Improving Motorcycle Taxi Driver Visibility in Tanzania

Study Overview
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Brief Summary
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The purpose of this study is to determine whether providing motorcycle taxi drivers with a free reflective fluorescent vest will result in increased use of reflective or fluorescent clothing compared to education about wearing reflective or fluorescent clothing alone.

Detailed Description
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Road traffic injuries are the 4th leading cause of death among individuals in the economically productive age group (age 15 to 59) in low and middle income countries. The Africa region currently has some of the world's highest traffic injury rates, with vulnerable road users, including motorcycle riders, bearing a disproportionate share of the injury burden. Motorcycles are a rapidly growing form of transport in Africa, both for personal and commercial transportation. Conspicuity measures-factors that increase a motorcycle rider's visibility-for the prevention of motorcycle crash have been previously studied and found to be associated with a decreased risk of crash. Motorcycle taxi drivers are a particularly high risk population for motorcycle crash as they operate a motorcycle for several hours a day. Reflective, fluorescent safety vests are a common article worn by motorcycle drivers in some locations; however, penetration of such clothing in Moshi is currently low. This study aims to increase use of reflective vests among commercial motorcycle drivers. We will test whether provision of a free reflective, fluorescent vest increases use of reflective, fluorescent clothing compared to education about wearing reflective, fluorescent clothing alone.

Official Title
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Improving Motorcycle Taxi Driver Visibility in Tanzania-A Cluster Randomized Controlled Trial

Conditions
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Accidents, Traffic

Intervention / Treatment
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* Other: Free reflective, fluorescent vest
* Behavioral: Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: motorcycle riders who identify themselves as motorcycle taxi drivers individuals must work at least 2 days a week as a motorcycle taxi driver have a telephone number for ride solicitation have a license plate that is able to be recorded are at least 18 years old are willing to have us contact them in the future for repeat surveys Exclusion Criteria: motorcycle riders who do not meet the above criteria motorcycle riders who do not consent to participate

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Vest and Education<br>Motorcycle Taxi Drivers provided with a reflective, fluorescent vest and basic education about recommended measures to increase their visibility | Other: Free reflective, fluorescent vest<br>* Motorcycle taxi drivers in the intervention arm will receive a free reflective, fluorescent vest<br>Behavioral: Education<br>* Both arms will receive brief, basic education about recommended measures to increase their visibility<br>|
| Other: Education Alone<br>Motorcycle Taxi Drivers provided with basic education about recommended measures to increase their visibility | Behavioral: Education<br>* Both arms will receive brief, basic education about recommended measures to increase their visibility<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of reflective or fluorescent clothing | The use of reflective or fluorescent clothing will be compared between the intervention and control groups over the observation period | 3-5 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Wearing White Helmet | The use of white helmets will be compared between the intervention and control groups over the observation period | 3-5 months | 
| Daytime Running Headlights | The use of daytime running headlights will be compared between the intervention and control groups over the observation period | 3-5 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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traffic accidents, motorcycle, injury, conspicuity