Getting Back on the Bike: Participation in Cycling after a Hospitalisation Crash

This study firstly aimed to describe bicyclists’ return to cycling after a hospitalization crash. Secondly, it aimed to determine factors associated with reduced cycling post-crash. A study of 83 cyclists hospitalized due to an on-road crash was undertaken in Perth, Western Australia. Participants completed a questionnaire shortly following the crash and were followed up approximately 12 months after the crash. Injury information was obtained from the WA State Trauma Registry. A binary logistic regression model was used to examine factors associated with ‘reduced cycling exposure’ at follow-up. Sixty percent of participants had ‘reduced cycling exposure’ and 40% had ‘no reduction in cycling exposure’ at follow up. Twenty-two percent of participants had not cycled at all since the crash. Despite 46% reporting fear of crashing/ lack of confidence as a reason for ‘reduced cycling exposure’, only 7% of all participants had received any counselling. After controlling for confounding factors, those who participated in group riding before the crash (OR: 0.24, 95% CI: 0.08-0.66, p = 0.006) and those who had a ‘complete functional recovery’ (OR: 0.15, 95% CI: 0.04-0.64, p = 0.011), had lower odds of ‘reduced cycling exposure’ at follow-up. In addition, those who were not employed full time at baseline had higher odds of ‘reduced cycling exposure’ at follow up (OR: 3.72, 95% CI: 1.22-11.33, p = 0.021). Provision of psychological services following a bicycle crash may be an important intervention for improving levels of fear and confidence surrounding cycling and assisting cyclists in returning to their pre-crash level of participation. In addition, interventions promoting return to cycling, should be targeted towards non-group riders who cycle for either commuting or recreational purposes.

• Record URL:
  https://doi.org/10.1016/j.aap.2020.105726
• Record URL:
  http://www.sciencedirect.com/science/article/pii/S0001457520309611
• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/issn/00014575
• Supplemental Notes:
  • © 2020 Elsevier Ltd. All rights reserved. Abstract reprinted with permission of Elsevier.
• Authors:
  • Fraser, Michelle L
  • Meuleners, Lynn B
• Publication Date: 2020-10

Language

• English

Media Info

• Media Type: Web
• Features: References;
• Serial:
  • Accident Analysis & Prevention
  • Volume: 146
  • Issue Number: 0
  • Publisher: Elsevier
  • ISSN: 0001-4575
  • Serial URL: http://www.sciencedirect.com/science/journal/00014575

Subject/Index Terms

• TRT Terms: Attitudes; Crash injuries; Cyclists; Driver rehabilitation; Fear; Psychological aspects
• Identifier Terms: Perth (Western Australia)
• Subject Areas: Pedestrians and Bicyclists; Safety and Human Factors;

Filing Info

• Accession Number: 01753484
• Record Type: Publication
• Files: TRIS
• Created Date: Sep 29 2020 10:00AM