Improving Traffic Safety Through Innovation: A Systematic Review of Technology-Enhanced Education for Novice Drivers with Implications for LMICs

  • Dina Lusiana Setyowati Faculty of Public Health, Mulawarman University, East Kalimantan, Indonesia
  • Yuliani Setyaningsih Faculty of Public Health, Universitas Diponegoro, Central Java, Indonesia
  • Chriswardani Suryawati Faculty of Public Health, Universitas Diponegoro, Central Java, Indonesia
  • Daru Lestantyo Faculty of Public Health, Universitas Diponegoro, Central Java, Indonesia
DOI: https://doi.org/10.56338/jphp.v6i2.7317
Keywords: Road Safety Education, Novice Drivers, Gamification, Virtual Reality, Behavioral Change

Abstract

Introduction: Road traffic accidents remain a major global public health challenge, disproportionately affecting low- and middle-income countries (LMICs), where fatality rates among novice drivers are particularly high. Despite this burden, most empirical research on road safety education has focused on high-income settings, leaving significant gaps in evidence relevant to LMIC contexts. This study aims to systematically review the effectiveness of technology-based interventions for road safety education among novice drivers and to examine their behavioral outcomes, theoretical foundations, and contextual relevance in LMICs.

Methods: A systematic literature review was conducted in accordance with PRISMA 2020 guidelines. Peer-reviewed journal articles published between 2015 and 2025 were retrieved from the Scopus database using predefined search terms related to road safety education, novice drivers, and digital or technology-enhanced interventions. After screening and eligibility assessment, 47 empirical studies were included for synthesis. Data were extracted on intervention type, theoretical framework, geographic setting, and behavioral outcomes, and analyzed using descriptive, thematic, and network-based approaches.

Results: The findings indicate that technology-enhanced interventions, including gamification, virtual reality, mobile applications, telematics, and artificial intelligence, are generally associated with improved learner engagement, enhanced hazard perception, safer driving behavior, increased helmet use, and reduced traffic violations among novice drivers. However, most studies lack explicit theoretical grounding, rely on short-term outcome measures, and are concentrated in high-income settings, limiting generalizability to low- and middle-income contexts.

Conclusion: This review highlights the need for theory-informed, culturally sensitive, and context-responsive road safety education strategies that integrate behavioral science with digital innovation. Strengthening longitudinal evaluation and expanding research in underrepresented regions are essential to inform effective policy and scalable intervention design.

 

References

  1. Ahmed SK, Mohammed MG, Abdulqadir SO, El?Kader RGA, El?Shall NA, Chandran D, et al. Road traffic accidental injuries and deaths: A neglected global health issue. Heal Sci Reports [Internet]. 2023 May 2;6(5). Available from: https://onlinelibrary.wiley.com/doi/10.1002/hsr2.1240
  2. Goel R, Tiwari G, Varghese M, Bhalla K, Agrawal G, Saini G, et al. Effectiveness of road safety interventions: An evidence and gap map. Campbell Syst Rev [Internet]. 2024 Mar 3;20(1). Available from: https://onlinelibrary.wiley.com/doi/10.1002/cl2.1367
  3. Alonso F, Esteban C, Faus M, Useche SA. Education for Road Safety: What is the State of Affairs in Three Groups of Vulnerable Road Users in Spain? TEM J. 2021;10(4):1509–19.
  4. Twisk DAM, Commandeur JJF, Vlakveld WP, Shope JT, Kok G. Relationships amongst psychological determinants, risk behaviour, and road crashes of young adolescent pedestrians and cyclists: Implications for road safety education programmes. Transp Res Part F Traffic Psychol Behav [Internet]. 2015;30:45–56. Available from: http://dx.doi.org/10.1016/j.trf.2015.01.011
  5. Babaei M, Hasanzadeh S, Pirnejad H, Mohebbi I, Hoseini R, Niazkhani Z. Socioeconomic status and severity of traffic accident injuries: a cross-sectional study. Iran Occup Heal J [Internet]. 2022 Mar 1;19(1):380–92. Available from: https://ioh.iums.ac.ir/article-1-3382-en.html
  6. Hossain S, Maggi E, Vezzulli A. Factors influencing the road accidents in low and middle-income countries: a systematic literature review. Int J Inj Contr Saf Promot [Internet]. 2024 Apr 2;31(2):294–322. Available from: https://www.tandfonline.com/doi/full/10.1080/17457300.2024.2319618
  7. Aghdam FB, Sadeghi-Bazargani H, Azami-Aghdash S, Esmaeili A, Panahi H, Khazaee-Pool M, et al. Developing a national road traffic safety education program in Iran. BMC Public Health [Internet]. 2020;20:1–13. Available from: https://www.proquest.com/scholarly-journals/developing-national-road-traffic-safety-education/docview/2424805798/se-2
  8. Alonso F, Gonzalez-Marin A, Esteban C, Useche SA. Behavioral Health at School: Do Three Competences in Road Safety Education Impact the Protective Road Behaviors of Spanish Children? Int J Environ Res Public Health [Internet]. 2020 Feb 3;17(3):935. Available from: https://www.mdpi.com/1660-4601/17/3/935
  9. Zainafree I, Hadisaputro S, Suwandono A, Widjanarko B. The Road Safety Education Program for Adolescents Using Social Media, Proving Increasing Knowledge, Beliefs, Attitudes, Intentions and Behavior. Safety [Internet]. 2022 Feb 16;8(1):12. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85125142246&doi=10.3390%2Fsafety8010012&partnerID=40&md5=4cf41002b77dc215b0f44bfa17abd927
  10. Lewis I, Watson B, Ho B. Slow down! Get off that phone! The impact of a high school road safety education program in influencing whether a young person speaks up to a risky driver. Transp Res Part F Traffic Psychol Behav [Internet]. 2021 Apr;78:353–68. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1369847821000401
  11. Castellucci HI, Bravo G, Arezes PM, Lavallière M. Are interventions effective at improving driving in older drivers?: A systematic review. BMC Geriatr [Internet]. 2020 Dec 3;20(1):125. Available from: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-020-01512-z
  12. Krasniuk S, Toxopeus R, Knott M, McKeown M, Crizzle AM. The effectiveness of driving simulator training on driving skills and safety in young novice drivers: A systematic review of interventions. J Safety Res. 2024;91(March):20–37.
  13. Uzondu C, Jamson S, Marsden G. Road safety in Nigeria: unravelling the challenges, measures, and strategies for improvement. Int J Inj Contr Saf Promot [Internet]. 2022 Oct 2;29(4):522–32. Available from: https://www.tandfonline.com/doi/full/10.1080/17457300.2022.2087230
  14. Pammer K, Freire M, Gauld C, Towney N. Keeping Safe on Australian Roads: Overview of Key Determinants of Risky Driving, Passenger Injury, and Fatalities for Indigenous Populations. Int J Environ Res Public Health [Internet]. 2021 Mar 2;18(5):2446. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101738973&doi=10.3390%2Fijerph18052446&partnerID=40&md5=629547526bb6281348da5e93cf39e392
  15. Anderson L, Bates L, Schaefer L. The impact of a collaboratively designed digital intervention on views of police legitimacy and reported young driver offending. Safer Communities [Internet]. 2025 Jan 9;24(1):20–34. Available from: https://www.emerald.com/insight/content/doi/10.1108/SC-03-2024-0013/full/html
  16. Wan Husain WS, Wan Shamsuddin SN, Rahim N. A Conceptual Framework for Road Safety Education using Serious Games with a Gesture-based Interaction Approach. Pertanika J Sci Technol [Internet]. 2022 Jan 10;30(1):621–40. Available from: http://www.pertanika.upm.edu.my/pjst/browse/regular-issue?article=JST-2961-2021
  17. Zulkifli AN, Mohamed NFF, Qasim MM, Bakar NAA. Prototyping and Usability Evaluation of Road Safety Education Courseware for Primary Schools in Malaysia. Int J Interact Mob Technol [Internet]. 2021;15(6):32–47. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85103481836&doi=10.3991%2Fijim.v15i06.20609&partnerID=40&md5=5a510bc2968fe85597d6aa14b19c182c
  18. Feng Z, Ji N, Luo Y, Sze NN, Tian J, Zhao C. Exploring the influencing factors of public traffic safety awareness in China. Cogn Technol Work [Internet]. 2021 Nov 18;23(4):731–42. Available from: https://www.proquest.com/scholarly-journals/exploring-influencing-factors-public-traffic/docview/2582666242/se-2?accountid=49069
  19. Vuorio J. Studying the Use of Virtual Reality Learning Environments to Engage School Children in Safe Cycling Education. Simul Gaming [Internet]. 2024 Jun 10;55(3):418–41. Available from: https://journals.sagepub.com/doi/10.1177/10468781241246566
  20. Gounaridou A, Siamtanidou E, Dimoulas C. A serious game for mediated education on traffic behavior and safety awareness. Educ Sci. 2021;11(3).
  21. Cheng C, Chen S, Ma Y, Khattak AJ, Zhang Z. Recognition and interpretation of aggressive driving behavior for heavy?duty vehicles based on artificial neural network and SHAP. Hum Factors Ergon Manuf Serv Ind [Internet]. 2024 May 23;34(3):177–89. Available from: https://onlinelibrary.wiley.com/doi/10.1002/hfm.21019
  22. Dey S, Lee S-W. Multilayered review of safety approaches for machine learning-based systems in the days of AI. J Syst Softw [Internet]. 2021 Jun;176:110941. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0164121221000388
  23. Jahanlou AS, Hassani L, Ranaei V, Roshanaei G, Forward S, Haglund K, et al. Safe Traffic Behaviors in Adolescents: A Cross-sectional Study Based on the Theory of Planned Behavior. Iran J Psychiatry Behav Sci [Internet]. 2022 Jun 5;16(2). Available from: https://brieflands.com/articles/ijpbs-118336.html
  24. Odoom R, Odoom PT, Essandoh M. Perceptions underlying road safety behaviours of drivers in urban Ghana – a health-belief and planned behaviour perspective. J Soc Mark [Internet]. 2023 Nov 10;13(4):631–57. Available from: https://www.emerald.com/insight/content/doi/10.1108/JSOCM-05-2023-0113/full/html
  25. Alonso F, Esteban C, Useche S, Colomer N. Effect of road safety education on road risky behaviors of spanish children and adolescents: Findings from a national study. Int J Environ Res Public Health. 2018;15(12):1–14.
  26. Zhang W, Wang Y, Feng Z, Zhu S, Cui J, Hao W, et al. A method to improve the hazard perception of young novice drivers based on Bandura's observational learning theory: Supplement to expert commentary training. Transp Res Part F Traffic Psychol Behav [Internet]. 2022;85(January):133–49. Available from: https://doi.org/10.1016/j.trf.2022.01.005
  27. Masilamani N, Kothandan P, Basker MM, Immanuel SG. Effectiveness of Peer-Led Education on Knowledge and Attitude among Adolescents regarding Road Safety. Indian J Community Med [Internet]. 2022 Jul;47(3):356–9. Available from: https://journals.lww.com/10.4103/ijcm.ijcm_1021_21
  28. Dalton AM, Sumner F, Jones AP. Digital screen use for a road safety campaign message was not associated with road safety awareness of passers-by: A quasi-experimental study. J Safety Res [Internet]. 2020;72(December):61–6. Available from: https://doi.org/10.1016/j.jsr.2019.12.005
  29. Martín-delosReyes LM, Jiménez-Mejías E, Martínez-Ruiz V, Moreno-Roldán E, Molina-Soberanes D, Lardelli-Claret P. Efficacy of training with driving simulators in improving safety in young novice or learner drivers: A systematic review. Transp Res Part F Traffic Psychol Behav. 2019;62:58–65.
  30. Zimmerman K, Jinadasa D, Maegga B, Guerrero A. Road Traffic Injury on Rural Roads in Tanzania: Measuring the Effectiveness of a Road Safety Program. Traffic Inj Prev. 2015;16(5):456–60.
  31. Namatovu S, Balugaba BE, Muni K, Ningwa A, Nsabagwa L, Oporia F, et al. Interventions to reduce pedestrian road traffic injuries: A systematic review of randomized controlled trials, cluster randomized controlled trials, interrupted time-series, and controlled before-after studies. Yuan Q, editor. PLoS One [Internet]. 2022 Jan 24;17(1):e0262681. Available from: https://dx.plos.org/10.1371/journal.pone.0262681
  32. Zamani N. The Use of Social Media Augmented Reality for Engaging Parents and Educating Children About Road Safety. J Road Saf [Internet]. 2024 Feb 21;35(1):65–74. Available from: https://journalofroadsafety.org/article/92978-the-use-of-social-media-augmented-reality-for-engaging-parents-and-educating-children-about-road-safety?auth_token=EYrKWQj3TjHtKdCqJgI_
  33. Topolšek D, Babi? D, Fioli? M. The effect of road safety education on the relationship between Driver's errors, violations and accidents: Slovenian case study. Eur Transp Res Rev. 2019;11(1).
  34. Cutello CA, Walsh C, Foerster FR, Hanoch Y, Hellier E. Measuring optimism bias among military personnel. Transp Res Part F Traffic Psychol Behav [Internet]. 2021 Oct;82:475–83. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1369847821002096
  35. Raj?evi? S, Vukovi? V, Štrbac M, Pustahija T, Šušnjevi? S, Radi? I, et al. Knowledge of Healthcare Workers Regarding Road Traffic Child Safety in South Ba?ka District, Serbia. Slov J Public Heal [Internet]. 2024 Jun 1;63(2):89–99. Available from: https://www.sciendo.com/article/10.2478/sjph-2024-0013
  36. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med [Internet]. 2009 Jul 21;6(7):e1000097. Available from: https://dx.plos.org/10.1371/journal.pmed.1000097
  37. Sauer PC, Seuring S. How to conduct systematic literature reviews in management research: a guide in 6 steps and 14 decisions [Internet]. Vol. 17, Review of Managerial Science. Springer Berlin Heidelberg; 2023. 1899–1933 p. Available from: https://doi.org/10.1007/s11846-023-00668-3
  38. Meho LI, Rogers Y. Citation counting, citation ranking, and h ?index of human?computer interaction researchers: A comparison of Scopus and Web of Science. J Am Soc Inf Sci Technol [Internet]. 2008 Sep 27;59(11):1711–26. Available from: http://onlinelibrary.wiley.com/doi/10.1002/asi.22883/abstract
  39. Norris M, Oppenheim C. Comparing alternatives to the Web of Science for coverage of the social sciences' literature. J Informetr [Internet]. 2007 Apr;1(2):161–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1751157706000228
  40. Aghaei Chadegani A, Salehi H, Md Yunus MM, Farhadi H, Fooladi M, Farhadi M, et al. A comparison between two main academic literature collections: Web of science and scopus databases. Asian Soc Sci. 2013;9(5):18–26.
  41. Lim WM, Rasul T, Kumar S, Ala M. Past, present, and future of customer engagement. J Bus Res [Internet]. 2022;140(November 2021):439–58. Available from: https://doi.org/10.1016/j.jbusres.2021.11.014
  42. Riaz MS, Cuenen A, Dhondt S, Craps H, Janssens D, Wets G, et al. Evaluation of a road safety education program based on driving under influence and traffic risks for higher secondary school students in Belgium. Safety. 2019;5(2).
  43. Vasey T V., Carroll SJ, Daniel M, Cargo M. Changing Primary School Children's Engagement in Active School Travel Using Safe Routes to School Interventions: A Rapid Realist Review. Int J Environ Res Public Health [Internet]. 2022 Aug 12;19(16):9976. Available from: https://www.mdpi.com/1660-4601/19/16/9976
  44. Fisa R, Musukuma M, Sampa M, Musonda P, Young T. Effects of interventions for preventing road traffic crashes: an overview of systematic reviews. BMC Public Health. 2022;22(1):1–18.
  45. Webster J WR. Analyzing the past to prepare for the future: writing a literature review. MIS Q. 2002;26(2):xiii–xxiii.
  46. Halder D, Pradhan D, Roy Chaudhuri H. Forty-five years of celebrity credibility and endorsement literature: Review and learnings. J Bus Res [Internet]. 2021 Mar;125:397–415. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0148296320308602
  47. Nawaz I, Cuenen A, Wets G, Paul R, Ahmed T, Janssens D. Evaluating the Effectiveness of an Online Gamified Traffic Safety Education Platform for Adolescent Motorcyclists in Pakistan. Appl Sci [Internet]. 2024;14(19). Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85206587999&doi=10.3390%2Fapp14198590&partnerID=40&md5=ffcb21e48794225a68c79ffb8f2c0213
  48. Br?tucu G, Madar A, Bo?cor D, B?ltescu CA, Neac?u NA. Road safety education in the context of the sustainable development of society: The Romanian case. Sustain. 2016;8(3).
  49. Panic N, Leoncini E, De Belvis G, Ricciardi W, Boccia S. Evaluation of the endorsement of the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement on the quality of published systematic review and meta-analyses. PLoS One. 2013;8(12).
  50. Siddaway AP, Wood AM, Hedges L V. How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses. Annu Rev Psychol. 2019;70:747–70.
  51. An M-Y, Shin K-S. Teachers Perceptions on Early Childhood's Traffic and Life Safety Education Program Using VR. Appl Sci [Internet]. 2023;13(2). Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85146558868&doi=10.3390%2Fapp13020777&partnerID=40&md5=4d6a7b6512150821a4e90f6391b2324e
  52. Pham J, Buttazzoni A, Gilliland J. Applying the multiphase optimization strategy to evaluate the feasibility and effectiveness of an online road safety education intervention for children and parents: a pilot study. BMC Public Health [Internet]. 2024 Jul 4;24(1):1782. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-19208-z
  53. Teyhan A, Cornish R, MacLeod J, Boyd A, Doerner R, Sissons Joshi M. An evaluation of the impact of "Lifeskills" training on road safety, substance use and hospital attendance in adolescence. Accid Anal Prev [Internet]. 2016;86:108–13. Available from: http://dx.doi.org/10.1016/j.aap.2015.10.017
  54. Khan N, Muhammad K, Hussain T, Nasir M, Munsif M, Imran AS, et al. An Adaptive Game-Based Learning Strategy for Children Road Safety Education and Practice in Virtual Space. Sensors [Internet]. 2021 May 25;21(11):3661. Available from: https://www.mdpi.com/1424-8220/21/11/3661
  55. Agrawal T, Sinha SK, Agrawal N. Retrospective Evaluation of Determinants of Road Traffic Injuries at a Naval Station. Indian J Community Heal [Internet]. 2021 Mar 31;33(1):205–11. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/1937
  56. Kennedy A, Cullen B, Firman D, Fleiter JJ, Lewis I. Peer passenger intentions to speak up to a risky driver: A theoretically-guided investigation of the effects of a high school road safety education program. Transp Res Part F Traffic Psychol Behav [Internet]. 2018 Apr;54:15–27. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1369847816301334
Published
2026-07-01
How to Cite
Setyowati, D. L., Setyaningsih, Y., Suryawati, C., & Lestantyo, D. (2026). Improving Traffic Safety Through Innovation: A Systematic Review of Technology-Enhanced Education for Novice Drivers with Implications for LMICs. Journal of Public Health and Pharmacy, 6(2), 383-401. https://doi.org/10.56338/jphp.v6i2.7317
Issue
Vol. 6 No. 2 (2026)
Section
Articles

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