Community Participation in Developing a Measure for Safe Older Driver Behaviors

描述（由申请人提供）：老年人中有效的碰撞/伤害预防取决于社会支持的健康促进计划，该计划的措施对跟踪安全驾驶行为的变化敏感。黄金标准是昂贵的，不容易获得，不适用于大多数老司机。到目前为止，大多数干预措施在减少与碰撞有关的伤害方面进展甚微。在以前的工作中，我们发现，这些计划和工具的开发没有主要的社区利益相关者的投入;在没有解决多个人-车-环境因素的结构和缺乏精确度的措施，广泛的领域，和可接受的生态有效性。我们建议与来自老年驾驶员安全社区的合作伙伴一起开发一个自我报告的安全驾驶行为测量（SDBM）。我们将共同：1）完善理论推导的结构和领域，并开发功能项目，需要测量老年人的安全驾驶行为; 2）确定结构，领域和功能项目的表面和内容效度; 3）量化SDBM的结构效度和同时效标效度，并确定三组评分员之间的评分员信度（老年驾驶员、家庭/护理人员和驾驶评估人员）;以及（4）进行多中心干预试验所需的基础工作，包括完善仪器、制定干预方案和设计要素，以及确定测试可靠性所需的多中心合作者，有效性和灵敏度的新措施作为一个有效的预测机动车碰撞。本项目的创新之处在于，在社区参与的情况下，使用聚合证据开发和试点测试安全驾驶行为措施：项目充足，可接受的生态有效性和公共卫生适用性的高潜力。利用我们的（国际）国家合作伙伴关系的能力，并建立一个研究人员和合作者的核心，以解决多中心试验的复杂问题，我们将能够推进到下一个步骤}确保R-01资金，以测试SDBM作为美国和加拿大老年驾驶员碰撞的有效预测器。公共卫生相关性声明使用汇聚的证据和社区参与，我们将开发和试点测试一个安全驾驶行为的措施，为老年人：一个有足够的项目，可接受的生态有效性预测碰撞，并为公共卫生适用性的高潜力。

DESCRIPTION (provided by applicant): Effective crash/injury prevention among older adults is dependent on a socially supported health promotion program with measures sensitive to track change in safe driving behaviors. The gold standard is expensive, not easily accessible and not applicable to the majority of older drivers. Most interventions thus far have shown little progress in reducing crash-related injuries. In prior work we identified that these programs and instruments were developed without the input of the main community stakeholders; in the absence of constructs addressing multiple person-vehicle- environmental factors and with measures lacking precision, a broad scope of domains, and acceptable ecological validity. We propose to develop, with partners from the older driver safety community, a self-report Safe Driving Behaviors Measure (SDBM). Collectively we will: 1) refine the theoretically derived constructs and domains, and develop functional items, required to measure safe driving behaviors among older adults; 2) determine the face and content validity of the constructs, domains, and functional items; 3) quantify the construct validity and concurrent criterion validity of the SDBM, and determine the rater reliability among three rater groups (older driver, families/caregiver, and driving evaluators); and (4) perform the foundational work necessary for a multi-site intervention trial, including refining the instrument, developing the intervention protocols and design elements, and identifying the multi-site collaborators necessary to test the reliability, validity and sensitivity of the new measure as a valid predictor of motor vehicle crashes. The innovation of this project is in using converging evidence to develop and pilot test, with community participation, a safe driving behaviors measure: one with adequate items, acceptable ecological validity, and high potential for public health applicability. Using the capacity of our (inter)national partnerships and establishing a core of researchers and collaborators to address the complex issues of a multi- center trial, we will be positioned to advance to the next step }securing R-01 funding to test the SDBM as a valid predictor of crashes for older drivers in the U.S and Canada. PUBLIC HEALTH RELEVANCE Statement Using converging evidence and community participation we will develop and pilot test a safe driving behaviors measure for older adults: one with adequate items, acceptable ecological validity for predicting crashes, and high potential for public health applicability.