Effectiveness of School Traffic Warden Programme on Road User Behaviour (Traward)

Effectiveness of a School Traffic Warden Programme on Road User Behaviour at Primary School Crossings in Kampala, Uganda

Hypothesis: Crossing roads at points that lack traffic control measures increase the risk of pedestrian motor vehicle collisions. Therefore, implementing a low cost traffic warden programme at school crossing points reduce the risk of pedestrian road traffic crashes.

Objective: The investigators aim to determine the effectiveness of a school traffic warden programme on road user behaviour at primary school crossings in Kampala Uganda

Study Overview

• Status: Not yet recruiting
• Conditions: Driver Yield to Pedestrians
• Intervention / Treatment: Behavioral: School traffic warden programme

Detailed Description

The study will be conducted in Kampala which has the highest percentage of road traffic crashes 49% per year. Kampala has both public and private roads with an estimated population of ranging from 1.7-2.9 million. Walking is a dominant mode of transportation in Kampala for children despite the inadequate safe walking and crossing facilities. Kampala has 79 Public Schools under the Kampala Capital City Authority.

Study design: A cluster randomized trial will be conducted to assess the effect of school traffic warden on road user behaviour. The 22 cluster study will comprise public primary Kampala Capital City Authority schools. The unit of randomization will be schools. In a cluster randomized trial, random allocation of schools into the intervention and control group will be done using proper allocation concealment when enrolling schools into the respective study arms.

School traffic warden programme intervention The "School traffic warden programme" is an intervention that aims to reduce the risk of pedestrian road traffic crashes at school crossing points through the presence of school traffic wardens at safe points. The intervention will address multiple risk factors related to behaviour. The assumption is that school traffic wardens situated at safe crossing points will increase yield rates of drivers to pedestrians entering or crossing thereby reducing the risk of pedestrian motor-vehicle collision. For school traffic wardens to be effective, they must be placed at safe locations. Some school sites in Kampala already partially have designated safe crossing points. In this instance, visibility and safety at pedestrian crossings will be enhanced by one trained school traffic warden placed a designated safe crossing point. The school traffic warden will assist pupils in crossing at all times during peak hours i.e. 6:00am-8:00am; 01:00pm-02:00pm; 03:00-07:00pm. I will use the non-teaching support employees of the schools as school traffic wardens. In total, 11 school traffic wardens will under-go a 3 day road safety training prior to the start of the study. A similar follow up training will be conducted after 3 months and these will be motivated with non-monetary incentives e.g. high visibility jackets and a "lollipop" stop sign. I will partner with 2 road safety trainers in the delivery of the training sessions. Both the intervention and control schools will receive road safety manuals and leaflets developed by the Uganda Red Cross Society and the Uganda National Curriculum Development Centre.

Baseline assessments will be done for the covariates to ensure that the schools in the intervention and control arms are comparable. Temporal aspects: The study will be implemented over a 6 months period (i.e. the second and third term school study periods of 2022)

Data collection The study instrument will be piloted in 2 schools and feedback used to improve the questions. A team of 4 well trained and experienced data collectors together with one field supervisor will collect data from 22 schools between June and November 2022. The teams will undergo a 5 day training to introduce them to all aspects of the study. Each crossing point will be observed with no breaks during the 3 peak hours of the day (i.e. 06:30-8:00; 13:00-14:00; 16:00-19:00hrs) when children make their way to and fro school. Each crossing point will have a trained research assistant using a camera to record children's crossing behaviour unobtrusively. The camera will be fixed in an elevated position so as to obtain the view of the crossing location. For each crossing point, all individuals observed will be listed and a random number generator used to randomly select 50 pupils. Data will be abstracted on road user behaviour using mobile technology open-source tool for mobile data collection.

Data management Video recordings will be saved in hard drives and upon completion of abstraction, data will be submitted to a secure cloud aggregate server. A daily download of all data from the server will be done followed by data cleaning. As the outcome which is the proportion of road user behaviour is binary, then the generalised regression model will be applied. Analysis will be done using the multilevel model approach.

• Study Type: Interventional
• Enrollment (Anticipated): 550
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Jimmy Osuret, MSc; Phone Number: +256774166753; Email: josuret@musph.ac.ug

Study Locations

• Uganda
  • Kampala, Uganda, +256
    • Makerere University School of Public Health

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 12 years (CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• The study will include pupils from primary schools located along arterial, distributor and local tarmacked roads. All primary pupils from the same school observed while crossing will be eligible

Exclusion Criteria:

• We shall exclude pupils from schools located along roads under construction.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Intervention-School traffic warden programme; The intervention will address multiple risk factors related to behaviour through placing traffic wardens at school crossing points. The assumption is that school traffic wardens situated at safe crossing points will increase yield rates of drivers to pedestrians and reduce the risk of pedestrian motor-vehicle collision. They will be placed at safe locations. Visibility and safety at pedestrian crossings will be enhanced by one trained school traffic warden placed a designated safe crossing point. The school traffic warden will assist pupils in crossing at all times during peak hours i.e. 6:00am-8:00am; 01:00pm-02:00pm; 03:00-07:00pm. In total, 11 school traffic wardens will under-go a 3 day road safety training prior to the start of the study. A similar follow up training will be conducted after 3 months and these will be motivated with non-monetary incentives e.g. high visibility jackets and a "lollipop" stop sign.	Behavioral: School traffic warden programme; Trained school traffic wardens placed at school crossing points to help children cross
NO_INTERVENTION: Control-road safety manuals; The control schools will receive road safety manuals and leaflets developed by the Uganda Red Cross Society and the Uganda National Curriculum Development Centre.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Driver not yielding to pedestrians	Number of drivers observed Not yielding to pedestrian, in which the driver goes through the conflict zone without yielding to pedestrian and keeping the speed unchanged.	Day 120 post intervention

Collaborators and Investigators

• Sponsor: Makerere University
• Investigators: Principal Investigator: Jimmy Osuret, MSc, Makerere University

Study record dates

Study Major Dates

• Study Start (ANTICIPATED): June 6, 2022
• Primary Completion (ANTICIPATED): December 9, 2022
• Study Completion (ANTICIPATED): December 9, 2022

Study Registration Dates

• First Submitted: June 2, 2022
• First Submitted That Met QC Criteria: June 2, 2022
• First Posted (ACTUAL): June 7, 2022

Study Record Updates

• Last Update Posted (ACTUAL): June 7, 2022
• Last Update Submitted That Met QC Criteria: June 2, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: Effectiveness; Primary schools; School traffic warden; Road user behaviour
• Other Study ID Numbers: HS659ES

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No