Public Health Model to Promote Safe Elderly Driving

促进老年人安全驾驶的公共卫生模式

• 批准号: 6952806
• 负责人: SHERRILENE CLASSEN
• 金额: $ 17.66万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6952806
• 关键词: aging; clinical research; data collection; epidemiology; human data; injury prevention; mathematical model; model design /development; public health; statistics /biometry; transportation /recreation safety; travel; vehicular accident

DESCRIPTION (provided by applicant): Older driver safety is a complex phenomenon that extends beyond the person level to multiple systems (e.g., regulatory, policy-making, societal and health care). Although a myriad of predictors for safe driving have been identified in the existing literature, they are not integrated into a meaningful causative model. Unless we use an integrated approach, grounded in a unifying public health model, we will not have taken the adequate steps to understand how behavioral, ecological, health education, administrative, policy and regulatory strategies may promote safe elderly driving. Continued neglect of these needs, accompanied with the "graying of America", could sharply increase the number of older people killed in crashes, and leave many more injured and disabled. The work I propose will develop a unifying public health model for safe elder driving. The Precede-Proceed Model of Health Promotion will provide the theoretical framework to: 1) review the current literature systematically by applying the Cochrane Collaborative Descriptive Methodology; 2) test the fit of existing population-based a) quantitative data, using epidemiological methods and structural equation modeling (SEM), and b) qualitative data using content analysis; and 3) refine the model to develop an intervention plan for safe elderly driving. This career development plan, vital to enhance my understanding of promoting safe elderly driving, includes: 1) supervised training in systematic reviews, data base analyses (SEM), model refinement and application; 2) research projects producing a narrative synthesis and meta-analysis of the older driver literature, (dis)confirmation of the Precede-Proceed model of health promotion for the older driver, and developing a pilot plan for safe elderly driving; and 3) formal didactic coursework to culminate fulfilling the requirements of this proposal. This period of supervised research and training, with the guidance from the College of Public Health and Health Professions and the College of Medicine's Departments of Epidemiology and Health Policy Research, and Biostatistics, combined with the specific supervised research proposed in this plan, will allow me to obtain novel data for application of a NIH R-03 award. This step will facilitate my transition to an independent federally funded investigator, and is directly related to my long-term goal of testing a public health model to guide a plan of assessment, prediction and promotion of safe elderly driving.

描述（由申请人提供）：老年驾驶员安全是一种复杂的现象，它超出了人的层面，延伸到多个系统（例如，管理、决策、社会和保健）。虽然在现有的文献中已经确定了无数的安全驾驶的预测因素，但它们并没有整合到一个有意义的因果模型中。除非我们采用基于统一的公共卫生模式的综合方法，否则我们将无法采取足够的步骤来了解行为，生态，健康教育，行政，政策和监管策略如何促进老年人安全驾驶。对这些需求的持续忽视，伴随着“美国老龄化”，可能会急剧增加在车祸中丧生的老年人的数量，并使更多的人受伤和残疾。我提出的工作将为老年人安全驾驶开发一个统一的公共卫生模型。健康促进的前序-后序模型将为以下工作提供理论框架：1）应用科克伦协作描述方法系统地回顾现有文献：2）检验现有基于人群的a）定量数据（使用流行病学方法和结构方程模型（SEM））和B）定性数据（使用内容分析）的拟合性;及（三）完善该模式，以制订长者安全驾驶的介入计划。这份职业发展计划对我加深对促进长者安全驾驶的认识至为重要，包括：1）在督导下进行系统性检讨、数据库分析、模型改进及应用的训练; 2）研究项目产生的叙述性综合和荟萃分析的老司机文献，（不）确认的先行-继续模式的健康促进的老司机，以及制订一项老年人安全驾驶试验计划;及3）正式的教学课程，以达到本建议书的要求。这段时间的监督研究和培训，在公共卫生和健康管理学院和医学院流行病学和卫生政策研究系以及生物统计学系的指导下，结合本计划中提出的具体监督研究，将使我能够获得申请NIH R-03奖的新数据。这一步将有助于我过渡到一个独立的联邦资助的调查员，并直接关系到我的长期目标，测试公共卫生模型，以指导评估，预测和促进老年人安全驾驶的计划。