Table 2. Summary of intervention outcomes for injury types: Road traffic injuries.
Intervention Type (Component of the 5 E Framework) | Intervention Description | Summary of Outcomes | |
---|---|---|---|
Injury-Related Outcomes | Other Outcomes | ||
Road Traffic Injuries | |||
Skills-based education (Education) | One-week driving course | Increase in RTIs perhaps due to changing climate conditions [56] | |
Practical training of safe street-crossing behaviors | Observed improvement of safe street crossing behaviors [55] | ||
Environmental change (Engineering) | A pedestrian overpass was constructed | Fewer fatalities but more pedestrian injuries and traffic crashes [47]. | |
Infrastructure enhancements designed to lower vehicle speeds and separate pedestrians from traffic | Reduced incidence of RTI [50] | ||
Law enforcement (Enforcement) | Additional sobriety checkpoints | Increased awareness of road safety measures [41] | |
Confiscation of motorcycle for riders not wearing helmets | Decrease in hospital admissions, decrease in ICU admission due to head trauma (significant) increase in helmet use (significant), decreased mortality (not significant) (combined with other interventions) [37] | ||
Traffic Act that increased arrests and surveillance | No changes in injury severity pre- and post-enforcement [46] | ||
Community awareness (Encouragement) | Radio messages, banners and posters | Decrease in hospital admissions, decrease in ICU admission due to head trauma (significant) increase in helmet use (significant), decreased mortality (not significant) (combined with other interventions) [37] | Increase in level of knowledge [40]. |
Social marketing campaign | Reported awareness of road safety messages [41] | ||
Media resources, videos, t-shirts | Reduction in injury severity, mainly for traumatic brain injuries [52] | ||
Provision of safety devices. (Engineering) | Provision of motorcycle and bicycle helmets | Decrease in hospital admissions, decrease in ICU admission due to head trauma (significant) increase in helmet use (significant), decreased mortality (not significant) (combined with other interventions) [37] | Increased observed helmet use [33] |
Provision of child safety seats | Increased self-reported use of child safety seats [45] | ||
Provision of reflector vests and motorcycle helmets | Increase in RTIs perhaps due to changing climate conditions [56] | ||
Legislation (Enforcement) | Zero blood-alcohol limit and higher penalties for drinking and driving | Decrease in overall and pedestrian mortality [28] | |
Law requiring helmets be worn on motorcycles | Decrease in hospital admissions, decrease in ICU admission due to head trauma (significant) increase in helmet use (significant), decreased mortality (not significant) (combined with other interventions) [37] | ||
Child restraint legislation | Reduction in the rate of child injuries [48] | ||
Education (Education) | Storybooks | Increase in knowledge of road safety [29]. | |
Pamphlets and videos for child safety seats | Increase in knowledge and purchase of child safety seat [31] | ||
Lectures | Decrease in incidence of bicycle injuries [42]; decrease in hospital admissions, decrease in ICU admission due to head trauma (significant) increase in helmet use (significant), decreased mortality (not significant) (combined with other interventions) [37] | Increase in knowledge of drink driving risk; [32] change in knowledge about brain and spinal cord injuries but no change in attitudes toward prevention; [36] increased knowledge on helmet usage only; [38] no change in reported attitudes about injury prevention; [35] increase in knowledge and safety practices; [54] change in self-reported attitude; [41] decrease in self-reported drink driving; [30] reduced incidence of RTI; [50] change in risk perception [51] | |
In-school training on the importance of helmets and proper fit | Increase in observed helmet use [33] | ||
Promotional videos | Increase in knowledge and self-reported use of booster seats [34] | ||
Education materials | No change in traffic violations or accidents; [43, 44] | Change in knowledge; [43] increase in knowledge; [44] education alone did not increase use of child safety seats; [45] observed improvement of safe street crossing behaviors [55] | |
Lectures, posters and guidebooks | Decrease in incidence of injury [87] | ||
Peer education | Increase in knowledge of safety [53] | ||
Educational program using the educational therapeutic method | Increased level of knowledge and maintained the preventive attitudes and practices of traffic accidents [39] | ||
Seminars and videos | Decrease in injury [96] | Increase in knowledge [96] |
The outcomes reported may be a summary of more than one intervention type.