Abstract
Pedestrian injuries injure about 180,000 individuals and kill 6,000 each year in the United States, and pedestrian injury rates have increased each of the last several years. Distracted pedestrian behavior may play a role in the trend of increasing risk for pedestrian injury. Using in vivo behavioral coding over the course of two weeks on two urban college campuses, this study aimed to 1) understand the type and rate of distractions engaged in by pedestrians on urban college campuses, and 2) investigate the impact of distraction on street-crossing safety and behavior. A total of 10,543 pedestrians were observed, 90% of them young adults. Over one-third of those pedestrians were distracted while actively crossing roadways. Headphones were the most common distraction (19% of all pedestrians), followed by text-messaging (8%) and talking on the phone (5%). Women were more likely to text and talk on the phone than men, and men were more likely to be wearing headphones. Distracted pedestrians were somewhat less likely to look for traffic when they entered roadways. As handheld device usage continues to increase, behavioral interventions should be developed and implemented. Changes to policy concerning distracted pedestrian behavior, including improvement of the built environment to reduce pedestrian risk, should be considered in busy pedestrian areas like urban college campuses.
Keywords: distracted walking, pedestrian behavior, texting, young adults, college campuses
Pedestrian injury is a significant and growing public health concern-- 180,000 pedestrians are injured and 6,000 killed each year in the United States alone in motor vehicle-pedestrian crashes [1, 2]. Between 1980 and 2010, the rate of pedestrian deaths in the United States decreased [3]. Alarmingly, this decreasing trend reversed between 2010 and 2015, with pedestrian deaths rising over 25% during this 5-year period [2, 3, 4]. Furthermore, a recent report from the Governors Highway Safety Association projects an 11% increase in the number of persons on foot killed on roadways in 2016, the largest yearly increase in the number and percentage of pedestrian fatalities in the past 40 years [2]. Among teens and young adults aged 13 to 34, pedestrian death comprises 11.44% of motor vehicle traffic-related deaths in the United States, which is the second leading cause of unintentional death in this group; over 1,500 pedestrian traffic deaths occurred in this age group in 2015 [1].
One hypothesized cause for the rapidly-increasing rates of pedestrian injury and death is the rate of distraction amongst pedestrians [5]. In the past two decades, cell phone and hand-held mobile device usage has increased dramatically; as of 2016, 95% of American adults own a cell phone and 77% of own a smart phone that can access the internet [6]. Observational studies of pedestrian behavior indicate that a quarter to a third of pedestrians are distracted by mobile devices when they cross the street at marked crosswalks [7, 8]. Basch and colleagues (2015) observed that nearly 28% of pedestrians crossing legally with the walk sign were distracted by technology (i.e., listening to music, talking on a mobile phone, looking at a mobile device) in Manhattan, while nearly half were similarly distracted when crossing illegally with the “Don’t Walk” sign illuminated [7]. In a Seattle-based study, around 30% of pedestrians were distracted via handheld device; in both studies, wearing headphones was the most frequent distraction [7, 8]. Compared to a study conducted in 2005, which found only 5.7% of pedestrians were distracted by handheld device use [9], these studies portray a substantial increase in technology-related distraction among pedestrians.
For students on urban college campuses, a confluence of factors introduces particularly elevated pedestrian injury risk. In fact, college-age young adults incur pedestrian injuries at a higher rate than any other age group [10]. College students are frequent pedestrians, yet pedestrians on college campuses often fail to observe traffic rules [9, 11]. While pedestrians on college campuses may expect to be safe due to the prevalence of walking, frequently-walked areas are known to be dangerous places for pedestrians [9]. Further, college-aged young adults use handheld technology more than any other age group, which may lead to distracted walking; nearly 100% of 18- to 29-year-olds own a cell phone and 92% own a smart phone [6]. Young adults text over 100 times a day on average and check their cellular device multiple times an hour even when not prompted by an alert [6, 12]. In a virtual reality pedestrian environment, college students who were distracted by texting or listening to music were more likely to be hit by a car while crossing the street than their undistracted peers [13]. In addition to being distracted, college-aged young adults frequently engage in riskier pedestrian activities such as walking at night and while intoxicated [14]. Finally, pedestrian injuries are more common in cities —over 70% of all pedestrian fatalities occur in urban areas [3]. Taken together, these factors contribute to creating particularly dangerous circumstances for pedestrians on urban college campuses.
Limited current research details distracted pedestrian behavior in urban college campus settings. Thus, this study aims to examine the rate of distraction and crossing behavior of young adult pedestrians on two urban college campuses among pedestrians were observed crossing a busy intersection at two universities. We anticipated a high rate of distraction by mobile devices and hypothesized that pedestrians engaged in distractions would engage in more unsafe crossing behaviors.
Methods
Intersection Selection
Data were collected at busy intersections on two urban university campuses, Old Dominion University (ODU) in Norfolk, VA and the University of Alabama at Birmingham (UAB) in Birmingham, AL. In each case, the intersection included a major thoroughfare with heavy traffic (Hampton Boulevard/Virginia Highway 337 in Norfolk; University Boulevard/Alabama Highway 149 in Birmingham) that passed through the campus and divided locations where many students live from where they attend classes. Cross-streets in each case were more minor thoroughfares (45th street in Norfolk; 14th Street in Birmingham). In both cases, the intersections handle heavy pedestrian traffic throughout the day from students (primarily), faculty, staff, and visitors to the university.
Pedestrian Behavior Coding Protocol
Pedestrian behaviors were coded daily on a continuous basis weekdays from 7:45 AM to 5:45 PM, using rotating coders, during two weeks early in fall semester 2015. Coding stopped only in case of heavy rainfall or lightning. Logistically, coding was divided into 30-minute blocks. Each coding block was conducted from a single corner of the intersection and coders rotated around the intersection counter-clockwise every 30 minutes.
During each coding block, coders completed three sets of observations. First, for 5 minutes the coder counted vehicular traffic. Second, for the next 5 minutes the coder recorded safe and unsafe behaviors of single pedestrians crossing the primary boulevard. An approaching pedestrian was selected from the opposing sidewalk following a standardized and randomized pattern (i.e., middle front pedestrian picked first, then left front, right front, middle back, left back, right back, and so on). Pedestrians were chosen regardless of whether they were crossing with or against the walk sign. That single pedestrian’s behaviors were observed as he or she approached the coder, during the entirety of the time spent crossing the street, including across the median that was present at both coding sites. A new pedestrian was then selected for observation using the same standardized pattern. The third set of coding in each block was a 15-minute observation period of all pedestrians during which time coders observed all pedestrians crossing the primary boulevard toward them on their side of the street and recorded only whether the pedestrians were distracted or not.
The final 5 minutes of each block was used for coders to rest and move counter-clockwise to the next coding corner or rotate to a new coder. To retain alertness and improve accuracy, coders typically completed just two blocks of coding (1 hour) continuously. The same coding paradigm was used on both campuses. The morning starting position was rotated across days to assure evenness in assessing behavior that may fluctuate with class sessions starting and ending. Each coder was extensively trained on the protocol and practiced street-side with experienced coders until reaching agreement for at least 30 minutes with a trained and experienced coder.
Outcome Measures
Vehicular Traffic
Vehicular traffic was measured as a total count of cars traveling on the primary boulevard and crossing the observed crosswalk in one direction (nearest lanes to the coder) during the 5 minute coding session. We multiplied the count by 12 to yield a measure of vehicles/hour.
Individual Pedestrian Characteristics and Behaviors
During the 5 minute block observing individual pedestrians, the following characteristics and behaviors were recorded:
apparent gender (male, female);
estimated age (child ages 0 to 12, teen ages 13 to 17, young adult ages 18 to 34, adult ages 35 to 54, older adult ages 55 and older). Because very few children or teens were observed, those categories were merged for analyses;
crossing with the walk sign, defined as stepping off the sidewalk into the crosswalk when the walk sign was illuminated;
looking left before stepping into the road, defined as the pedestrian turning his/her head left to look at oncoming traffic before stepping into the intersection;
entering the road in the crosswalk, defined as the pedestrian initially stepping into the crosswalk within the painted lines of the crosswalk rather than outside the lines;
looking right at the median, defined as the pedestrian turning his/her head to look right at oncoming traffic before stepping out of the median and into the roadway;
exiting the road in the crosswalk, defined as the pedestrian’s final step off the roadway and onto the sidewalk occurring from within the painted lines of the crosswalk; and
distracted behavior while crossing, defined as a pedestrian who was distracted by talking on the phone, texting and/or looking down at the phone, wearing headphones, reading, eating, or in other visually apparent ways. Multiple distractions could be marked. Distraction was recorded if it occurred at any point during the crossing while the pedestrian was in the roadway where vehicles might pass, but not on the sidewalk or median.
All Pedestrians’ Engagement in Distractions
During the 15-minute coding block, every approaching pedestrian in the crosswalk was coded as either distracted or not distracted while crossing. Given the heavy volume of pedestrians, no other data were recorded. The following distractions were recorded using the same criteria as the previous block of coding: talking on the phone, texting and/or looking down at phone, wearing headphones, reading, eating, or other distractions. Multiple distractions could be recorded. Distraction was recorded while pedestrians crossed the roadway on the half of the intersection nearest the coder (i.e., between the median and the corner where the coder was standing).
Data Analysis Plan
Data analyses were conducted in four steps. First, we considered descriptive data about traffic and pedestrians. Second, we considered distraction and safety among the individual pedestrians who were observed in detail, both overall and then comparing men versus women with chi-square analyses. Third, we considered the safety behaviors of distracted versus undistracted pedestrians in this group. Finally, we examined distracted behavior of all pedestrians in the crosswalk; this examination included gross counts of distraction as well as the extent of types of distractions among all pedestrians.
Results
Across both sites, we observed an average of 2,659 vehicles per hour (44/minute) crossing the intersections. Coding of individual pedestrians offered the most detailed data concerning the characteristics of the pedestrians. As shown in Table 1, 1,020 individual pedestrians were observed over the two-week period, 625 at ODU and 395 at UAB. Pedestrians were overwhelmingly classified into the young adult age category (89.2%) and were 50.6% female.
Table 1.
ODU (n=625) | UAB (n=395) | Combined (N=1020) | ||||
---|---|---|---|---|---|---|
n | % | n | % | N | % | |
Age Group | ||||||
Child or Teen | 1 | 0.2 | 0 | 0.0 | 1 | .1 |
Young Adult | 568 | 89.6 | 328 | 87.0 | 896 | 89.2 |
Adult | 53 | 8.4 | 42 | 11.1 | 95 | 9.5 |
Older Adult | 9 | 1.4 | 4 | 1.1 | 13 | 1.3 |
Gender | ||||||
Female | 327 | 52.7 | 179 | 47.1 | 506 | 50.6 |
Distraction (Any Distraction) | 271 | 43.6 | 142 | 37.3 | 413 | 41.2 |
Talking on Phone | 25 | 4.0 | 22 | 5.8 | 47 | 4.7 |
Texting | 42 | 6.8 | 33 | 8.7 | 75 | 7.5 |
Headphones | 128 | 20.6 | 62 | 16.3 | 190 | 19.0 |
Eating/Drinking | 21 | 3.4 | 5 | 1.3 | 26 | 2.6 |
Other | 5 | 0.8 | 6 | 1.6 | 11 | 1.1 |
No Distraction | 350 | 56.4 | 239 | 62.7 | 589 | 58.8 |
Multiple Distractions | 50 | 8.1 | 14 | 3.7 | 64 | 6.4 |
Safe Behaviors | ||||||
Crosses With Walk Sign | 324 | 52.1 | 320 | 83.8 | 644 | 64.1 |
Looks Left Before Entering | 411 | 67.8 | 139 | 38.6 | 550 | 56.9 |
Enters in Crosswalk | 284 | 46.5 | 270 | 72.8 | 554 | 56.4 |
Looks Right at Median | 344 | 56.7 | 140 | 36.8 | 484 | 49.0 |
Exits in Crosswalk | 357 | 58.0 | 210 | 55.0 | 567 | 56.8 |
Note: Group sums do not equal total n due to occasional missing data. Percentages reflect proportion of non-missing observations within variables.
Examination of individual pedestrians who were observed in detail suggested 41.2% of the pedestrians were distracted; rates were similar across the two sites (43.6% at ODU and 37.3% at UAB). Using headphones was the most common distraction at both sites (20.6% at ODU, 16.3% at UAB, and 19.0% overall), but there were significant amounts of all types of distraction at both sites (Table 1), including 6.4% of pedestrians who were distracted in multiple ways simultaneously while crossing busy streets.
Table 2 shows differences in distraction across the male and female pedestrians. As shown, there were significant differences in the number of individuals who were distracted by talking on the phone, texting, and using headphones. Women were more likely to be distracted by talking on the phone (x2 = 5.57, p = .02) and texting (x2 = 13.84, p < .001), while men were more likely to wear headphones while crossing the street (x2 = 8.42, p < .001). Women were also more likely to have multiple distractions present (x2 = 6.25, p < .05).
Table 2.
Male | Female | x2 | p | |||
---|---|---|---|---|---|---|
n | % | n | % | |||
Distraction | ||||||
Talking on Phone | 15 | 3.0 | 31 | 6.2 | 5.57 | .02 |
Texting | 21 | 4.3 | 53 | 10.5 | 13.84 | <.01 |
Headphones | 115 | 23.4 | 75 | 14.9 | 8.42 | <.01 |
Eating/Drinking | 10 | 2.0 | 16 | 3.2 | 1.38 | .33 |
Other | 5 | 1.0 | 5 | 1.0 | 0 | 1.0 |
No Distractions | 304 | 61.8 | 282 | 56.0 | .83 | .38 |
Multiple Distractions | 22 | 4.5 | 42 | 8.3 | 6.25 | .02 |
Safe Behaviors | ||||||
Crosses with Walk Sign | 312 | 63.2 | 329 | 65.4 | .56 | .46 |
Looks Left Before Entering | 283 | 59.8 | 265 | 54.4 | 2.87 | .09 |
Enters in Crosswalk | 261 | 54.1 | 290 | 58.7 | 2.06 | .15 |
Looks Right at Median | 256 | 53.0 | 228 | 45.7 | 5.25 | .02 |
Exits in Crosswalk | 257 | 52.4 | 306 | 61.0 | 8.50 | .01 |
We also considered rates of safe behavior. As shown in Table 1, about half or slightly more than half of pedestrians across both sites engaged in each safe behavior. There were significant differences across sites, with pedestrians at ODU more likely to look left before entering the roadway and look right before entering the median but pedestrians at UAB more likely to cross with the walk sign and enter in the crosswalk. These differences likely reflect the contextual demands of the crossing task at each site. When we compared safe behaviors across men and women (Table 2), we found that men were more likely to look right before reentering traffic at the median (x2 = 5.25, p = .02) and women were more likely to exit the roadway within the crosswalk lines (x2 = 8.50, p = .01). Otherwise, men and women engaged similarly.
Next, we considered distracted pedestrians’ engagement in safe pedestrian behaviors (Table 3). Distracted pedestrians tended to obey walk signs more often than undistracted pedestrians, perhaps as compensation to their distracted state (with one exception; just 7 of the 29 pedestrians (26.9%) who were eating or drinking while crossing crossed with the walk sign). Looking behavior was notably lower among distracted pedestrians, however, especially after crossing the median. Most startling, just 29.8% of pedestrians who were talking on the phone looked right for traffic after crossing the median, compared to 50.7% of undistracted pedestrians.
Table 3.
Crosses with Walk Sign | Looks Left When Entering | Looks Right at Median | |
---|---|---|---|
No Distraction | 64.2 | 58.5 | 50.7 |
Talking on Phone | 59.6 | 42.2 | 29.8 |
Texting | 70.7 | 48.6 | 50.0 |
Headphones | 66.8 | 57.7 | 53.7 |
Eating/Drinking | 26.9 | 69.6 | 38.5 |
Other | 70.0 | 70.0 | 45.5 |
Multiple Distractions | 65.6 | 53.1 | 38.1 |
Finally, Table 4 presents data from all 9,523 pedestrians observed crossing during the 15-minute coding blocks (n = 6,477 at ODU and n = 3,046 at UAB). As shown, 67% of pedestrians across both sites were undistracted, 33% of pedestrians were distracted in at least one way, and 3.1% of pedestrians were distracted in two or more ways. Headphones were the most common distraction (20.4% of pedestrians) across both sites, followed by texting (8.4% of pedestrians) and talking on the phone (4.4%). Use of headphones and eating/drinking were somewhat more common at ODU and texting was somewhat more common at UAB.
Table 4.
ODU | UAB | Combined | ||||
---|---|---|---|---|---|---|
n | % | n | % | N | % | |
Distraction | ||||||
Talking on Phone | 287 | 4.4 | 134 | 4.4 | 421 | 4.4 |
Texting | 511 | 7.9 | 290 | 9.5 | 801 | 8.4 |
Headphones | 1520 | 23.5 | 426 | 14.0 | 1946 | 20.4 |
Reading | 7 | 0.1 | 4 | 0.1 | 11 | 0.1 |
Eating/Drinking | 116 | 1.8 | 25 | 0.8 | 141 | 1.5 |
Other | 78 | 1.2 | 37 | 1.2 | 115 | 1.2 |
Extent of Distraction | ||||||
No Distractions | 4175 | 64.5 | 2209 | 72.5 | 6384 | 67.0 |
Two Distractions | 211 | 3.3 | 75 | 2.5 | 286 | 3.0 |
Three Distractions | 3 | 0.1 | 2 | 0.1 | 5 | 0.1 |
Discussion
Over 35% of the pedestrians we observed on urban college campuses were crossing the street while distracted, almost always by handheld mobile devices. Observational studies of pedestrian distraction in the past 5 years show similar or slightly lower rates of distraction in other U.S. urban non-campus centers [7,8] suggesting distracted pedestrian behavior is not only a significant issue nationally, but may either be increasing in frequency and/or is more common in pedestrian settings dominated by young adults like college campuses. One study near a college campus from the early 2000s observed far fewer distracted pedestrians [9].
Across both campuses we observed that wearing headphones was the most prevalent distracted pedestrian behavior. While some pedestrians may not perceive headphone use as distracting or dangerous, available evidence suggests aural cues are integral to pedestrian safety. In fact, unlike the situation for automobile drivers, distance perception and speed estimation required to be a safe pedestrian may be altered drastically by the constant auditory disruption of wearing headphones [13, 15, 16].
Talking on the phone and texting while crossing the street, both of which we also witnessed frequently, create cognitive distractions; texting or using apps also introduces visual distraction and motor behavior changes such as slowed walking pace and changes in gait [5, 10, 13]. In this study, we found that pedestrians who were talking on the phone were much less likely to look toward oncoming traffic, an indication perhaps of their cognitive distraction away from the pedestrian task. Interestingly, distracted pedestrians (regardless of distraction) seemed to cross with the walk sign at similar or slightly higher rates than undistracted pedestrians. This may reflect compensatory safety strategies— the pedestrians recognized they were distracted and therefore waited for a legal walk signal, or followed a crowd across the street when the light changed, rather than taking a riskier crossing. Similar compensatory behavior has been reported among distracted drivers [17].
We discovered comparatively few gender differences in the rate of distracted pedestrian behavior, although women were more likely to be engaged in social distractions like talking on the phone and texting, whereas men were more likely to engaged in individualized distraction, such as wearing headphones.
Like all research, this study had limitations. Our two strategies of observation – looking at “randomly-chosen” individual pedestrians versus trying to capture all pedestrians crossing the street – yielded slightly different rates of distracted pedestrian behavior (41.2% vs 36%). This may be a veridical finding, but more likely is the result of methodological limitations. Our attempts to code individual pedestrians at random may have involved some bias and/or our coders, despite careful training, may have experienced difficulty identifying the behavior of every pedestrian in large groups of pedestrians crossing simultaneously due to obscured vision. Additionally, our study included two urban college campus intersections but is not fully representative of campuses across the country. We also focused only on crossings at signalized locations with substantial traffic; our results may not generalize to other types of crossings. Finally, we coded from early morning through early evening but did not code during darkness. Given epidemiological data on the frequency of pedestrian crashes at night [3, 18], late-night distracted pedestrian behavior might be considered in future research.
Experts agree handheld device use is likely to increase in coming years [3, 6]. Thus, effective strategies to reduce distracted pedestrian behavior are urgently needed. Some policy changes have focused on changing distracted and/or unsafe driver behavior to reduce pedestrian-motor vehicle crashes; such policy initiatives have been effective in changing driver safety and behavior but have not shown spillover effects in increasing pedestrian safety [19]. Laws prohibiting distracted pedestrian behavior have been suggested but rarely implemented, enforced, or evaluated [18, 19, 20]. Structural changes to the built environment that protect pedestrians like pedestrian overpasses, pedestrian malls, or fences along roadways, may be beneficial but are not always feasible or affordable, especially in crowded urban campus environments. Behavioral prevention strategies show promise in initial testing [21] and should continue to be explored. Ultimately, multi-faceted and coordinated efforts between policy makers, engineers and city planners, and behavioral interventionists are likely to be most successful.
Acknowledgments
Thanks to Anna Johnston, the UAB Youth Safety Lab, and the research team at Old Dominion University for assistance with data collection and entry. Thanks to Joan Severson and Digital Artefacts for support of the virtual pedestrian environments. Thanks to our many partners at UAB to promote ‘Pocket and Walk It’ week. Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number R21HD078371. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Footnotes
Disclosure of Conflicts of Interest
Funding: This research was funded by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number R21HD078371.
Conflict of Interest: The authors declare that they have no conflict of interest.
References
- 1.Centers for Disease Control and Prevention [CDC] [Accessed 5/15/17];Injury Prevention & Control: Data & Statistics (WISQARS) 2016 from: http://www.cdc.gov/injury/wisqars/
- 2.Retting R, Schwartz S. Pedestrian Traffic Fatalities by State: 2016 Preliminary Data. 2017 Retrieved from: http://www.ghsa.org/resources/spotlight-peds17.
- 3.Fischer P. Everyone walks. Understanding and addressing pedestrian safety. 2015 Retrieved from: http://www.ghsa.org/html/publications/sfped.html.
- 4.American Association of State Highway and Transportation Officials. Commuting in America 2013: The national report on commuting patterns and trends. Brief 14. Bicycling and walk commuting. 2015 Retrieved from http://traveltrends.transportation.org/Pages/default.aspx.
- 5.Stavrinos D, Pope CN, Shen J, Schwebel DC. Distracted walking, bicycling, and driving: Systematic review and meta-analysis of mobile technology and crash risk. Child Development. doi: 10.1111/cdev.12827. (in press) [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Pew Research Center. Mobile Fact Sheet. 2017 Retrieved from: http://www.pewinternet.org/fact-sheet/mobile/
- 7.Basch CH, Ethan D, Zybert P, Basch CE. Pedestrian behavior at five dangerous and busy Manhattan intersections. Journal of Community Health. 2015;40(4):789–792. doi: 10.1007/s10900-015-0001-9. [DOI] [PubMed] [Google Scholar]
- 8.Thompson LL, Rivara FP, Ayyagari RC, Ebel BE. Impact of social and technological distraction on pedestrian crossing behaviour: an observational study. Injury Prevention. 2013;19(4):232–237. doi: 10.1136/injuryprev-2012-040601. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Bungum TJ, Day C, Henry LJ. The association of distraction and caution displayed by pedestrians at a lighted crosswalk. Journal of Community Health. 2005;30(4):269–279. doi: 10.1007/s10900-005-3705-4. [DOI] [PubMed] [Google Scholar]
- 10.Nasar JL, Troyer D. Pedestrian injuries due to mobile phone use in public places. Accident Analysis & Prevention. 2013;57:91–95. doi: 10.1016/j.aap.2013.03.021. [DOI] [PubMed] [Google Scholar]
- 11.Sisson SB, McClain JJ, Tudor-Locke C. Campus walkability, pedometer-determined steps, and moderate-to-vigorous physical activity: A comparison of 2 university campuses. Journal of American College Health. 2008;56(5):585–592. doi: 10.3200/JACH.56.5.585-592. [DOI] [PubMed] [Google Scholar]
- 12.Gold JE, Rauscher KJ, Zhu M. A validity study of self-reported daily texting frequency, cell phone characteristics, and texting styles among young adults. BMC Research Notes. 2015;8(1):120. doi: 10.1186/s13104-015-1090-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Schwebel DC, Stavrinos D, Byington KW, Davis T, O’Neal EE, De Jong D. Distraction and pedestrian safety: how talking on the phone, texting, and listening to music impact crossing the street. Accident Analysis & Prevention. 2012;45:266–271. doi: 10.1016/j.aap.2011.07.011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Zegeer CV, Bushell M. Pedestrian crash trends and potential countermeasures from around the world. Accident Analysis & Prevention. 2012;44(1):3–11. doi: 10.1016/j.aap.2010.12.007. [DOI] [PubMed] [Google Scholar]
- 15.Barton BK, Ulrich TA, Lew R. Auditory detection and localization of approaching vehicles. Accident Analysis & Prevention. 2012;49:347–353. doi: 10.1016/j.aap.2011.11.024. [DOI] [PubMed] [Google Scholar]
- 16.Pfeffer K, Barnecutt P. Children’s auditory perception of movement of traffic sounds. Child: Care, Health and Development. 1996;22(2):129–137. [PubMed] [Google Scholar]
- 17.Young K, Regan M, Hammer M. Driver distraction: A review of the literature. Distracted Driving. 2007:379–405. [Google Scholar]
- 18.Zegeer CV, Bushell M. Pedestrian crash trends and potential countermeasures from around the world. Accident Analysis & Prevention. 2012;44(1):3–11. doi: 10.1016/j.aap.2010.12.007. [DOI] [PubMed] [Google Scholar]
- 19.Mader EM, Zick CD. Active transportation: Do current traffic safety policies protect non-motorists? Accident Analysis & Prevention. 2014;67:7–13. doi: 10.1016/j.aap.2014.01.022. [DOI] [PubMed] [Google Scholar]
- 20.Williams AF. Protecting pedestrians and bicyclists: some observations and research opportunities. 2013 Retrieved from http://www.iihs.org/frontend/iihs/documents/masterfiledocs.ashx.?id=2036.
- 21.Schwebel DC, McClure LA, Porter BE. Experiential exposure to texting and walking in virtual reality: a randomized trial to reduce distracted pedestrian behavior. Accident Analysis & Prevention. 2017;102:116–122. doi: 10.1016/j.aap.2017.02.026. [DOI] [PMC free article] [PubMed] [Google Scholar]