Examining an Intervention to Reduce Underage DUI and Riding with Impaired Drivers

摘要 酒后驾车是一个严重的公共卫生问题。美国国家公路交通安全 美国政府报告说，美国有近1万人死于与酒精有关的撞车事故。 2014年当人们考虑到每年超过1.3 在美国，有100万司机因酒后驾车而被捕。像这些令人担忧的 统计数字与估计数字相比是苍白的， 在美国1.21亿次自我报告的酒精受损驾驶事件中， 司机每年拟议中的研究将试图遏制这些令人担忧的趋势， 通过进行一项随机对照试验来测试一个简短的父母， 干预的能力，以改变青少年的饮酒，受损的驾驶，和骑与 驾驶员行为不佳。我们之前的简短的以父母为基础的干预提供了 充分的参与、沟通和有效性的初步证据， 未成年人饮酒，以保证一个大规模的综合研究。该研究将使用 非常严格的设计，符合社会预防研究标准， Flay et al.12中描述的有效性，在3- 12岁时评估的全国代表性样本 波（基线，6个月，12个月）。为了检验普遍性和持续效果， 和一个过采样的西班牙裔/拉丁裔亚组来检查父母干预的 有可能减少服务不足人群的健康差距。目标是， 目的1：评价父母干预的有效性（短期和长期）; 目的2：检查PBI的介质，直接影响饮酒，驾驶障碍， 以及驾驶员行为受损的情况下骑行;目标3：确定主持人， 未来的调整和干预效果的改善。的程度 如果研究成功，它将提供一种易于实施和低成本的替代方案， 可以广泛传播，以解决这一重要的公共卫生问题。

Abstract Drunk driving is a major public health problem. The National Highway Traffic Safety Administration reported nearly 10,000 people died in alcohol-related crashes in the U.S. in 2014. The problem is further magnified when one considers that each year over 1.3 million drivers in the U.S. are arrested for alcohol-impaired driving. As alarming as these statistics are they pale by comparison to estimates indicating that they only represent 1% of the 121 million self-reported episodes of alcohol-impaired driving among U.S. drivers each year. The proposed research will attempt to curb these alarming trends and move the field forward by conducting a randomized controlled trial testing a brief parent- intervention's ability to change adolescents' drinking, impaired driving, and riding with impaired driver behaviors. Our prior brief parent-based interventions have provided sufficient preliminary evidence of participation, communication, and efficacy for changing under-age drinking to warrant a large-scale comprehensive study. The study will use an extremely rigorous design that meets the Society for Prevention Research Criteria for Efficacy as described in Flay et al.12, a nationally representative sample assessed at 3- waves (baseline, 6 mo. and 12 mo.) to examine generalizability and sustained effects, and an oversampled Hispanic/Latino subgroup to examine the parent-intervention's potential to reduce a health disparity in an underserved population. The aims are as follows: Aim 1: Evaluate the efficacy of the parent intervention (short and long term); Aim 2: Examine mediators of the PBI that directly influence drinking, impaired driving, and riding with impaired driver behaviors; and Aim 3: Identify moderators to help inform future tailoring and improvement in intervention effectiveness. To the extent that the research is successful, it will provide an easy to implement and low cost alternative that can be widely disseminated to address this important public health problem.