Town foR ActiVe travEL: a Systems Evaluation of a Welsh multi-level intervention (TRAVELS)
Funding
National Institute for Health and Care Research (NIHR) Public Health Research Ref NIHR166142.
Background
Active travel refers to everyday journeys made by walking, cycling or wheeling. Active travel increases physical activity, which improves physical and mental health, and reduces vehicle use, improving road safety and air quality. However, active travel use is low across the UK, and in Wales only 52% of adults, 48% of primary and 35% of secondary school children use active travel for transport.
Intervention
This study will evaluate the Welsh Government funded ‘Active Travel Town’, which seeks to change the active travel system within a small town (population ~12k) in Wales. This is a novel multi-component intervention, co-produced with local stakeholders, and implemented over a 4-year period. It will receive significant capital (~ £5m per year) and revenue (~ £1m per year) between 2025-2029 in addition to routine funding, to implement a range of active travel interventions aimed at infrastructure, education and individual behaviour change working together.
Aims
The aim of this project is to evaluate the impact of the Active Travel Town intervention, both intended and unintended consequences, using a mixture of quantitative survey data, qualitative interviews and complex systems mapping to address the following objectives:
- Determine the overall impact on active travel
- Explore how intervention components interact in a complex system
- Determine the cost-benefit of the intervention
- Assess the generalisability to other UK small towns
Methods
This evaluation will use a controlled before-after cross-sectional design to compare Welsh Government funded survey data from adults and school children in the Active Travel Town to a Control Town, matched on town characteristics. We will use difference-in-differences models to compare outcomes across 3 time points, and triangulate results by comparing to synthetic controls constructed from national data. A mixed method sub-study of travel diaries, accelerometer data and qualitative interviews in children, working adults and community residents will provide in-depth data on perceptions of active travel and the intervention, as well as a descriptive annual process measure. We will use systems mapping approaches to provide a baseline picture of the interconnected factors of the system and how that changes over time. We will also assess the cost-benefit of the Active Travel Town, and the extent to which findings can be generalised, to create individualised active travel plans for 6 small towns across Wales and England.
Timelines
This is a 54-month project from May 2025 to October 2029. Funding for the intervention will begin April 2025, and the Welsh Government will collect outcome quantitative data at 3 time points: Time 0: Autumn 2024; Time 1: Autumn 2026 and Time 2: Autumn 2028. We will also use qualitative measures (along with travel diaries and accelerometers) to assess intervention impact annually in the autumns of 2025 to 2028.
Impact and dissemination
Policy and practice impact will be achieved through a co-produced lay report, policy brief and slide deck shared with local and national government departments.
Community engagement will include an infographic, video and two public dissemination events. Academic impact will be achieved through peer-reviewed publications and conference presentations.
A TRAVELS toolkit will be produced for practitioners to show how the findings from the study can be adapted and applied to local contexts across the UK to support scalability and translation.
Who is leading the research
Professor Russel Jago, Professor of Physical Activity & Public Health, Bristol Medical School, University of Bristol.
Further information
CI Email: Russ.Jago@bristol.ac.uk
For more information or to get involved in this project, please contact bnssg.research@nhs.net.
The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care
Please find more information here.