) AMAD appear to be ineffective with little face validity; (4) there are inconsistencies in how AMAD are performed and (5) AMAD require improvement; (5a) AMAD should involve practical skills testing; and (5b) mixed opinions exist as to whether an independent assessor should conduct AMAD.</div></div><div><h3>Conclusions</h3><div>While participants recognised the importance of AMAD for public safety, they expressed they should not be conducted on the basis of chronological age. Concerns were also raised regarding the standardisation and face validity of AMAD, with several suggestions for improvement being reported. This study provides a deeper insight into how older adults perceive AMAD and highlight potential ways in which they could be improved.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking, public transit, and transitions to non-driving among US Medicare enrollees","authors":"Kellia J. Hansmann ,&nbsp;W. Ryan Powell ,&nbsp;Ronald Gangnon ,&nbsp;Stephanie Robert ,&nbsp;Carolyn McAndrews","doi":"10.1016/j.jth.2025.102054","DOIUrl":"10.1016/j.jth.2025.102054","url":null,"abstract":"<div><h3>Background</h3><div>Many older adults rely on private vehicles for their mobility and may continue to drive when they are advised to stop. Walking and public transit can fulfill mobility needs in some contexts, but in the U.S. these options may not adequately substitute for driving when older adults reduce or stop driving. We examined whether baseline walking or taking public transit was associated with reductions in older adults’ driving after a three-year period in the United States.</div></div><div><h3>Methods</h3><div>We analyzed National Health and Aging Trends Study data from community-dwelling older drivers in 2015 (n = 4574). We used weighted logistic regression to estimate associations between older drivers’ walking and use of public transit in 2015 and changes in their driving behavior three years later—avoiding more driving conditions, driving less often, or not driving at all. We also examined associations between neighborhood walkability and driving behavior change three years later.</div></div><div><h3>Results</h3><div>There were no statistically significant associations between walking or taking public transit in 2015 and the adjusted odds of driving behavior change three years later. However, older drivers living in the most walkable neighborhoods in 2015 had greater adjusted odds of avoiding more driving conditions compared to those in the least walkable neighborhoods (adjusted Odds Ratio (aOR) = 1.66; 95 % Confidence Interval (95 % CI): 1.23<strong>-</strong>2.25). Living in the most walkable neighborhoods compared to the least walkable neighborhoods was also associated with an increased odds of no longer driving in 2018 (aOR = 1.56; 95 % CI: 1.04–2.36).</div></div><div><h3>Discussion</h3><div>The walkability of one's neighborhood area—shorter distances between blocks, diverse land uses, and proximity to transit stops—is associated with driving behavior changes over time for older drivers. This work can inform programs and policies designed to connect older adults with alternative transportation options to driving.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102054"},"PeriodicalIF":3.2,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can immersive training complement on-road cycle training for children? Two intervention studies in urban and rural UK communities","authors":"Daniel T. Bishop ,&nbsp;David P. Broadbent ,&nbsp;Damon Daylamani-Zad ,&nbsp;Kaisei Fukaya ,&nbsp;Benjamin R. Smith","doi":"10.1016/j.jth.2025.102048","DOIUrl":"10.1016/j.jth.2025.102048","url":null,"abstract":"<div><h3>Introduction</h3><div>Cyclists are frequent casualties in road traffic collisions; failure to look is a contributory factor. Recent research shows that immersive training may improve children's performance, including their observational skills, when cycling on roads. However, robust data in this regard are scarce.</div></div><div><h3>Methods</h3><div>In two related studies, we collected data from 95 children aged 9–11 years across two different UK locations – a cycling-supportive city and a rural town – to ascertain the effects of immersive cycle training on their cycling attitudes and confidence, their situation awareness, and on-road performance. In the urban study we employed a traditional control group design (immersive intervention vs. control); in the rural study, we compared two immersive interventions (with verbal prompts vs. without). At pre-intervention, post-intervention, and 4–6 weeks later (retention), the children reported their attitudes and confidence and completed video-based situation awareness tests (SATs) and on-road cycling assessments (ORCAs). Changes in parental confidence and attitudes were also recorded.</div></div><div><h3>Findings</h3><div>In both studies, ORCA performance improved pre-to-post-intervention, irrespective of group. SATs scores did not improve but were somewhat correlated with ORCA performance. Although the children's cycling attitudes did not change, their confidence increased post-intervention. Parents' confidence in their child's ability to cycle increased significantly from pre-intervention to follow-up, after watching POV footage recorded during their child's retention phase ORCA.</div></div><div><h3>Conclusions</h3><div>The contribution of immersive training to young children's on-road cycling ability is indeterminate. We tentatively suggest that a combination of independent on-road, immersive, and video-based cycling experiences may improve this ability and consequently increase parental confidence.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102048"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing a novel signage-only School Streets approach: Facilitators, barriers, and perceived outcomes","authors":"Yvanna Todorova ,&nbsp;Denise Kendrick ,&nbsp;Luisa Vargas ,&nbsp;Veronica Varela-Mato ,&nbsp;Mark Gussy ,&nbsp;Lauren B. Sherar ,&nbsp;Elizabeth Orton ,&nbsp;Jo Barnes","doi":"10.1016/j.jth.2025.102049","DOIUrl":"10.1016/j.jth.2025.102049","url":null,"abstract":"<div><h3>Background</h3><div>School Streets is a time-specific traffic restriction scheme aimed to reduce traffic around schools during pick up and drop off times. This is believed to benefit school children by reducing surrounding air pollution, improving child safety, and encouraging active travel. Newcastle City Council implemented a novel signage-only School Streets at four primary schools in Newcastle.</div></div><div><h3>Methods</h3><div>Interviews (n = 46) and focus groups (n = 7 groups with a total of 48 participants) were conducted with stakeholders, school leaders, parents, pupils, and residents to understand the facilitators and barriers of the implementation of School Streets and the perceived effectiveness of this scheme. The interview guide and analysis were informed by the Consolidated Framework for Implementation Research.</div></div><div><h3>Results</h3><div>Most facilitator themes related to the simplicity of the signage-only design and the existing work structures. The barriers centred around infrequent communication within the inner setting (local authority, delivery partner and school leadership) and sustaining the level of engagement. The recipients of the scheme were in favour of the messaging behind School Streets but did not perceive changes in traffic or travel behaviour in the area, potentially related to the lack of enforcement. Minimal changes to travel behaviour may be due to external factors such as distance lived from school or physical infrastructure.</div></div><div><h3>Conclusion</h3><div>While the signage-only approach to School Streets reduced the implementation cost and infrastructure changes required, it required a high level of engagement and communication. Recipients desired more enforcement to increase and maintain compliance of the scheme long-term.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102049"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}