Promoting Teen Health: A Web-based Intervention to Prevent Risky Driving

这个K99-R00应用程序为候选人凯瑟琳·麦克唐纳博士的研究密集型职业生涯做好了准备 开发和测试针对青少年健康威胁的基于网络的干预措施。这件事的第一步 研究计划将重点放在青少年死亡和残疾的主要原因上：机动车碰撞。 K99的总体目标是在注意力和青少年发展方面获得高级研究培训， 推动结果测量、干预发展和随机对照试验(RCT)方法学 开发和完善促进安全驾驶行为和驾驶风险的网络干预 青少年新手司机的数量减少。R00的总体目标是实施RCT第一阶段可行性研究 K99的高级版本开发了基于网络的干预。K99的具体目标是：1) 接受以下方面的高级培训：注意力和青少年发展理论；创造和测试行为 干预措施；随机对照试验方法和高级统计方法；结果衡量(眼球跟踪设备， 驾驶模拟器、自我报告措施和驾驶记录)；职业发展；负责任的行为 研究；2)获取内容，用于开发理论驱动的、基于网络的干预措施，以促进 利用青少年焦点小组进行安全驾驶行为和降低驾驶风险；3)进行初步 测试和改进基于网络的危险驾驶干预原型(包括招募、筛选、 注册、基线评估和干预交付)，这将作为R00的基础 第一阶段RCT可行性研究；和4)完善主要结果的衡量标准(注意力维持)， 和次要结果(自我报告的危险驾驶行为、驾驶表现、驾驶引用和 故障报告)使用在初步测试和改进过程中收集的数据。K99研究培训将 在两名资深科学家的指导下，他们在危险驾驶、伤害预防和 RCT。R00的具体目标是评估基于Web的Risk的高级版本的可行性 驾驶干预在K99赛道上发展起来，青少年司机在之前的90天内获得了驾照。我们将：1) 根据K99的数据开发基于网络的危险驾驶干预的高级版本；2) 实施基于网络的危险驾驶干预的第一阶段随机对照试验，以评估：a)招募和随机化 对青少年进行基于网络的危险驾驶干预或控制组(控制组将接受基于网络的 健康饮食干预)；b)干预组遵守情况的测量；以及c)。留着 干预组和对照组。作为R00的次要目标，我们将估计网络的影响大小- 基于1个月和3个月的危险驾驶干预基于注意力维持的主要结果和 自我报告危险驾驶行为的次要结果，以及驾驶表现；在6个月后 自我报告的危险驾驶行为和驾驶传票和撞车的次要结果。评选结果 R00第一阶段随机对照试验可行性研究将被用作R01第二阶段疗效试验的初步数据。

This K99-R00 application prepares the candidate, Catherine McDonald, PhD, for a research-intensive career developing and testing web-based interventions directed toward threats to teen health. The first step in this program of research will focus on the leading cause of death and disability for teens: motor vehicle crashes. The overall goal of the K99 is to gain advanced research training in attention and adolescent development, driving outcome measures, intervention development, and randomized controlled trials (RCT) methodology in order to develop and refine a web-based intervention that promotes safe driving behaviors and driving risk reduction in novice teen drivers. The overall goal of the R00 is to implement a Phase I RCT feasibility study of an advanced version of the K99 developed web-based intervention. The specific aims of the K99 are: 1) To receive advanced training in: attention and adolescent developmental theory; creation and testing of behavioral interventions; RCT methodology and advanced statistical methods; outcome measures (eye tracking device, driving simulator, self-report measures and driving records); career development; and responsible conduct of research; 2) To derive content for the development of a theoretically-driven, web-based intervention to promote safe driving behaviors and driving risk reduction using focus groups with teens; 3) To conduct preliminary testing and refinement of a prototype web-based risky driving intervention (including recruitment, screening, enrollment, baseline assessment, and intervention delivery), that will serve as the foundation for the R00 Phase I RCT feasibility study; and 4) To refine the metrics for the primary outcome (attention maintenance), and secondary outcomes (self-reported risky driving behaviors, driving performance, and driving citations and crash reports) using data collected during the preliminary testing and refinement. The K99 research training will be under the guidance of two senior scientists with extensive experience in risky driving, injury prevention, and RCTs. The specific aim of the R00 is to assess the feasibility of an advanced version of the web-based risky driving intervention developed in the K99, with teen drivers licensed in the previous 90 days. We will: 1) Develop an advanced version of web-based risky driving intervention based on data from the K99; 2) Implement a Phase I RCT of the web based risky driving intervention to assess: a) Recruit and randomization of teens to web-based risky driving intervention or control group (the control group will receive a web-based intervention for healthy eating); b) Measurement of adherence among the intervention group; and c). Retention in the intervention and control groups. As a secondary aim of the R00, we will estimate effect size of the web- based risky driving intervention at 1 and 3 months on the primary outcome of attention maintenance and the secondary outcomes of self-reported risky driving behaviors, and driving performance; and at 6 months on the secondary outcomes of self-reported risky driving behaviors and driving citations and crashes. Results of the R00 Phase I RCT feasibility study will be used as preliminary data for an R01 Phase II efficacy trial.