Adoption and Implementation of an Evidence-based Safe Driving Program for High-Risk Teen Drivers

针对高风险青少年驾驶员采用和实施循证安全驾驶计划

• 批准号: 10256765
• 负责人: Jingzhen Ginger Yang
• 金额: $ 62.9万
• 依托单位: RESEARCH INST NATIONWIDE CHILDREN'S HOSP
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-08 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10256765
• 关键词: Address; Adolescent; Adopted; Adoption; Age; Area; Automobile Driving; Cause of Death; Cessation of life; Collaborations; Communication; Consolidated Framework for Implementation Research; Control Groups; County; Effectiveness; Effectiveness of Interventions; Enrollment; Evaluation; Evidence based program; Failure; Feedback; Goals; Hearing; Hybrids; Injury; Intervention; Interview; Laws; Legal Guardians; Letters; Licensing; Methods; National Institute of Child Health and Human Development; Ohio; Outcome; Outcome Study; Parents; Pilot Projects; Policies; Population; Process; Program Sustainability; Protocols documentation; Randomized; Randomized Controlled Trials; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Research Priority; Risk; Rural; Safety; Specialist; Speed; Supervision; Technology; Teenagers; Testing; Time; Training; Translating; United States; Urban Population; Vehicle crash; arm; contextual factors; cost effective; cost effective intervention; cost effectiveness; court; distracted driving; driving behavior; driving safety; effective intervention; effectiveness evaluation; evidence base; group intervention; high risk; high risk population; implementation intervention; implementation research; implementation science; improved; innovation; multidisciplinary; peer; programs; recidivism; recruit; risky driving; rural setting; skills; teen drivers; teen driving; universal prevention; urban setting

PROJECT SUMMARY Motor vehicle collisions (MVCs) are the leading cause of death among teens in the United States. Teen drivers who have committed a traffic violation are at an even higher risk of MVC-related injuries and deaths compared to their counterparts without a traffic violation. While parent engagement interventions are an effective strategy to improve driving safety among teens of all risk profiles, these interventions have not been translated and tested among high- risk teen drivers such as those with a traffic violation. Furthermore, to date, no studies have examined the cost- effectiveness of interventions that promote safe teen driving practices. This proposed study addresses princi- pal gaps in teen driving research by translating an evidence-based universal intervention to a high-risk, yet un- derstudied, population of teen drivers with a traffic violation. This study will test, in a hybrid randomized controlled trial (RCT), the implementation, effectiveness and cost-effectiveness of the new intervention, Steering Teens Safe+ (STS+) that integrates in-vehicle driving feedback technology with parent communication training. Our long- term goal is to inform juvenile traffic courts’ adoption and implementation of evidence-based, cost-effective in- terventions into high-risk driving populations, and reduce MVCs and MVC-related injuries and deaths. Our three specific aims are: Aim 1: Determine if both intervention groups are superior to and more cost-effective than the control group on the outcomes of parent-teen communication, teens’ risky driving behaviors, traffic violation re- cidivism, and MVCs. Aim 2: Examine differences in intervention outcomes and cost-effectiveness by mode of deliv- ery (expert- vs. peer-delivered intervention). Aim 3: Identify the contextual factors associated with adoption and im- plementation of the intervention. We will recruit 290 parent-teen dyads from rural and urban juvenile traffic courts in Ohio following their mandatory court hearing. Each dyad will be comprised of a teen driver (ages 16 to 17) who has committed a moving violation and a parent/legal guardian. Enrolled dyads will be randomly assigned to 1 of 3 study groups: 1) Expert-delivered intervention, 2) Peer-delivered intervention, and 3) Control. Our central hypothesis is that the peer-delivered intervention is non-inferior (i.e., not much worse) to and more cost-effective than the ex- pert-delivered intervention and that both intervention groups are superior to the control. This project is significant because it represents a substantial step forward in national research focused on teen drivers, an area in which implementation research has been underrepresented. This study is innovative because it will recruit high-risk teen drivers through a unique partnership with rural and urban traffic courts, utilize cutting-edge in-vehicle driving feed- back technology, and test the mode of intervention delivery. The findings will facilitate the widespread adoption, implementation, and dissemination of STS+ in rural and urban settings and will have an impact on juvenile traf- fic courts’ practices and policies aimed to improve teen driving safety by reducing MVCs and MVC-related injuries and deaths.

项目总结 机动车碰撞(MVC)是美国青少年死亡的主要原因。十几岁的司机 犯了交通违章行为的人与他们相比，与MVC相关的伤亡风险更高 没有交通违章的同行。虽然家长参与干预是改善 在所有风险特征的青少年中，这些干预措施尚未在高风险人群中进行翻译和测试 冒着青少年司机的风险，比如那些违反交通规则的司机。此外，到目前为止，还没有研究检查成本- 促进青少年安全驾驶实践的干预措施的有效性。这项拟议的研究涉及以下原则： 青少年驾驶研究中的PAL差距通过将基于证据的普遍干预转化为高风险，但不是 调查发现，十几岁的司机都违反了交通规则。本研究将在混合随机对照中进行检验 试验(RCT)，新干预措施的实施、效果和成本效益，指导青少年SAFE+ (STS+)，将车内驾驶反馈技术与家长沟通培训相结合。我们的长- 学期目标是通知少年交通法院采用和实施以证据为基础的、成本效益高的 减少有毒物质进入高危驾驶人群，减少多发性硬化症和多发性硬化症相关的伤亡。我们的 三个具体目标是：目标1：确定两个干预组是否优于和更具成本效益 父母与青少年沟通效果、青少年危险驾驶行为、交通违法行为的对照组 西迪威主义和跨国公司。目的2：检验干预效果和成本效益的差异。 ERY(专家与同行提供的干预)。目标3：确定与收养和移民有关的背景因素-- 实施干预措施。年，我们将从农村和城市青少年交通法院招募290名亲子双方 俄亥俄州在他们的强制法庭听证会之后。每个DYAD将由一名青少年司机(16岁至17岁)组成，他有 犯了搬家违章和父母/法定监护人。注册的二人组将被随机分配到1/3的研究 分组：1)专家提供的干预，2)同行提供的干预，3)对照组。我们的中心假设 同行提供的干预措施并不比前干预措施差(也就是不差多少)，而且比前干预措施更具成本效益。 PERT提供的干预措施，两个干预组均优于对照组。这个项目意义重大 因为它代表着专注于青少年司机的国家研究向前迈出了实质性的一步，在这一领域 执行研究的比例一直偏低。这项研究具有创新性，因为它将招募高危青少年 司机通过与农村和城市交通法庭的独特合作伙伴关系，利用尖端的车载驾驶馈送- 支持技术，并测试干预交付的模式。这一发现将促进更广泛的采用， 在农村和城市环境中实施和传播STS+，并将对青少年TRAF产生影响-- FIC法院旨在通过减少MVC和MVC相关伤害来改善青少年驾驶安全的做法和政策 和死亡。