Development of a Motorcycle Crash Prevention Model for Children and Youth Aged 10–19 Years through the Sa Bot District Road Safety Operations Center, Lop Buri Province

Abstract

     This participatory action research aimed to investigate the situation, develop a model, and evaluate the effectiveness of a model for addressing motorcycle crashes among children and youth aged 10–19 years through the Sa Bot District Road Safety Operations Center, Lop Buri Province. The study comprised three phases. Phase 1 involved questionnaires administered to 284 students and in-depth interviews with 33 children and youth who had experienced motorcycle crashes. Phase 2 involved model development with 63 partner representatives using the PAOR cycle, AIC process, 4M framework, SHELL Model, and Swiss Cheese Model. Phase 3 evaluated the model through a 12-week, one-group pretest–posttest study involving 42 students. The instruments included questionnaires, interview guides, and focus group records. Data were analyzed using descriptive statistics, content analysis, and paired-samples t-tests, with statistical significance set at 0.05.

     The results showed that 59.86% of the participants were female, with a mean age of 12.26 years (S.D. = 1.64). A total of 84.86% had started riding motorcycles before the age of 13 years, none held a motorcycle driving licence, and 46.48% had experienced a motorcycle crash. The developed model consisted of five components: management mechanisms, data utilization and systemic factor analysis, capacity building for partner networks and facilitator teams, learning activities for children and youth, and continuous monitoring and reflection. After the intervention, the mean self-efficacy score increased from 36.20 to 41.05, the mean outcome expectation score increased from 32.80 to 38.56, and the mean road safety practice score increased from 36.50 to 45.00. All post-intervention scores were significantly higher than the pre-intervention scores (p < 0.001). Concurrent surveillance data showed that the combined number of injuries and deaths decreased from 117 to 69 cases, representing a reduction of 41.03%.