Dowling Lisa, Arthurs-Hartnett Sophia, Ortegon-Sanchez Adriana, Lewer Dan, Hutton Angela, James Rebecca, Smith Andrew, Bates Elizabeth, Jones Sally, Christie Nicola, McEachan Rosemary R C
Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, UK.
Population Health Improvement (PHI)-UK, Bradford, UK.
BMC Public Health. 2025 Jul 2;25(1):2207. doi: 10.1186/s12889-025-23236-8.
This study aimed to determine whether, amongst children, School Street schemes: (1) increase active travel, (2) improve satisfaction and perception of safety crossing their school street; and (3) how they are perceived more broadly by children.
We recruited four intervention (School Street) and four control primary schools in Bradford, UK. Children aged 8-11 years completed a bespoke questionnaire at baseline, 4-6 weeks (T1), and one year (T2) after the intervention. Children in intervention schools were asked about their perceptions of the intervention. We used a difference-in-differences analysis to estimate the effect of the intervention on active travel, perceptions of the school road, and feelings of safety crossing the school road, with effects estimated for each intervention school separately and then pooled. Content analysis was conducted on free-text responses.
One intervention school withdrew and was excluded. In the remaining seven schools, 942 children at Baseline, 629 at T1, and 608 at T2 had complete data for control variables. The intervention was associated with (i) a decrease in the probability of active travel on survey day of -0.11 percentage points at T1 (95% confidence intervals -0.20, -0.02; p = 0.02) and -0.18 percentage points at T2 (-0.27, -0.09; p < 0.001); (ii) a decrease of -0.96 in the number of weekly active trips at T2 (-1.72, -0.20; p = 0.01); and (iii) no change in the number of frequent active travellers (≥ 3 days/week). No differences were found in children's satisfaction or perception of safety. Qualitative analysis identified three themes, School Streets: (i) increased feelings of solidarity to protect children; (ii) improved perceptions of safety by reducing vehicles outside schools; (iii) children perceived barriers to car travel.
We saw very limited evidence that School Streets affected children's perceptions of feeling safe, liking their school road, identifying themselves as frequent active travellers; there was some evidence for reductions in self-reported active travel. A novel finding is the sense of solidarity and community cohesion that School Streets elicits. A greater understanding of the theory of change and how the intervention works in different areas and affects different groups is required.
本研究旨在确定在儿童中,学校街道计划是否:(1)增加主动出行;(2)提高对穿过学校街道的满意度和安全感;以及(3)儿童对其的更广泛认知。
我们在英国布拉德福德招募了四所干预(学校街道)小学和四所对照小学。8至11岁的儿童在干预前、干预后4至6周(T1)和一年(T2)时完成了一份定制问卷。干预学校的儿童被问及他们对干预的看法。我们使用差异分析来估计干预对主动出行、对学校道路的看法以及穿过学校道路的安全感的影响,分别对每所干预学校进行估计,然后汇总。对自由文本回复进行了内容分析。
一所干预学校退出并被排除。在其余七所学校中,942名儿童在基线时、629名在T1时、608名在T2时拥有控制变量的完整数据。干预与以下情况相关:(i)在T1时,调查日主动出行概率下降0.11个百分点(95%置信区间 -0.20,-0.02;p = 0.02),在T2时下降0.18个百分点(-0.27,-0.09;p < 0.001);(ii)在T2时,每周主动出行次数减少0.96次(-1.72,-0.20;p = 0.01);(iii)频繁主动出行者(≥3天/周)数量没有变化。在儿童的满意度或安全感方面未发现差异。定性分析确定了三个主题,学校街道:(i)增强了保护儿童的团结感;(ii)通过减少学校外车辆提高了安全感;(iii)儿童认为汽车出行存在障碍。
我们发现非常有限的证据表明学校街道影响了儿童对安全感的认知、对学校道路的喜爱程度以及将自己视为频繁主动出行者;有一些证据表明自我报告的主动出行有所减少。一个新发现是学校街道引发的团结感和社区凝聚力。需要更深入地理解变革理论以及干预措施在不同地区如何发挥作用并影响不同群体。