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

项目摘要 机动车碰撞（MVC）是美国青少年死亡的主要原因。青少年司机谁 犯下交通违法行为的人，与他们相比， 没有交通违规的同行。虽然父母参与干预是改善儿童健康的有效策略， 在所有风险状况的青少年中驾驶安全，这些干预措施尚未在高风险人群中进行翻译和测试， 冒险青少年司机，如那些交通违规。此外，到目前为止，还没有任何研究审查了成本- 促进青少年安全驾驶做法的干预措施的有效性。这项研究提出了原则- 通过将基于证据的普遍干预转化为高风险， 研究了违反交通规则的青少年司机的数量。本研究将在一个混合随机对照 试验（RCT），新干预措施的实施，有效性和成本效益，指导青少年安全+ (STS+）将车载驾驶反馈技术与家长沟通培训相结合。我们长久以来- 长期目标是通知少年交通法庭的采用和实施以证据为基础的，具有成本效益的- 这将有助于对高风险驾驶人群进行干预，并减少MVC和与MVC相关的伤害和死亡。我们 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的上级 对照组在亲子沟通效果、青少年危险驾驶行为、交通违章纠正、 犯罪和MVCs目标2：按提供方式检查干预结果和成本效益的差异。 专家干预与同行干预（Expert- vs. peer-delivered intervention）目标3：确定与采用和改进相关的背景因素。 实施干预。我们将在2009年从农村和城市的少年交通法庭招募290名父母-青少年对 在俄亥俄州的强制性法庭听证会之后。每一对将由一个青少年司机（16至17岁）谁拥有 违反了交通规则还有父母/法律的监护人入组的二联体将随机分配至3项研究中的1项 组：1）专家提供的干预，2）同行提供的干预，和3）控制。我们的核心假设 对等递送的干预是非劣的（即，比以前更好，更有成本效益。 两个干预组均上级对照组。这个项目意义重大 因为它代表了国家研究的一个实质性的进步，重点是青少年司机，在这个领域， 执行研究的参与不足。这项研究是创新的，因为它将招募高危青少年 司机通过与农村和城市交通法院的独特合作关系，利用先进的车载驾驶饲料- 回技术，并测试干预交付模式。这些发现将有助于广泛采用， 在农村和城市环境中实施和传播STS+，并将对青少年贩运产生影响， 联邦法院的做法和政策旨在通过减少MVC和与MVC相关的伤害来改善青少年驾驶安全 和死亡

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.