UBC Faculty Research and Publications

Applying the Consolidated Framework for Implementation Research (CFIR) to examine barriers and facilitators to built environment change in five Canadian municipalities : Lessons from road safety and injury prevention professionals McCullogh, Emily; Giles, Audrey; Macpherson, Alison; Hagel, Brent; Buchan, Claire; Pike, Ian; Torres, Juan; Fuselli, Pamela; Pitt, Tona; Tavakolfar, Pegah; et al.

Abstract

Road traffic injury and death continue to be a concern in Canada. The built environment (BE) is a contributing factor affecting the health of road users, yet there are significant challenges to making injury-reducing BE changes. This research increases our knowledge of these challenges by investigating the opinions of injury prevention and road safety professionals working in Canada about the barriers and facilitators to BE change. Cross-referencing themes with the CFIR situated our findings within the scope of implementation science, which demonstrated how barriers and facilitators influence BE change project implementation. The prioritization of motor vehicles results in disproportionate injury and health risks for VRUs. Collaboration across sectors, with the support of champions and advocates, can facilitate sharing of resources, data, and expertise, which results in more opportunities to enact BE change. Knowledge of these barriers and facilitators, contextualized by the CFIR, makes a case for policy/decision-makers in Canada to approve BE projects that reduce risk of road traffic injury and death.

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Attribution-NonCommercial-NoDerivatives 4.0 International