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.

抽象的 酒精和大麻 (AM) 是美国青少年最常使用的物质。 相对于单独使用任何一种物质，使用 AM 的后果明显更高。青少年的倾向 驾驶时从事多种危险行为，加上他们对时机和时间相对缺乏经验 大麻影响的持续时间使他们面临与驾驶相关伤害的更高风险 影响。吸食大麻和酗酒的高峰期为 16 岁，法定年龄青少年可以申请 某些州的临时驾驶执照。因此，在获得执照之前针对这些青少年新手司机是一个 预防工作的理想时机，重点是减少酗酒和/或大麻的开始、使用和受损 驾驶。这项研究建立在有效干预措施的基础上，这些干预措施已证明可以减少酒精和/或 一年后使用大麻并减少后果，并提议调整其中一项干预措施， 聊天，到网络（网络聊天）。我们将评估网络聊天在15.5-16岁人群中的功效 青少年（n = 150）在参加汽车俱乐部的驾驶培训时被招募 南加州 (AAA)。该研究有可能通过改善青少年的健康状况来促进公共福利 健康结果并减少危险驾驶行为，这些行为可能会产生巨大的金钱和社会成本，例如 以及通过提供独特的见解来了解是什么因素可以降低人们的危险驾驶态度行为 的干预。这项研究具有创新性，因为它既针对有吸毒风险的青少年 和那些没有的人一样，它是在青少年收到驾驶员的教育时刻提供的 教育。我们还与青年驾驶员教育的领先提供商 AAA 合作，该机构提供在线课程 全国范围内 AAA 和非 AAA 项目的课程。最后，我们的研究可以提供独特的见解 关于网络聊天在减少大麻吸食、使用和危险驾驶态度方面的功效 不断变化的大麻政策环境。我们建议进行一项为期 3 年的研究，以测试我们的程序在 驾驶员教育设置并试点网络聊天的功效。我们将测试网络聊天是否可以减少酒精含量 和/或开始或使用大麻，并减少危险的驾驶态度和行为（意图在 与 UC 的青少年相比，三个月大和六个月大时饮酒/使用、与饮酒/使用的人同行 后续行动。我们建议在驾驶员教育过程中采取关键的、时间敏感的干预措施。该提案使我们能够 建立我们招募和研究工作流程的可行性，同时建立接受度和有效性 不同青少年群体之间的网络聊天。

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