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      Developing and validating a measurement tool to self-report pedestrian safety-related behavior: The Pedestrian Behavior Questionnaire (PBQ)

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          Abstract

          Objective:

          Pedestrians are road users vulnerable to traffic injuries and fatalities. This study aimed to develop and validate a pedestrian behavior questionnaire to be used in Iran.

          Methods:

          In this cross-sectional study, the initial questionnaire was designed based on the evaluation of previous studies conducted world-wide or in Iran. The initial pack included 127 items. After the assuring the face validity of the questionnaire, 27 experts’ opinions in the field of traffic was obtained for assessing/ improving the content validity. To test the reliability of the questionnaire, the test-retest method and internal consistency assessment were used. To evaluate the structural validity, the Exploratory Factor Analysis (EFA) using the principal component and the Varimax rotation was applied.

          Results:

          After completing the face validity and after summarizing the experts' suggestions, 12 questions were deleted. By calculating the content validity ratio and coefficient, 20 and 17 were removed. Also, the average content validity coefficient regarding relevancy, clarity and overall average were 0.86, 0.88, and 0.87, respectively. The Cronbach's alpha coefficient was 0.84. In the last stage and according to the results of the factor analysis, five factors violations, distraction, positive behaviors (group1), positive behaviors (group2) and Aggressive behaviors) were identified from the 29-items questionnaire, which explained 98% of the total variance.

          Conclusion:

          Considering the necessity of using a verified and validated tool for planning and evaluating effective interventions for pedestrians is inevitable. The tool designed in the study was found to be valid and reliable for use to measure pedestrian’s behavior and planning to modify high-risk behaviors and enhance safe pedestrian behaviors.

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          Most cited references32

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          Is the CVI an acceptable indicator of content validity? Appraisal and recommendations.

          Nurse researchers typically provide evidence of content validity for instruments by computing a content validity index (CVI), based on experts' ratings of item relevance. We compared the CVI to alternative indexes and concluded that the widely-used CVI has advantages with regard to ease of computation, understandability, focus on agreement of relevance rather than agreement per se, focus on consensus rather than consistency, and provision of both item and scale information. One weakness is its failure to adjust for chance agreement. We solved this by translating item-level CVIs (I-CVIs) into values of a modified kappa statistic. Our translation suggests that items with an I-CVI of .78 or higher for three or more experts could be considered evidence of good content validity.
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            The effects of mobile phone use on pedestrian crossing behaviour at signalized and unsignalized intersections.

            Research amongst drivers suggests that pedestrians using mobile telephones may behave riskily while crossing the road, and casual observation suggests concerning levels of pedestrian mobile-use. An observational field survey of 270 females and 276 males was conducted to compare the safety of crossing behaviours for pedestrians using, versus not using, a mobile phone. Amongst females, pedestrians who crossed while talking on a mobile phone crossed more slowly, and were less likely to look at traffic before starting to cross, to wait for traffic to stop, or to look at traffic while crossing, compared to matched controls. For males, pedestrians who crossed while talking on a mobile phone crossed more slowly at unsignalized crossings. These effects suggest that talking on a mobile phone is associated with cognitive distraction that may undermine pedestrian safety. Messages explicitly suggesting techniques for avoiding mobile-use while road crossing may benefit pedestrian safety.
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              The effect of conformity tendency on pedestrians' road-crossing intentions in China: an application of the theory of planned behavior.

              This paper presents a survey investigating the effects of age, gender and conformity tendency on Chinese pedestrians' intention to cross the road in potentially dangerous situations. A sample of 426 respondents completed a demographic questionnaire, a scale measuring their tendency towards social conformity, and a questionnaire based on the theory of planned behavior (TPB). This questionnaire measured people's intentions to cross the road in two different road crossing situations, their attitude towards the behavior, subjective norms, perceived behavioral control, anticipated affect, moral norms, and perceived risk. The two scenarios depicted (i) a situation where the crossing was consistent with other pedestrians' behavior (Conformity scenario) and (ii) a situation where the road crossing was inconsistent with other pedestrians (Non-Conformity scenario). Pedestrians reported greater likelihood in crossing the road when other pedestrians were crossing the road. People who showed greater tendencies towards social conformity also had stronger road crossing intentions than low conformity people for both scenarios. The predictive model explained 36% and 48% of the variance in the Non-Conformity and Conformity scenarios, respectively. Attitude, subjective norm, perceived behavioral control, and perceived risk emerged as the common predictors for both situations. The results have a number of theoretical and practical implications. In particular, interventions should focus on perceptions of risk that inform road users that crossing with other pedestrians against the signal is also unsafe and prohibited, and may lead to negative outcomes.
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                Author and article information

                Journal
                Bull Emerg Trauma
                Bull Emerg Trauma
                BEAT
                Bulletin of Emergency & Trauma
                Shiraz University of Medical Sciences (Shiraz, Iran )
                2322-2522
                2322-3960
                October 2020
                : 8
                : 4
                : 229-235
                Affiliations
                [1 ] Road Traffic Injury Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
                [2 ] Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
                [3 ] Safety Promotion and Injury Prevention Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                [4 ] Department of Public Health, School of Public Health & Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
                [5 ] Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
                Author notes
                [* ]Corresponding author: Seyyed Taghi Heydari Address: Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Tel/Fax: +98-71-32309615. e-mail: heydari.st@gmail.com
                Article
                10.30476/beat.2020.86488
                7783302
                33426138
                9eec5976-f386-499c-b0ef-12355a223d54
                Journal compilation © 2020 Trauma Research Center, Shiraz University of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 May 2020
                : 2 July 2020
                : 10 September 2020
                Categories
                Original Article

                questionnaires,traffic behavior scales,pedestrians,validity,factor structure

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