Two US studies examined factors associated with use of converted rail trails. Increased home to cycle path distance was associated with decrease in trail use [OR for every 0.25 mile increase in distance 0.7 (0.5–0.8)]. Absence of self-reported steep hill [OR 1.0 (1.0–3.3)] and busy street
barriers [2.0 (1.1–3.6)] were associated with increased use.48 Development of a multi use trail in North Carolina did not result in changes in cycling behaviour that were significant at the 5% level.36