Initial Testing of a Web-Based Intervention to Reduce Adolescent Driver Inattention: A Randomized Controlled Trial.
Initial Testing of a Web-Based Intervention to Reduce Adolescent Driver Inattention: A Randomized Controlled Trial.
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DOI：
10.1016/j.jen.2020.07.012
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发表时间：
2021-01
影响因子：
1.7
通讯作者：
Sommers MS
中科院分区：
文献类型：
--
作者：
McDonald CC;Fargo JD;Swope J;Metzger KB;Sommers MS
机动车碰撞事故是青少年死亡的主要原因。对道路不注意会增加碰撞风险。部署一项基于网络的干预措施（“让我们选择自己”（LCO））的初步研究，旨在提高青少年驾驶员对道路的注意力。我们对青少年驾驶员样本进行了随机对照试验设计，以测试与对照组相比，基于网络的干预措施是否会降低 3 个月后驾驶模拟中的手机参与度。作为次要假设，我们测试了干预措施是否增加了同行乘客的使用来管理分心，并减少了驾驶模拟中视线离开前方道路的情况，并减少了自我报告的危险驾驶行为。年龄 16-17 岁、许可时间≤90 天的青少年被随机分配到 Bassline 模拟器协议中带有干扰的 LCO (LCO-D)、无干扰的 LCO (LCO-ND)、有干扰的健康饮食注意力控制干预 (HE-D) 或无干扰的注意力控制干预 (HE-ND)。我们使用泊松回归模型来测试主要和次要假设。该试验包括 60 名青少年（66.7% 为女性，78.3% 非西班牙裔白人，平均年龄 16.8 岁，获得许可 50.8 天）。在控制性别的泊松回归中，我们发现 LCO 对主要或次要结果没有显着影响。然而，访问对自我报告结果有显着影响，自我报告的分心驾驶行为随着时间的推移而增加。尽管 LCO 没有显着影响，但自我报告的危险驾驶行为随着时间的推移而增加。有必要进一步研究青少年的驾驶经验与对道路注意力越来越不集中之间的关系。
Motor vehicle crashes are the leading cause of adolescent death. Inattention to the roadway contributes to crash risk. To deploy an initial study of a web-based intervention (“Let’s Choose Ourselves” (LCO)) designed to improve adolescent driver attention to the roadway. We used a randomized controlled trial design in a sample of adolescent drivers to test if a web-based intervention decreased cellphone engagement in driving simulation at 3 months as compared to controls. As secondary hypotheses, we tested if the intervention increased the use of peer passengers to manage distractions and decreased eyes off the forward roadway in driving simulation, and decreased self-reported risky driving behaviors. Adolescents, ages 16–17, licensed for ≤90 days were randomized to LCO with distractions in the simulator protocol at bassline (LCO-D), LCO with no distractions (LCO-ND), an attention control intervention on healthy eating with distractions (HE-D) or attention control with no distractions (HE-ND). We used Poisson regression modeling to test primary and secondary hypotheses. The trial included 60 adolescents (66.7% female, 78.3% non-Hispanic White, mean age 16.8 years, licensed 50.8 days). In Poisson regression, controlling for sex, we found no significant effects of LCO on primary or secondary outcomes. However, there was a significant effect of visit on self-report outcomes, with self-reported distracted driving behaviors increasing over time. Though there were no significant effects of LCO, self-reported risky driving behaviors increased over time. Further investigation of the relationship between driving experience and increasing inattention to the road in adolescents is warranted.
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