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Promoting active travel to school: a systematic review (2010-2016)
Bo Pang1, Krzysztof Kubacki2, Sharyn Rundle-Thiele2
1Department of Marketing and Social Marketing @ Griffith, Griffith University, 117 Kessels Road, Nathan, QLD, 4111, Australia. b.pang@griffith.edu.au.
BMC Public Health
|August 7, 2017
Summary
Active school travel (AST) interventions show weak methodology and limited theory use. Future interventions should integrate socio-ecological frameworks and policy changes for greater effectiveness in promoting children's active travel.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Global efforts aim to increase active school travel (AST) to combat declining rates.
- This systematic review updates the understanding of AST interventions, evaluating their quality and theoretical underpinnings.
Purpose of the Study:
- To systematically review and analyze active school travel interventions published between 2010 and 2016.
- To assess the methodological quality and theory utilization of these interventions.
Main Methods:
- A systematic literature search across seven databases identified 18 AST interventions.
- Interventions were evaluated using the Active Living by Design (ALBD) Community Action (5P) Model and the Evaluation of Public Health Practice Projects (EPHPP) framework.
- Effectiveness, outcomes, and theory use were examined for each intervention.
Main Results:
- Only seven of 18 studies reported using theory.
- The ALBD model revealed frequent use of Preparation and Promotion, but less emphasis on Policy and Physical projects.
- Methodological quality was assessed as weak in 14 out of 18 interventions according to EPHPP.
Conclusions:
- Improvements noted include increased use of objective measures.
- Significant limitations include a lack of theory, weak methodological design, and unreliable measurements.
- Future interventions should adopt socio-ecological frameworks and policy components, utilizing the ALBD model more extensively for demonstrable change.
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