Human Environments Analysis Laboratory, Department of Geography, Faculty of Social Sciences, University of Western Ontario, London, ON, Canada.
Department of Geography and Environment, University of Western Ontario, London, ON, Canada.
BMC Public Health. 2024 Jul 4;24(1):1782. doi: 10.1186/s12889-024-19208-z.
Reports of children's engagement in active transportation outline low participation rates in many countries despite many associated mental, physical, and social health benefits. One of the main contributors to this phenomenon is a cited lack of education and knowledge among children regarding active travel (AT), specifically road safety. To address this issue, the aim of this study was to evaluate the feasibility and effectiveness of an online road safety education intervention to promote AT among children and their parents.
Applying the Multiphase Optimization Strategy (MOST) for intervention development, implementation, and evaluation, we designed and assessed a four-module online road safety education intervention with a sample of 57 parent-child dyads using a 2 factorial design featuring both qualitative and quantitative analyses.
Main intervention feasibility findings include positive and critical feedback on the program's content and design, and moderate participant engagement as reflected by program retention and completion rates. With respect to the preliminary intervention effectiveness on children, a significant improvement in road safety knowledge scores was observed for groups that feature the "wheeling safety and skills" module. Slight improvements in AT knowledge scores across all the intervention groups were observed, but were not of significance. Preliminary intervention effectiveness on select parental AT practices and perceptions saw significant improvements in some groups. Groups that featured the 'wheeling safety and skills' module exhibited significantly higher guided choice scores upon completion of the program than those who did not receive this component.
The MOST framework allowed us to design and evaluate the feasibility and preliminary effectiveness of an online road safety education intervention. The developed intervention has demonstrated that it has the potential to improve children's road safety knowledge and some areas of parental AT practices and perceptions, to which improvements may be attributed to the inclusion of the "wheeling safety and skills" module, suggesting that the targeted focus on cycling skills is a prioritized area. AT programming and practice implications are discussed. Future research is encouraged to refine modules to better reflect the priorities of children and parents and to test these refined components among larger samples.
9,391 (excludes abstract, tables, figures, abbreviations, and references).
尽管积极交通（AT）有许多与心理健康、身体健康和社会健康相关的益处，但许多国家报告称儿童参与率较低。造成这种现象的一个主要原因是儿童对主动出行（AT），特别是道路安全的知识和教育的缺乏。为了解决这个问题，本研究的目的是评估在线道路安全教育干预措施在促进儿童及其父母 AT 方面的可行性和有效性。
应用多阶段优化策略（MOST）进行干预措施的制定、实施和评估，我们设计并评估了一个包含四个模块的在线道路安全教育干预措施，该措施采用具有定性和定量分析的 2 因素设计，对 57 对亲子样本进行了测试。
主要的干预可行性发现包括对该项目内容和设计的积极和批评性反馈，以及由项目保留和完成率反映的适度参与者参与度。就儿童的初步干预效果而言，观察到具有“车轮安全和技能”模块的组的道路安全知识得分有显著提高。所有干预组的 AT 知识得分都有轻微提高，但没有显著意义。对一些选择的父母 AT 实践和观念的初步干预效果观察到，在一些组中，有显著改善。在完成计划后，具有“车轮安全和技能”模块的组的指导选择得分明显高于未接受此部分的组。
MOST 框架使我们能够设计和评估在线道路安全教育干预措施的可行性和初步有效性。所开发的干预措施已经证明，它有可能提高儿童的道路安全知识以及某些方面的父母 AT 实践和观念，这些改进可能归因于纳入“车轮安全和技能”模块，这表明针对自行车技能的重点是一个优先领域。讨论了 AT 规划和实践的影响。鼓励开展未来的研究，以完善模块，更好地反映儿童和家长的优先事项，并在更大的样本中测试这些经过完善的组件。
9391 字（不包括摘要、表格、图表、缩写和参考文献）。
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