Study design to evaluate a web-intervention to prevent alcohol and cannabis-impaired driving and use among adolescents in driver education.

Study design to evaluate a web-intervention to prevent alcohol and cannabis-impaired driving and use among adolescents in driver education.
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研究设计旨在评估网络干预措施,以防止青少年在驾驶员教育中酒精和大麻影响驾驶和使用。

DOI:
10.1186/s13722-023-00373-2
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发表时间:
2023-03-24
影响因子:
3.7
通讯作者:
Hummer, Justin
Hummer, Justin
中科院分区:
医学2区
文献类型:
--
作者:
Osilla, Karen Chan;D'Amico, Elizabeth J.;Smart, Rosanna;Rodriguez, Anthony;Nameth, Katherine;Hummer, Justin

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酒精和大麻是美国青少年最常用的物质,同时使用这两种物质的后果明显高于单独使用任何一种物质的后果。青少年从事危险驾驶行为的倾向(例如,超速行驶、快速变道和发短信)以及他们对大麻作用的时间和持续时间的相对缺乏经验,使他们面临着与受影响驾驶有关的伤害的更高风险。酒精和大麻的使用高峰在16岁,在一些州,法律的年龄的青少年可以申请临时驾照。因此,在获得执照之前针对新手青少年司机是预防工作的理想时机,重点是减少酒精和/或大麻的开始,使用和受损驾驶。目前的研究建议评估的有效性webCHAT在15.5至17岁的青少年(n = 150)招募在驾驶员教育计划。Webchat是一个单一的在线干预,旨在防止酒精和大麻的使用和危险的驾驶行为。我们将招募参加驾驶员教育计划的青少年,并根据他们在过去3个月内是否使用大麻和/或酒精进行分层(60%筛查阴性,40%筛查阳性)。所有参与者将接受常规驾驶培训,一半还将接受网络聊天。我们将测试除了通常的驾驶员教育之外,webCHAT是否会减少酒精和/或大麻的开始或使用,并减少危险的驾驶态度和行为(意图在饮酒/使用后驾驶,与饮酒/使用的人一起乘坐乘客),与6个月内通常的驾驶员教育中的青少年相比。我们还将探讨是否变量,如信念和感知规范作为我们的结果的解释机制。这项研究有可能通过减少青少年开始和使用大麻和酒精以及减少可能产生重大金钱,个人和社会成本的危险驾驶行为来促进公共福利。该研究招募了有吸毒风险的青少年以及没有吸毒风险的青少年,并在青少年接受驾驶员教育的可教时刻远程提供。试验注册本研究于2021年7月13日在ClinicalTrials.gov注册(NCT 04959461)。https://clinicaltrials.gov/ct2/show/NCT04959461
Alcohol and cannabis are the most commonly used substances among adolescents in the U.S. The consequences related to using both substances together are significantly higher relative to use of either substance alone. Teens’ propensity to engage in risky driving behaviors (e.g., speeding, rapid lane changes, and texting) and their relative inexperience with the timing and duration of cannabis’ effects puts them at heightened risk for experiencing harms related to driving under the influence. Use of alcohol and cannabis peak at age 16, the legal age teens may apply for a provisional driver’s license in some states. Targeting novice teen drivers prior to licensure is thus an ideal time for prevention efforts focused on reducing alcohol and/or cannabis initiation, use, and impaired driving. The current study proposes to evaluate the efficacy of webCHAT among 15.5 to 17-year-old adolescents (n = 150) recruited at driver education programs. WebCHAT is a single session online intervention that aims to prevent alcohol and cannabis use and risky driving behaviors. We will recruit adolescents enrolled in driver education programs, and stratify based on whether they used cannabis and/or alcohol in the past 3 months (60% screening negative and 40% screening positive). All participants will receive usual driver education and half will also receive webCHAT. We will test whether webCHAT in addition to usual driver education reduces alcohol and/or cannabis initiation or use and reduces risky driving attitudes and behaviors (intent to drive after drinking/using, riding as a passenger with someone who drank/used) compared to teens in usual driver education over a 6-month period. We will also explore whether variables such as beliefs and perceived norms serve as explanatory mechanisms for our outcomes. The study has the potential to promote public welfare by decreasing adolescent initiation and use of cannabis and alcohol and reducing risky driving behaviors that can have substantial monetary, personal, and social costs. The study recruits adolescents who are at risk for substance use as well as those who are not and it is delivered remotely during a teachable moment when adolescents receive driver education. Trial registration This study was registered with ClinicalTrials.gov on July 13, 2021 (NCT04959461). https://clinicaltrials.gov/ct2/show/NCT04959461
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发表时间: 2013-09-01
影响因子: 3.4
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