Development of a Participatory Multi-Sectoral Collaborative Network Model for Reducing Road Traffic Accidents Among Youth in Dan Sai District, Loei Province
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Abstract
Road traffic injury is the leading cause of death among children and young people aged 5–29 years worldwide. Dan Sai District, a mountainous tourist district of Loei Province, Thailand, has a road traffic accident rate of 187.4 per 100,000 population, higher than the provincial (156.2) and national (142.8) averages.
The objective to develop a participatory multi-sectoral collaborative network model for reducing road traffic accidents among youth and to evaluate its outcomes.
Participatory action research with an embedded mixed-methods design was conducted in two action cycles from September 2025 to June 2026. The quantitative sample comprised 160 students aged 15–18 years from three schools (random selection of classrooms and students); the qualitative sample comprised 63 informants (15 key informants and four focus groups with 48 participants). A validated questionnaire (IOC 0.67–1.00; Cronbach’s alpha 0.87) was administered before and after implementation. Data were analysed using paired t-tests, McNemar’s tests, incidence rate ratios (IRR) comparing accident counts with the same six months of the previous year, and content analysis.
Results are The Dan Sai Safety Network (DSN) Model comprised five components: a three-tier structure, defined sectoral roles, an integrated participatory process, 4Es measures, and a monitoring and evaluation system. Mean knowledge, attitude and behaviour scores increased significantly (12.40 to 16.80, 52.30 to 64.70, and 78.50 to 98.20; all p < 0.001). Regular helmet use rose from 55.6% to 91.3% and speeding fell from 52.5% to 18.1% (both p < 0.001). Compared with the same period of the previous year, accidents decreased from 47 to 18 (IRR = 0.38, 95% CI 0.22–0.66) and injuries from 63 to 24 (IRR = 0.38, 95% CI 0.24–0.61); the reduction in deaths (5 to 1) was not statistically significant (IRR = 0.20, 95% CI 0.02–1.71).
Implementation of the DSN Model was associated with improved safety behaviours and fewer youth road traffic accidents. Because the study had no comparison group and a six-month follow-up, effectiveness cannot be concluded causally; evaluation using a comparison series and longer follow-up is needed.
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กาญจนา เลิศวุฒิ, วันเพ็ญ โพธิยอด, และ ชัยธรณ์ อุ่นบ้าน. (2561). การพัฒนารูปแบบการป้องกันอุบัติเหตุจราจรทางถนนโดยการมีส่วนร่วมของพหุภาคีเครือข่าย จังหวัดลำพูน. วารสารสาธารณสุขล้านนา, 14(1), 46–59. https://he02.tci-thaijo.org/index.php/LPHJ/article/view/158744 [In Thai]
ณัฐนันต์ ทองศรี. (2568). การพัฒนารูปแบบการสร้างทักษะคิดเพื่อเอาชีวิตรอดในการขับขี่รถจักรยานยนต์ของเด็กนักเรียนมัธยมศึกษาโดยการมีส่วนร่วมของเครือข่าย อำเภอจอมพระ จังหวัดสุรินทร์. วารสารสิ่งแวดล้อมศึกษาการแพทย์และสุขภาพ, 10(4), 1314–1325. https://so06.tci-thaijo.org/index.php/hej/article/view/291268 [In Thai]
สำนักงานป้องกันและบรรเทาสาธารณภัยจังหวัดเลย. (2567). [ผู้วิจัยระบุชื่อรายงานหรือเอกสารสถิติอุบัติเหตุทางถนนที่ใช้ค่า 187.4, 156.2 และ 142.8 ต่อประชากรแสนคน]. สำนักงานป้องกันและบรรเทาสาธารณภัยจังหวัดเลย. [In Thai]
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Ansell, C., & Gash, A. (2008). Collaborative governance in theory and practice. Journal of Public Administration Research and Theory, 18(4), 543–571. https://doi.org/10.1093/jopart/mum032
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Bryson, J. M., Crosby, B. C., & Stone, M. M. (2006). The design and implementation of cross-sector collaborations: Propositions from the literature. Public Administration Review, 66(s1), 44–55. https://doi.org/10.1111/j.1540-6210.2006.00665.x
Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research (3rd ed.). SAGE.
Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach (4th ed.). McGraw-Hill.
Hawe, P., Shiell, A., & Riley, T. (2004). Complex interventions: How “out of control” can a randomised controlled trial be? BMJ, 328(7455), 1561–1563. https://doi.org/10.1136/bmj.328.7455.1561
Hofstede, G., Hofstede, G. J., & Minkov, M. (2010). Cultures and organizations: Software of the mind (3rd ed.). McGraw-Hill.
Kemmis, S., & McTaggart, R. (2005). Participatory action research: Communicative action and the public sphere. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE handbook of qualitative research (3rd ed., pp. 559–603). SAGE.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE.
Lindqvist, K., Timpka, T., & Schelp, L. (1996). Ten years of experiences from a participatory community-based injury prevention program in Motala, Sweden. Public Health, 110(6), 339–346. https://doi.org/10.1016/s0033-3506(96)80005-9
Lindqvist, K., Timpka, T., & Schelp, L. (2001). Evaluation of inter-organizational traffic injury prevention in a WHO safe community. Accident Analysis & Prevention, 33(5), 599–607. https://doi.org/10.1016/s0001-4575(00)00071-3
Liu, B. C., Ivers, R., Norton, R., Boufous, S., Blows, S., & Lo, S. K. (2008). Helmets for preventing injury in motorcycle riders. Cochrane Database of Systematic Reviews, (1), Article CD004333. https://doi.org/10.1002/14651858.CD004333.pub3
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377. https://doi.org/10.1177/109019818801500401
Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). SAGE.
Nordqvist, C., Timpka, T., & Lindqvist, K. (2009). What promotes sustainability in Safe Community programmes? BMC Health Services Research, 9, Article 4. https://doi.org/10.1186/1472-6963-9-4
Scheirer, M. A., & Dearing, J. W. (2011). An agenda for research on the sustainability of public health programs. American Journal of Public Health, 101(11), 2059–2067. https://doi.org/10.2105/AJPH.2011.300193
Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Houghton Mifflin.
Shediac-Rizkallah, M. C., & Bone, L. R. (1998). Planning for the sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Education Research, 13(1), 87–108. https://doi.org/10.1093/her/13.1.87
Steinberg, L. (2008). A social neuroscience perspective on adolescent risk-taking. Developmental Review, 28(1), 78–106. https://doi.org/10.1016/j.dr.2007.08.002
World Health Organization. (2021). Global plan for the decade of action for road safety 2021–2030. https://www.who.int/publications/m/item/global-plan-for-the-decade-of-action-for-road-safety-2021-2030
World Health Organization. (2023). Global status report on road safety 2023. https://www.who.int/publications/i/item/9789240086517
World Health Organization Thailand. (n.d.). Road safety. https://www.who.int/thailand/our-work/road-safety
