Reducing Risky Teen Cellphone Use While Driving Using Behavioral Economics, Technology, and Epidemiology

项目摘要/摘要 K23指导患者导向职业发展奖的目的是使Delgado博士能够 获得必要的经验和技能，成为一名专注于开发和 测试减少青少年伤害行为的新型行为经济学干预措施 成年人。德尔加多博士的中心假设是，来自行为经济学领域的见解有助于解释 为什么许多行为伤害预防干预措施无效，并通过 移动技术干预可以更有效地减少伤害行为。本奖项 将为Delgado博士提供四年的保护时间，以获得必要的技能，以确保独立 作为一名转化型伤害预防科学家，通过包括指导研究在内的培训计划提供资金， 课业，并指导独立学习。具体地说，在手机使用的实验研究中 驾驶博士Delgado将：(1)学习应用行为改变的理论和机制来预防伤害 青少年和年轻人；(2)培养设计和改进移动行为改变的技能 预防伤害的干预措施；以及(3)培养进行行为随机试验的技能 经济干预。 Delgado博士和他的经验丰富的跨学科导师和顾问团队将测试 行为经济学加强自我控制相关伤害预防干预的重点是 开车时发短信的重大健康风险行为。德尔加多博士的大部分培训将投资于 指导研究，实施创新研究计划，其中他将：(1)设计和迭代完善 理论指导的行为经济干预，减少青少年开车时使用手机；(2) 试点随机试验，以确定实施这一行为经济学的可行性和可接受性 干预；以及(3)确定驾驶时使用手机的衡量标准，该指标与安全事件最相关 使用In进行R01级试验，以确定试点干预的有效性。这项工作意义重大，因为 近一半的美国青少年承认在开车时发短信，尽管他们知道分心驾驶是有风险的，这导致 每年超过40万起撞车事故。教育运动、誓言和法律禁令对 遏制这种行为。有鉴于此，开车分心不用手机被认为是最严重的问题 新出现的伤害原因需要在美国健康人2020目标的未来研究中进行。这项工作是 创新的AS杠杆行为经济学是一种减少伤害的新方法，具有潜在的 广泛适用于许多青少年的健康危险行为和自我控制问题。

PROJECT SUMMARY/ABSTRACT The purpose of this K23 Mentored Patient-Oriented Career Development Award is to enable Dr. Delgado to gain the experience and skills necessary to become an independent investigator focused on developing and testing novel, behavioral economic interventions for reducing injury causing behaviors in teens and young adults. Dr. Delgado's central hypothesis is that insights from the field of behavioral economics help explain why many behavioral injury prevention interventions are ineffective, and that leveraging these insights through mobile technology interventions can lead to more effective reductions in injury causing behaviors. This Award will provide four years of protected time for Dr. Delgado to acquire the skills necessary to secure independent funding as a translational injury prevention scientist through a training plan that includes mentored research, coursework, and guided independent study. Specifically, in the experimental study of cellphone use while driving Dr. Delgado will: (1) Learn to apply theories and mechanisms of behavior change for injury prevention in adolescents and young adults; (2) Develop skills for designing and refining mobile behavior change interventions for injury prevention; and (3) Develop skills for conducting randomized trials of behavioral economic interventions. Dr. Delgado and his experienced, cross-disciplinary team of mentors and advisors will test the potential for behavioral economics to enhance self-control related injury prevention interventions by focusing on the significant health risk behavior of texting while driving. Most of Dr. Delgado's training will be invested in mentored research, carrying out an innovative research plan in which he will: (1) Design and iteratively refine a theoretically guided behavioral economic intervention to reduce teen handheld cellphone use while driving; (2) Pilot a randomized trial to determine the feasibility and acceptability of implementing this behavioral economic intervention; and (3) Identify the measure of cellphone use while driving most associated with safety events for use in for an R01-level trial to determine effectiveness of the piloted intervention. This work is significant since nearly half of U.S. teens admit to texting while driving despite knowing that distracted driving is risky, leading to over 400,000 crashes per year. Educational campaigns, pledges, and legal bans have had limited impact on curbing this behavior. And given this, distracted driving from cellphone use has been identified as a top emerging cause of injury in need for future research in the US Healthy People 2020 objectives. This work is innovative as leveraging behavioral economics is a novel approach to reducing injury with the potential to be broadly applicable across many adolescent health risk behaviors and problems of self-control.