A Pilot Trial to Prevent Intoxicated and Impaired Driving Among Adolescents

预防青少年酒后驾驶和不清醒驾驶的试点

• 批准号: 10414465
• 负责人: Karen Chan Osilla
• 金额: $ 17.22万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10414465
• 关键词: 16 year old; 17 year old; Address; Adolescent; Adult; Affect; Age; Alcohol consumption; Alcohols; Attitude; Automobile Driving; Automobiles; Behavior; Belief; California; Climate; Consumption; Country; Drug Compounding; Drug abuse; Education; Educational Curriculum; Feasibility Studies; Impairment; Internet; Intervention; Judgment; Legal; Licensing; Licensure; Marijuana; Marijuana Smoking; Mediating; Motor; Online Systems; Outcome; Participant; Pilot Projects; Policies; Preparation; Prevention; Prevention trial; Primary Health Care; Procedures; Provider; Public Health; Randomized; Randomized Clinical Trials; Reaction Time; Reporting; Resistance; Risk; Risk Behaviors; Sampling; Self Efficacy; Source; Speed; Surveys; Teenagers; Testing; Text Messaging; Time; Training; Vehicle crash; Work; Youth; adolescent health outcomes; adolescent substance use; alcohol abuse prevention; alcohol consequences; binge drinking; cost; deter alcohol use; drinking; driving behavior; driving under influence; effective intervention; efficacy evaluation; experience; feasibility testing; follow-up; human subject; impaired driving performance; improved; innovation; insight; intervention effect; marijuana use; online course; pilot trial; prevent; preventive intervention; programs; recruit; reduced alcohol use; retention rate; risky driving; social; substance use; substance use prevention; teen drivers; therapy development; treatment as usual; underage drinking; university student; web-based intervention; welfare; young drivers intervention

ABSTRACT Alcohol and marijuana (AM) are the most commonly used substances among adolescents in the U.S. The consequences of AM use are significantly higher relative to use of either substance alone. Teens’ propensity to engage in multiple risky behaviors while driving combined with their relative inexperience with the timing and duration of marijuana’s effects puts them at heightened risk for experiencing harms related to driving under the influence. Marijuana use initiation and binge drinking peak at age 16, the legal age teens may apply for a provisional driver’s license in some states. Thus, targeting these novice teen drivers prior to licensure is an ideal time for prevention efforts focused on reducing alcohol and/or marijuana initiation, use, and impaired driving. This study builds on effective interventions that have demonstrated reductions in alcohol and/or marijuana use and reduced consequences one year later, and proposes to adapt one of those interventions, CHAT, to the web (web-CHAT). We will evaluate the efficacy of web-CHAT among 15.5-16-year-old adolescents (n=150) recruited when they are attending behind-the-wheel training at the Automobile Club of Southern California (AAA). The study has the potential to promote public welfare by improving adolescent health outcomes and reducing risky driving behaviors that can have substantial monetary and social costs, as well as by providing unique insight into what mediates reduced risky driving attitudes behaviors among those in the intervention. The study is innovative because it is for both youth who are at risk for substance use as well as those who are not, and it is delivered during a teachable moment when adolescents receive driver’s education. We also collaborate with a leading provider of youth driver education, AAA, which provides online curriculum to AAA and non-AAA programs across the country. Finally, our study can provide unique insights about the efficacy of web-CHAT to reduce marijuana initiation, use, and risky driving attitudes in the context of a changing marijuana policy climate. We propose a 3-year study to test the feasibility of our procedures in a driver education setting and pilot the efficacy of web-CHAT. We will test whether web-CHAT reduces alcohol and/or marijuana initiation or use, and reduced risky driving attitudes and behaviors (intent to drive after drinking/using, passenger with someone who drank/used) compared to teens in UC, at three and six-month follow-up. We propose a crucial, time-sensitive intervention during driver education. This proposal allows us to establish the feasibility of our recruitment and study workflows, while also establishing acceptance and efficacy of web-CHAT among a diverse group of adolescents.

摘要

项目成果

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

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
• 发表时间: 2023-03-24
• 期刊: ADDICTION SCIENCE & CLINICAL PRACTICE
• 影响因子: 3.7
• 作者: Osilla, Karen Chan;D'Amico, Elizabeth J.;Smart, Rosanna;Rodriguez, Anthony;Nameth, Katherine;Hummer, Justin
• 通讯作者: Hummer, Justin