A Synthesis of Research Addressing Children's, Young People's And
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FINAL REPORT NOVEMBER 2006 A synthesis of research addressing children’s, young people’s and parents’ views of walking and cycling for transport The Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) is part of the Social Science Research Unit, Institute of Education, University of London AUTHORS Ginny Brunton, Sandy Oliver, Kathryn Oliver, Theo Lorenc ADVISORY GROUP MEMBERSHIP David Banister Professor of Transport Planning, Bartlett School of Planning, University College, London Tracey Budd Principal Research Officer, Statistics – Travel, Department for Transport Andy Cope Research and Monitoring Unit Manager, Sustrans Hugo Crombie Public Health Advisor, Centre for Public Health Excellence, National Institute for Health and Clinical Excellence Tom Franklin Chief Executive, Living Streets David Ogilvie MRC Social and Public Health Sciences Unit, University of Glasgow Harry Rutter Head of Health Impact Assessment Unit, South East Public Health Observatory, Oxford Claire Spink Policy Customer, Department for Transport Paul Stonebrook Health Improvement Directorate, National Programme Delivery, Department of Health Sandra Williams Senior Principal Research Officer, Research and Development, Standards and Quality Group, Department of Health CONFLICTS OF INTEREST None ACKNOWLEDGEMENTS The review described in this report is one of a series undertaken by the Health Promotion and Public Health Reviews Facility at the EPPI-Centre to inform the evidence base for a range of strategies to promote public health. The views expressed in the report are those of the authors and do not necessarily reflect those of the Department of Health. i Funding This report was funded by the Department of Health (England) as part of a three- year programme of work. CONTRIBUTIONS This review was prepared by the following members of the EPPI-Centre: Ginny Brunton (GB), Angela Harden (AH), Josephine Kavanagh (JK), Theo Lorenc (TL), Eva Moran (EM), Ann Oakley (AO), Kathryn Oliver (KO), Sandy Oliver (SO), Chloe Powell (CP) and Alex Trouton (AT). Their contributions were as follows: Initial protocol development: JK, AT, AH, SO Full protocol development: GB, SO, AO Data collection: GB, KO, TL Developing methods analysis and data extraction tools: GB, SO, KO, TL Data extraction: GB, KO, TL Searching for studies: GB, EM, CP Report preparation: GB, SO, KO, TL, AO Guidance on information management, and formatting the review report: CP LIST OF ABBREVIATIONS DfES Department for Education and Skills DfT Department for Transport NICE National Institute for Clinical Excellence NSSD Non-statistically significant difference RCT Randomised controlled trial SES Socio-economic status SNR Significance not reported Sustrans Sustainable transport charity UK United Kingdom ii This report should be cited as: Brunton G, Oliver S, Oliver K, Lorenc T (2006) A Synthesis of Research Addressing Children's, Young People’s and Parents’ Views of Walking and Cycling for Transport. London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London. The opinions expressed in this publication are not necessarily those of the EPPI- Centre or the funders. Responsibility for the views expressed remains solely with the authors. © Copyright Authors of the systematic reviews on the EPPI-Centre website (http://eppi.ioe.ac.uk/) hold the copyright for the text of their reviews. The EPPI- Centre owns the copyright for all material on the website it has developed, including the contents of the databases, manuals, and keywording and data- extraction systems. The centre and authors give permission for users of the site to display and print the contents of the site for their own non-commercial use, providing that the materials are not modified, copyright and other proprietary notices contained in the materials are retained, and the source of the material is cited clearly following the citation details provided. Otherwise users are not permitted to duplicate, reproduce, re-publish, distribute, or store material from this website without express written permission. ISBN: 0-9551548-9-8 iii TABLE OF CONTENTS EXECUTIVE SUMMARY ........................................................................................1 Background.............................................................................................................2 Research questions................................................................................................2 Mapping the research.............................................................................................2 The research in-depth.............................................................................................3 The contribution of this review................................................................................5 1. BACKGROUND..................................................................................................7 1.1 Walking and cycling in the UK ..........................................................................7 1.2 Policy context....................................................................................................7 1.3 Existing systematic reviews ..............................................................................8 1.4 The role of research evidence ..........................................................................9 1.5 Aims................................................................................................................10 2. METHODS........................................................................................................12 2.1 User involvement ............................................................................................12 2.2 Mapping of research activity...........................................................................12 2.3 From mapping to in-depth review ...................................................................15 2.4 In-depth review methods for views studies.....................................................16 2.5 In-depth review methods for cross-study synthesis........................................19 2.6 Quality assurance process .............................................................................20 3. RESULTS - MAP ..............................................................................................21 3.1 Identification of studies ...................................................................................21 3.2 Systematic Reviews........................................................................................21 3.3 Studies of people's views ...............................................................................22 3.4 Advisory group consultation............................................................................34 4. RESULTS – IN-DEPTH REVIEW .....................................................................35 4.1 Overview of views studies ..............................................................................35 4.2 Major themes arising from barriers and facilitators.........................................48 4.3 Implications for interventions ..........................................................................49 4.4 Summary of recent systematic reviews on interventions to shift travel mode 52 5. CROSS-STUDY SYNTHESIS ..........................................................................54 Theme 1. Culture of car use .................................................................................54 Theme 2. Fear and dislike of local environments .................................................54 Theme 3. Children as responsible transport users ...............................................55 Theme 4. Parental responsibility and behaviour...................................................55 Theme 5. Differences in views across ages, sex, SES and locations ..................56 Effective, appropriate and promising interventions...............................................56 CHAPTER 6. DISCUSSION .................................................................................59 6.1 Substantive findings........................................................................................59 6.2 Strengths and limitations of the review ...........................................................61 iv 3. Methods of Primary Studies..............................................................................64 4. Culture of walking and cycling ..........................................................................65 5. The context of previous ‘views’ research..........................................................67 6. Policy context....................................................................................................67 7. CONCLUSIONS AND RECOMMENDATIONS ................................................69 8. REFERENCES .................................................................................................73 Appendix 1: Search sources.................................................................................79 Appendix 2: Quality ratings of included studies (N=34)........................................81 Appendix 3: Aims, Methods, Populations and Quality Ratings of Lower Quality Studies (N=18)......................................................................................................82 Appendix 4: Methodological Characteristics of Higher Quality Included Studies (N=16)...................................................................................................................91