MULTIMETHOD ASSESSMENT OF DRIVING SKILLS IN ADHD TEENS

多动症青少年驾驶技能的多方法评估

• 批准号: 2200928
• 负责人: RUSSELL A BARKLEY
• 金额: $ 17.12万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-05-01 至 1997-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2200928
• 关键词: adolescence (12-20); attention; attention deficit disorder; cognition; computer program /software; conduct disorder; data collection methodology /evaluation; driving while intoxicated; functional ability; high risk behavior /lifestyle; human subject; interview; learning disorders; longitudinal human study; mind control; neuropsychological tests; performance; psychometrics; psychomotor function; questionnaires; substance abuse related disorder; urinalysis; vehicular accident; videotape /videodisc; young adult human (21-34)

This is a fourth revision of a proposal to conduct a two year study of the driving competence and risks for negative driving outcomes (i.e., traffic accidents and violations) in adolescents and young adults with Attention Deficit Hyperactivity Disorder (ADHD) relative to a clinical control group and a normal control group of adolescents. In the U.S., traffic accidents account for nearly half of all adolescent deaths and nearly two thirds of deaths between ages 15 and 24. Teenage drivers account for a significant number of traffic fatalities, accidents, and injuries. Our pilot studies indicate that adolescents and young adults with ADHD may have a three fold greater risk of auto accidents and a four fold risk for traffic violations than their normal peers. The extent of this elevated risk and the reasons for it have not been well studied. We propose to conduct a thorough study of the driving competence, abilities, and negative driving outcomes of a large sample of 17-19 year old ADHD subjects (N=80) and contrast these findings with those for two control groups (N-80 each). One control group will consist of a group of teens and young adults who had previously been identified as learning disabled (LD) but who are not ADHD. The other will be subjects with no history of LD or ADHD. All subjects will be evaluated on a multi-method multi-source battery of driving measures. These measures include laboratory tests of mental functions related to driving ability, simulated driving tests, parent ratings of adolescent driving ability and negative outcomes, as well as government and insurance company records of accidents, damages, and injuries. The relationship which co- morbid oppositional and conduct disorder symptoms as well as substance use and abuse may have to decreased driving competence and increased negative outcomes will also be assessed. The results should reveal the nature and extent of problems in driving competence and risks specific to both ADHD and LD teens and young adults. They should also suggest avenues for future intervention studies to alter such incompetencies and risks as well as clarify what legal liabilities are posed to practitioners who evaluate and treat ADHD adolescents wishing to drive. The findings may also reveal which measures would be most useful in a battery assessing driving competence in other psychiatric and disabled populations.

这是对进行两年研究的建议的第四次修订 驾驶能力和负面驾驶结果(即交通)的风险 事故和违法行为)在青少年和青壮年受到关注 缺陷多动障碍(ADHD)与临床对照组的关系 和一个正常的青少年对照组。在美国，交通事故 占所有青少年死亡的近一半，近三分之二 死亡年龄在15岁到24岁之间。青少年司机占了相当大的比例 交通死亡、事故和受伤人数。我们的初步研究 表明患有ADHD的青少年和年轻人可能有三个方面的 更大的车祸风险和四倍的交通违法风险 比他们正常的同龄人要多。风险升高的程度及其原因 因为它还没有得到很好的研究。我们建议进行一项彻底的研究 驾驶能力、能力和负面驾驶结果 17-19岁ADHD受试者(N=80)的大样本，并与这些样本进行对比 结果与两个对照组(每个N-80人)的结果一致。一个对照组 将由一群青少年和年轻人组成，他们以前是 被确认为学习障碍(LD)但不是ADHD的人。另一种意愿 没有学习障碍或多动症病史的受试者。所有科目都将进行评估 介绍了一种多方法、多电源的蓄电池驱动措施。这些 措施包括对与驾驶有关的心理功能进行实验室测试。 青少年驾驶能力、模拟驾驶考试、家长评分 能力和消极后果，以及政府和保险公司 事故、损坏和伤害的记录。这种关系是共同的- 病态对立和品行障碍症状以及药物使用 滥用可能会降低驾驶能力，增加负面影响 还将对结果进行评估。结果应该揭示出本质和 ADHD患者在驾驶能力和风险方面的问题程度 以及青少年和年轻人。他们还应该为 未来的干预研究也将改变这种无能和风险 作为澄清，评估的从业者将承担哪些法律责任 并治疗希望开车的ADHD青少年。这些发现还可能揭示 在电池评估驾驶中，哪种测量方法最有用 在其他精神疾病和残疾人群中的能力。