Sensitivity to reward and risky driving,risky decision making,and risky health behaviour: A literature review

Young driver road safety has persisted as a global problem for decades, despite copious and diverse intervention. Recently the influence in reward sensitivity, which refers to the individual’s personal sensitivity to rewards, has received attention in health-related research, including more generally through decision making in risky circumstances, and in risky driving behaviour specifically. As such, a literature review and synthesis of the literature regarding reward sensitivity in relation to risky driving, risky decision making, and risky health behaviour, with a focus on literature in which adolescents and young adults feature, is timely. Thirty-one papers were identified, and the literature revealed that young drivers with greater reward sensitivity engage in more risky driving behaviours including speeding, crashes and traffic violations; and that individuals with greater reward sensitivity engage in more risky decision making and other risky health-related behaviours (such as drinking and drug use). Adolescents and young adults exhibit heightened sensitivity to rewards in the presence of peers, which has considerable implications for young driver road safety as research consistently demonstrates that carrying peer passengers places all vehicle occupants at greater risk of being involved in a road crash. Consideration of the influence of reward sensitivity in young driver road safety, and other adolescent/young adult health-related safety, appears to be a promising avenue of intervention, with gain-framed messages more likely to be accepted by young drivers with greater reward sensitivity. Future research in jurisdictions other than Australia and Europe will increase our understanding of the influence of reward sensitivity, and exploration of the differential impacts of reward-responsiveness and fun-seeking specifically are warranted.     

External communication of automated vehicles in mixed traffic: Addressing the right human interaction partner in multi-agent simulation

The urban traffic system is most likely to change in the next years to a mixed traffic with human drivers, vulnerable road users, and automated vehicles. In the past, the development of external communication approaches for automated vehicles focused on scenarios where an automated vehicle communicates with either a pedestrian or a human driver. However, interactions with more than one traffic partner are more realistic. Therefore, a study with 42 participants was conducted with a multi-agent simulation in which an automated vehicle interacted simultaneously with two participants, a pedestrian and a driver of a manual vehicle. In this study, two main scenarios were investigated in order to evaluate the safety and efficiency of the interactions and to determine whether the human road users feel correctly addressed. In one scenario, the pedestrian had to cross the road in front of the automated and the manual vehicle, which were approaching from different sides. In the other, the manual vehicle had to drive through a bottleneck in front of the oncoming automated vehicle, while the pedestrian had to cross the road after both vehicles passed. The communication approach of the automated vehicle consisted of implicit signals using a speed profile and lateral offset within its lane, and explicit signals using an external human–machine interface. The results of the study show that no collisions were observed in terms of safety and no significant negative effects on efficiency were measured. However, in contrast to single agent interactions, a majority of participants felt wrongly addressed in situations where the automated vehicle signals the right-of-way to the other human road user. It can be concluded that the communication approach of the automated vehicle needs to be modified in order to address certain road users more clearly.     

Measuring driving workload of heavy vehicles at roundabouts

Correctly designed roundabouts proved to have positive safety and functional performances. However, they are also affected by peculiar disadvantages. In particular, they are difficult to manoeuvre, especially for heavy vehicle drivers. Despite these concerns, there are currently no driving workload metrics devoted to roundabouts.A novel methodological approach is proposed for trying to quantify workload impinging on heavy vehicle drivers when manoeuvring through complex at-grade intersections. Proper acquisition of input data constitutes the starting point for future research about ascertainment of workload for these particular road scenarios. The described procedure enables recording steering wheel angles performed by a driver when manoeuvring an articulated lorry through a complex at-grade intersection. A field trial was carried out for verifying the practical feasibility of proposed method in capturing driver’s steering behaviour. Dynamic data acquired via global navigation satellite system instrumentation were related to actual driver’s steering wheel behaviour captured by camera frames. As a complement to the experiment, selected steering behaviour metrics were calculated. Steering Entropy attributed a high difficulty level to the manoeuvres performed through the roundabout, whereas High Frequency Component and Steering Reversal Rate showed intensity and occurrences of driver’s corrections needed for controlling position of the semitrailer at the ring. It appears that even a single roundabout may represent an arduous task for drivers. The study concludes with recommendations for further research about workload imposed by roundabouts to heavy vehicle drivers, with special attention to successions of closely spaced roundabouts.     

Drivers’ and cyclists’ safety perceptions in overtaking maneuvers

Drivers overtaking cyclists on rural roads are a safety concern, as drivers need to handle the interaction with the cyclist and possibly an oncoming vehicle. Improving the maneuver’s outcome requires an understanding of not only the objective, measurable safety metrics, but also the subjective, perceived safety of each road user. Previous research has shown that the perceived safety of the cyclist is most at risk at the passing moment, when driver and cyclist are closest to each other. However, to develop safety measures, it is necessary to know how both road users perceive safety, by understanding the factors that influence their perceptions during the overtaking maneuver. This study measured the perceived safety of drivers in a test-track experiment in Sweden and the perceived safety of cyclists in a field test in Spain. For both drivers and cyclists, we developed Bayesian ordinal logistic regression models of perceived safety scores that take as input objective safety metrics representing the different crash risks at the passing moment. Our results show that while drivers’ perceived safety decreases when there is an oncoming vehicle with a low time-to-collision, cyclists’ perceived safety is reduced by a small lateral clearance and a high overtaking speed. Although our datasets are heterogeneous and limited, our results are in line with previous research. In addition, the Bayesian models presented in this paper are novel and may be improved in future studies once more naturalistic data become available. We discuss how our models may support infrastructure development and regulation, policymaking, driver coaching, the development of active safety systems, and automated driving by providing a possible method for predicting perceived safety.     

The self-reported driving behaviour of young drivers in Lithuania: An application of the behaviour of young novice drivers scale – Lithuania (BYNDS-Li)

BackgroundWith just one year left in the Decade of Action for Road Safety, it is timely nations reflect on their progress in the realm of improving road safety more generally, and in young driver road safety specifically given the pernicious problem that is young driver risky driving behaviour and road crashes. Effective intervention requires a fundamental foundation of understanding the nature of the problem. Therefore the current study explored the self-reported risky driving behaviour of young drivers in Lithuania, a nation classified as a developed country as recently as 2015.MethodThe self-report Behaviour of Young Novice Drivers Scale (BYNDS, 1) was applied in a sample of 457 Lithuanian young drivers aged 18–24 years, after a rigorous forward-backward translation process.ResultsSeven factors (risky exposure, transient rule violations, driver misjudgements, driver mood, vehicle overcrowding, personal seatbelt use, substance consumption) explained 65.2% of the variance in self-reported risky driving behaviour as measured by the BYNDS-Li. The most common risky driving behaviours included driving in excess of posted speed limits, and driving at high risk times such as at night and on weekends.Discussion and implicationsThe seven-factor structure of the BYNDS-Li supports arguments that culturally-valid measures should be operationalised in jurisdictions other than those in which they were developed (in the case of the BYNDS, Queensland, Australia). Moreover, systems thinking argues that interventions and efforts must be multi-sectoral and collaborative interventions. In the case of young driver road safety, these should be framed within the 4E’s of education, engineering, enforcement, and engagement.     

The influence of fatalistic beliefs and risk perceptions on road safety attitudes in Latin America; A two-country study

Road safety is a major challenge in the Latin American region; however, there is a significant lack of research undertaken there. To contribute to addressing this gap, this paper reports on an exploration of the antecedents of traffic safety attitudes in two Latin American contexts: Brazil and Ecuador. Building on related work undertaken in other countries, the research explored the relationships between fatalistic beliefs, traffic risk perceptions, and road safety attitudes, while accounting for age, gender, and exposure to the road environment. Data from 2432 individuals, analysed using Structural Equation Modelling, revealed differences in the extent to which different fatalistic belief constructs (including divine control, luck, helplessness, internality, and general fatalism) were related to road safety attitudes. Moreover, fatalistic beliefs were found to influence road safety attitudes both directly and indirectly through their influence on risk perceptions. Those that reported more fatalistic beliefs also reported more dangerous attitudes to road safety and a lower perception of on-road risk. Mirroring findings from work undertaken in other countries, we found males compared to females and younger compared to older respondents to report more dangerous attitudes to road safety, with inconclusive results for risk perceptions. We also found very similar patterns of results in the data from the two countries included in the research. Results are discussed with regards to informing the design of road safety interventions aimed at influencing individual road user attitudes and, ultimately, human behaviour and system performance.     

Predicting Driver's Intention Based on Own Vulnerability: A Social Interaction Process between Road Users at an Intersection in Japan

When road users predict the future movement of an approaching vehicle at an intersection, they need to consider not only the physical environment but also the predicted behavioral intention of the approaching driver. In the present experiments, we asked participants to imagine how a vehicle would approach in a natural traffic environment. In Experiment 1, participants estimated the time‐to‐contact with an approaching vehicle as longer when they were physically vulnerable. In Experiment 2, we confirmed that differences in participants’ eye height did not explain the findings of Experiment 1. In Experiment 3, we asked participants to indicate the last possible moment at which they could cross an intersection in front of an approaching vehicle. Participants left a shorter safety margin when they were more physically vulnerable than the approaching vehicle. The results indicate that road users’ perceived vulnerability is a cue for them to trust the approaching driver's intention to decelerate. This viewpoint is important for interventions to prevent unrealistic trust that an approaching vehicle will avoid an accident and subsequent trust‐based behaviors.     

Behavioural Change Techniques used in road safety interventions for young people

IntroductionDeath and injury from road traffic is a public health problem worldwide and accordingly there is substantial interest and investment in developing interventions to change road user behaviour. Alongside this, there is growing awareness of the need to evaluate interventions and to identify the most effective mechanisms by which behaviour can be changed. Progress has been hindered due to lack of a common taxonomy with which to define specific techniques used in attempts to change behaviour.ObjectiveBehavioural Change Techniques (BCTs) have been successfully deployed to change a range of different health behaviours. This paper defines a series of BCTs that can be applied in the road safety setting and asks which ones are found in road safety interventions for young road users?MethodAbraham and Michie (2008) identified twenty-six techniques used in behavioural change interventions. These BCTs, plus one other adapted from forensic psychology, are classified into nine groupings. Six educational road safety interventions commonly used in the UK with pre-drivers and young, novice drivers are characterised in terms of the BCTs they employ.ResultsOnly a small subset of BCTs are employed in most of the interventions. They concentrate primarily on increasing awareness of the risks associated with a particular behaviour, and the severity of the potential adverse consequences.ConclusionRecommendations are given for improving the effectiveness of road safety interventions for young people including young, novice drivers by increasing the range of BCTs deployed.     

Exploring the relationships between pedestrian behaviours and traffic safety attitudes in six countries

The majority of cross-cultural research on traffic safety has investigated driver behaviour, yet in most low- and middle-income countries, where the weight of the road fatality burden is felt, motorisation rates are significantly lower than in higher-income countries. As such, this approach necessarily excludes large parts of the populations in those settings. In order to investigate the link between traffic safety attitudes and road user behaviours, this study used a self-report measure of pedestrian behaviour, applying it in six countries; Bangladesh, China, Kenya, Thailand, the UK, and Vietnam. Focus was on the relationships between a respondent’s attitude towards risky or rule violating on-road behaviours (of other road users, or more generally, not specific to pedestrians), and the extent to which they reported performing three types of risky pedestrian behaviours (i.e., intentional rule violations, errors in judgement or memory, and aggressive behaviours). Data from a sample of 3,423 individuals was subjected to a series of regression models, revealing significant links between attitudes and pedestrian behaviours in all countries, in all three behavioural factors, after controlling for age, gender, and exposure to the road environment. Differences were found between countries in the strength of these relationships, with weaker connections between attitudes and behaviours in Kenya, and stronger connections in China (with other countries in-between the two). Results are discussed in terms of the need to understand the relationships between social cognitive constructs in the specific country in which a road safety intervention is intended to be implemented.     

A novel conceptual framework investigating the relationship between roadside advertising and road safety: The driver behaviour and roadside advertising conceptual framework

This paper proposes a conceptual framework to understand the relationship between roadside advertising signs, driver behaviour, and road safety outcomes. Roadside advertising signs are external distractions that may take a driver's attention away from safety-critical driving tasks, potentially increasing crash risk through driver distraction and inattention. Although studies report safety concerns, as a whole, the body of research in the field is inconclusive with inconsistent quality, making it difficult to draw firm conclusions. Definitive links between roadside advertising and road trauma are not yet evident, which has major consequences for road regulators' capacity to develop evidence-based policy to safely administer public roads. However, a lack of consistent evidence does not indicate an absence of risk but underscores its complexity. To address this problem, the Driver Behaviour and Roadside Advertising Conceptual Framework (DBRA framework) was developed to strategically investigate and conceptualise the phenomena of roadside advertising. A new term – “extended engagement” – has also been proposed to account for situations of prolonged attentional engagement with a roadside advertising sign. Further, it is posited that important variations in driving performance may be associated with a driver's extended engagement with a roadside advertising sign. Built on extant theories of driver behaviour and empirical research, the DBRA framework is designed to be a robust tool that encourages a common agenda for future roadside advertising research.     

Do drivers differ in their attitudes on speed limit compliance between work and private settings? Results from a group of Nigerian drivers

Existing evidence suggests that drivers, particularly those who work in companies with strong road safety cultures exhibit different sets of speeding attitudes and behaviours in work and private driving. Using Ajzen and Fishbein’s (1980) Theory of Planned behaviour (TPB) and on-road driving experiments, this study examined the self-reported and objective behaviour of driving within posted speed limits for a sample of fleet drivers. The findings show that the TPB explained up to 24% of the variance in intention to comply with speed limits. Drivers’ attitude emerged as the most significant predictor and strongest correlate with intentions to comply with the speed limit in both work and private vehicle.Further analysis revealed participants had a higher intention to comply with speed limits in their work than private vehicle. Also, investigation of the relationship between TPB variables and observed speeding behaviour suggests that participants with higher intention to comply with the speed limit or high perceived behavioural control (PBC), exceeded the speed limit less often than those with lower intention to comply with the speed limit or low PBC. The findings have important theoretical and applied implications for development of better speed limit compliance interventions to improve driving behaviour, and road safety in general.     

A systematic review of observational studies investigating the influence of mobile phone distraction on road crossing behaviour of pedestrians

The growing prevalence of technological distractions amongst pedestrians makes it an important road safety concern. Observational studies are considered a reliable method to investigate the influence of mobile phone distraction on pedestrian road crossing behaviour and crash risks. The present study conducts a systematic review of international literature on pedestrian distraction observations by following the Preferred Reporting Items for Systematic Reviews and meta-Analyses (PRISMA) guidelines. A total of 792 studies were identified from the literature search on six research databases: Scopus, Google Scholar, Web of Science, PubMed, Cochrane library, and Transportation Research International Documentation (TRID). Finally, 39 research articles were assessed using the systematic classification scheme based on the following five research aspects: prevalence of mobile phone distraction, study locations, performance measures, analysis techniques, and additional factors associated with mobile phone use among pedestrians. Over 35% of the studies were conducted in the United States of America (USA) and 69% of the investigations were done in the last five years. Overall, the findings across the studies indicate that mobile phone distraction plays a major role in pedestrian risky road crossing behaviour and violation tendencies. Visual distractions (such as texting) exhibited higher behavioural impairment compared to cognitive distractions (e.g., listening to music, and conversations). Pedestrian characteristics such as gender and age were the key factors examined in 77% and 67% of the observational studies. Finally, important directions for future research are illustrated to aid the researchers working in the area of pedestrian safety.     

Predicting pedestrians’ intention to cross the road in front of automated vehicles in risky situations

Due to the absence of a human driver, the introduction of fully automated vehicles (FAVs) may bring new safety challenges to the traffic system, especially when FAVs interact with vulnerable road users such as pedestrians. To ensure safer interactions between pedestrians and FAVs, this questionnaire-based study aims to understand Australian pedestrians’ intention to engage in risky road-crossing behaviors when they interact with FAVs vs. human-driven vehicles (HDVs). A 2 × 2 between-subject design was utilized, in which two risky road-crossing scenarios were designed and took into account the vehicle type (FAV vs. HDV) and vehicle speed (30 km/h vs. 50 km/h). A total of 493 participants (aged 18–77) were randomly assigned to one of the four experimental conditions and completed an online questionnaire based on the extended Theory of Planned Behavior (TPB). This questionnaire measured pedestrians’ intentions to cross the road in the assigned scenarios as well as the motivational factors behind these intentions in terms of attitude, subjective norm, perceived behavioral control, perceived risk and trust in the vehicle. The results show that pedestrians had significantly higher intentions to cross the road in front of approaching FAVs than HDVs. Participants also reported a lower risk perception of crossing in front of FAVs and greater trust in this type of vehicle. Attitude, subjective norm, and perceived behavioral control were significant predictors of intentions to engage in risky road-crossing behavior. Findings of this study provide important implications for the development and implementation of FAVs in the future road transport system.     

A systematic review of definitions of motor vehicle headways in driver behaviour and performance studies

Headway is a safety measure commonly used to investigate driving behaviour and driver performance. Its purpose is to reflect the following distance or time between a leading and following vehicle in traffic. It is therefore associated with drivers’ response time, such as in braking or swerving, during safety critical events. In the literature, distance and time headway are defined in different ways, despite standard definitions in the traffic engineering literature, which prompted this systematic review of headway definitions across a range of study designs, in order to recommend approaches to improve the accuracy and reproducibility of headway definitions used in road safety contexts. PRISMA guidelines were followed to search four databases (EMBASE, COMPENDEX, SCOPUS and MEDLINE) for studies that reported on headways or discussed methodological approaches. The search and filtering of abstracts identified 110 articles for a qualitative synthesis. Four broad approaches to measuring headways were detected: studies using simulation, roadside external features, on-road features, and on-vehicle features. Studies were coded as to whether they included written explanation, mathematical statements, or pictorial depictions of headway. Only 49.6% of studies contextualised headway sufficiently for reproducibility. Reproducibility is crucial for accurate interpretation of research findings and comparisons across studies. It is recommended that headway definitions should a) exclude vehicle or parts of vehicle lengths, b) include reference points (e.g., bumper/axle/rear), c) have a consistent terminology, and d) include the accuracy of headway measuring devices to report the precision of a study’s findings.     

Perceptual Load Induces Inattentional Blindness in Drivers

Perceptual load theory states that the level of perceptual load in a task predicts the processing of task‐irrelevant information. High perceptual load has been shown to result in increased inattentional blindness; however, there is little evidence that this extends beyond artificial computer‐based tasks to real‐world behavior. In this study, we adapted a typical load‐blindness paradigm for use in a driving simulator. Forty‐two drivers performed a series of gap perception tasks where they judged if their vehicle could fit between two parked vehicles, with the task imposing either low or high perceptual load. Awareness for an unexpected pedestrian or animal at the side of the road was found to be significantly lower in the high perceptual load condition. This study is the first to demonstrate perceptual load effects on awareness in an applied setting and has important implications for road safety and future applied research on the perceptual load model.Copyright © 2016 John Wiley & Sons, Ltd.     

The effect of job stress on self-reported safety behaviour in container terminal operations: The moderating role of emotional intelligence

This study empirically examined the moderating effects of emotional intelligence on job stress and self-reported safety behaviour in the context of container terminal operations using survey data collected from 430 respondents who worked in the container terminals in Taiwan. A hierarchical regression analysis was used for data analysis. The research findings indicate that job stress negatively affects safety behaviour in terms of safety compliance, as well as emotional intelligence positively affects safety behaviour in terms of safety participation and safety compliance. Results also indicated that emotional intelligence plays a moderating role on the relationships between job stress and safety compliance. The theoretical and practical implications from the research findings are discussed.     

Developing a self-report method for investigating adolescent road user behaviour

The aim of the present study was to develop a self-report questionnaire to provide a classification of aberrant road user behaviour in adolescent children. An Adolescent Road user Behaviour Questionnaire (ARBQ) was developed, comprising 43 items requiring respondents to rate the frequency with which they engaged in specific examples of road-using behaviour. The questionnaire was completed by 2433 children aged 11–16. Factor analysis showed that responses to the 43 items were best fitted by a three-factor solution. Factor 1 comprised items relating to “unsafe road crossing behaviour”, factor 2 comprised items related to “dangerous playing in the road”, and factor 3 comprised items which as a group were termed “planned protective behaviour”. A revised 21-item ARBQ was produced by selecting the items that loaded most strongly on the three factors. The 21-item instrument had good internal reliability. The effects of demographic variables on ARBQ scale scores were investigated. This study provided a tool that could be used in the future by researchers investigating adolescent road user safety. Possible avenues for future research include applying the ARBQ to the study of adolescents’ road accident involvement, and the study of the psychological variables that predict the ARBQ scales.     

Attitudes,risk perception and risk-taking behaviour among regular cyclists in Norway

The main aim of the study was to investigate whether attitudes toward traffic safety, risk perception, worry, risk tolerance, safety priority, and accident involvement are associated with cyclists’ risk-taking behaviour. Two types of cyclists’ risk-taking behaviour were studied: (1) ‘violation of traffic rules, and (2) ‘conflicts with other road users when cycling’. The study was based on a questionnaire survey carried out in 2017 among regular cyclists in Norway (n = 426). The results revealed that cyclists’ risk-taking behaviour was influenced by their attitudes, risk perception, and accident involvement. Pragmatic attitudes toward traffic rule violations and safety priority were found to be important predictors of the frequency of rule violations when cycling. Attitudes towards the enforcement of traffic rules for cyclists and dissatisfaction with the traffic rules for cyclists were found to be important predictors for the frequency of situations involving conflicts with other road users. Risk perception and accident involvement were found to be associated with conflicts with other road users, but not with rule violations when cycling. The findings show that risk perception and attitudes toward traffic safety are important for cyclists’ risk-taking behaviour in traffic. The road infrastructure and the traffic regulations are primarily planned for car drivers and pedestrians. If cyclists’ attitudes are to be changed, the cycling infrastructure and traffic rules for cyclists would need to be adjusted to cyclists as road users. When building new infrastructure and implementing new safety measures for cyclists, it is important to include attitude campaigns, as well as communications to the public about safety and the risks linked to cycling. Attitude campaigns could be used to strengthen the authorities’ communications that cyclists are prioritized as road users.     

An evaluation of speed management measures in Bangladesh based upon alternative accident recording,speed measurements,and DOCTOR traffic conflict observations

With 21,000 people annually killed in road traffic (estimated figure by World Health Organization), Bangladesh has one of the highest fatality rates in the world. Vulnerable road users (VRUs) account for over 50% of road traffic casualties, and 70% of casualties occur in rural areas. As in many Low and Middle Income Countries (LMICs), the official road accident statistics are incomplete and biased.Safe Crossings (Netherlands) and the Centre for Injury Prevention and Research Bangladesh (CIPRB) (Bangladesh) received permission from the Bangladesh government in 2014 to design and implement an integrated speed management program (consisting of a combination of small-scale infrastructural measures, active community involvement and road user education) at three locations where a national highway intersects small communities. The infrastructural countermeasures to improve road safety consisted of speed humps, rumble strips, signs and road markings and were designed following the Dutch road design guidelines. In a Before–After study design, we used a combination of three research methods to monitor and evaluate the road safety interventions. We created our own traffic accident recording system with trained local record keepers, we conducted laser-gun speed measurements of motorized traffic (both at intervention and control locations), and we applied the Dutch Objective Conflict Technique for Operation and Research (DOCTOR) for observing serious traffic conflicts at the intervention locations. The latter was based upon DOCTOR scores from video recordings of the behaviour at the three experimental locations Before and After the interventions.Prior to installing the intervention program, the three locations combined had, on average, about 100 serious accidents, 10 deaths, and 200 injured people on a yearly basis. In April 2015, all infrastructural measures were completed. In the after period (till the end of January 2016), the alternative accident recording system showed a 66% reduction in the number of serious accidents, a 73% reduction in the number of injured people, and a 67% reduction in the number of people killed.The unobtrusive laser-gun speed measurements resulted in a net reduction of 13.3 km/h (or 20% in relative terms) on average at the intervention locations by taking the general speed development at the control locations into account. According to Nilsson’s power law this would result in a 59% reduction of the number of people killed, well in line with the actual accident figures.The total number of serious conflicts (only DOCTOR scores 3, 4, and 5) was significantly reduced from 64 serious conflicts per location in a 4.5 h period Before to 29 serious conflicts in the After period, on average (Poisson distributed variable, p < 0.01), or a 55% reduction in relative terms. By including the traffic volumes, the reduction in conflict risk overall is 54%. Moreover, the severity of conflicts was reduced in the After period with only one most severe conflict (DOCTOR score 5) left. Buses represent the largest portion of road users involved in serious conflicts at all three locations, followed by cars and CNGs (Compressed Natural Gas vehicle). By far, the most frequently occurring conflict is of the type head-on conflict between an overtaking bus or car that is encountering a road user in opposite direction (for the greater part a CNG).All three evaluation measures point to a similar impact of the intervention program and unveil an improvement in road safety between 54% and 60%. The speed-reducing measures indeed considerably reduce the speed of motorized traffic, both the mean speed and 85th percentile values, both the number and severity of serious conflicts are reduced, and the actual number of accidents has decreased. It appears that Nilsson’s power law for the relation between a difference in mean speed and the change in the number of accidents also applies to LMICs.Speed management measures as common in high-income countries appear to be also effective in LMICs. For evaluation purposes of road safety impacts, a Traffic Conflicts Technique approach (also developed in high-income countries) seems valid and effective as well for application in LMICs.As there are thousands of traffic black spots with similar characteristics as the three intervention locations in Bangladesh, this integrated approach may well offer similar road safety improvements elsewhere.