Promoting transportation safety in adolescence: the drivingly randomized controlled trial.
Driver training
Injury prevention
Motor vehicle crashes
Teen driver safety
Teen drivers
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
17 10 2023
17 10 2023
Historique:
received:
01
09
2023
accepted:
20
09
2023
medline:
23
10
2023
pubmed:
18
10
2023
entrez:
17
10
2023
Statut:
epublish
Résumé
The impact of young drivers' motor vehicle crashes (MVC) is substantial, with young drivers constituting only 14% of the US population, but contributing to 30% of all fatal and nonfatal injuries due to MVCs and 35% ($25 billion) of the all medical and lost productivity costs. The current best-practice policy approach, Graduated Driver Licensing (GDL) programs, are effective primarily by delaying licensure and restricting crash opportunity. There is a critical need for interventions that target families to complement GDL. Consequently, we will determine if a comprehensive parent-teen intervention, the Drivingly Program, reduces teens' risk for a police-reported MVC in the first 12 months of licensure. Drivingly is based on strong preliminary data and targets multiple risk and protective factors by delivering intervention content to teens, and their parents, at the learner and early independent licensing phases. Eligible participants are aged 16-17.33 years of age, have a learner's permit in Pennsylvania, have practiced no more than 10 h, and have at least one parent/caregiver supervising. Participants are recruited from the general community and through the Children's Hospital of Philadelphia's Recruitment Enhancement Core. Teen-parent dyads are randomized 1:1 to Drivingly or usual practice control group. Drivingly participants receive access to an online curriculum which has 16 lessons for parents and 13 for teens and an online logbook; website usage is tracked. Parents receive two, brief, psychoeducational sessions with a trained health coach and teens receive an on-road driving intervention and feedback session after 4.5 months in the study and access to DriverZed, the AAA Foundation's online hazard training program. Teens complete surveys at baseline, 3 months post-baseline, at licensure, 3months post-licensure, 6 months post-licensure, and 12 months post-licensure. Parents complete surveys at baseline, 3 months post-baseline, and at teen licensure. The primary end-point is police-reported MVCs within the first 12 months of licensure; crash data are provided by the Pennsylvania Department of Transportation. Most evaluations of teen driver safety programs have significant methodological limitations including lack of random assignment, insufficient statistical power, and reliance on self-reported MVCs instead of police reports. Results will identify pragmatic and sustainable solutions for MVC prevention in adolescence. ClinicalTrials.gov # NCT03639753.
Sections du résumé
BACKGROUND
The impact of young drivers' motor vehicle crashes (MVC) is substantial, with young drivers constituting only 14% of the US population, but contributing to 30% of all fatal and nonfatal injuries due to MVCs and 35% ($25 billion) of the all medical and lost productivity costs. The current best-practice policy approach, Graduated Driver Licensing (GDL) programs, are effective primarily by delaying licensure and restricting crash opportunity. There is a critical need for interventions that target families to complement GDL. Consequently, we will determine if a comprehensive parent-teen intervention, the Drivingly Program, reduces teens' risk for a police-reported MVC in the first 12 months of licensure. Drivingly is based on strong preliminary data and targets multiple risk and protective factors by delivering intervention content to teens, and their parents, at the learner and early independent licensing phases.
METHODS
Eligible participants are aged 16-17.33 years of age, have a learner's permit in Pennsylvania, have practiced no more than 10 h, and have at least one parent/caregiver supervising. Participants are recruited from the general community and through the Children's Hospital of Philadelphia's Recruitment Enhancement Core. Teen-parent dyads are randomized 1:1 to Drivingly or usual practice control group. Drivingly participants receive access to an online curriculum which has 16 lessons for parents and 13 for teens and an online logbook; website usage is tracked. Parents receive two, brief, psychoeducational sessions with a trained health coach and teens receive an on-road driving intervention and feedback session after 4.5 months in the study and access to DriverZed, the AAA Foundation's online hazard training program. Teens complete surveys at baseline, 3 months post-baseline, at licensure, 3months post-licensure, 6 months post-licensure, and 12 months post-licensure. Parents complete surveys at baseline, 3 months post-baseline, and at teen licensure. The primary end-point is police-reported MVCs within the first 12 months of licensure; crash data are provided by the Pennsylvania Department of Transportation.
DISCUSSION
Most evaluations of teen driver safety programs have significant methodological limitations including lack of random assignment, insufficient statistical power, and reliance on self-reported MVCs instead of police reports. Results will identify pragmatic and sustainable solutions for MVC prevention in adolescence.
TRIAL REGISTRATION
ClinicalTrials.gov # NCT03639753.
Identifiants
pubmed: 37848929
doi: 10.1186/s12889-023-16801-6
pii: 10.1186/s12889-023-16801-6
pmc: PMC10580546
doi:
Banques de données
ClinicalTrials.gov
['NCT03639753']
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2020Subventions
Organisme : NICHD NIH HHS
ID : R01 HD095248
Pays : United States
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Accid Anal Prev. 2003 Sep;35(5):725-30
pubmed: 12850073
J Safety Res. 2010 Apr;41(2):93-7
pubmed: 20497794
Pediatrics. 2009 Oct;124(4):1040-51
pubmed: 19810185
Child Dev. 1994 Aug;65(4):1147-62
pubmed: 7956471
Accid Anal Prev. 2006 Sep;38(5):907-12
pubmed: 16620739
J Safety Res. 2006;37(1):9-15
pubmed: 16469334
J Adolesc Health. 2015 Jul;57(1 Suppl):S6-14
pubmed: 26112737
JAMA Pediatr. 2014 Aug;168(8):703-4
pubmed: 24957691
J Adolesc Health. 2018 Mar;62(3):341-348
pubmed: 29223562
J Adolesc Health. 2015 Jul;57(1 Suppl):S15-23
pubmed: 26112734
Traffic Inj Prev. 2010 Aug;11(4):353-60
pubmed: 20730682
Inj Prev. 2002 Sep;8 Suppl 2:ii24-30; discussion ii30-1
pubmed: 12221027
Accid Anal Prev. 2014 Aug;69:62-70
pubmed: 24331278
Accid Anal Prev. 1996 Mar;28(2):243-50
pubmed: 8703282
J Safety Res. 2007;38(1):71-80
pubmed: 17300806
Accid Anal Prev. 2014 Nov;72:433-9
pubmed: 25150523
J Safety Res. 2011 Feb;42(1):51-9
pubmed: 21392630
Annu Rev Psychol. 2006;57:505-28
pubmed: 16318605
Accid Anal Prev. 2011 Jan;43(1):412-20
pubmed: 21094339
Transp Res Part F Traffic Psychol Behav. 2019 Apr;62:316-326
pubmed: 30828257
J Safety Res. 2018 Sep;66:113-120
pubmed: 30121097
Accid Anal Prev. 2014 Aug;69:5-14
pubmed: 24360725
Epidemiology. 2009 Jan;20(1):18-26
pubmed: 19234398
Health Educ Monogr. 1978 Winter;6(4):394-405
pubmed: 299611
JAMA Pediatr. 2014 Aug;168(8):764-71
pubmed: 24957844
Inj Prev. 2006 Jun;12 Suppl 1:i30-7
pubmed: 16788109
Stat Med. 2002 Jul 30;21(14):1969-89
pubmed: 12111882
J Safety Res. 2014 Sep;50:125-38
pubmed: 25142369
Health Educ Behav. 2013 Aug;40(4):426-34
pubmed: 23041706
J Safety Res. 2007;38(2):245-57
pubmed: 17478195
J Safety Res. 2016 Feb;56:9-15
pubmed: 26875159
Am J Epidemiol. 2004 Apr 1;159(7):702-6
pubmed: 15033648
Accid Anal Prev. 2014 Aug;69:23-9
pubmed: 24210133
J Safety Res. 2008;39(1):47-54
pubmed: 18325416
Inj Prev. 2006 Jun;12 Suppl 1:i25-9
pubmed: 16788108