Promoting transportation safety in adolescence: the drivingly randomized controlled trial
Abstract Background The impact of young drivers’ motor vehicle crashes (MVC) is substantial, with young drivers constituting only 14% of the US population, but contributing to 30% of all fatal and nonfatal injuries due to MVCs and 35% ($25 billion) of the all medical and lost productivity costs. The...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-16801-6 |
| _version_ | 1797555959774576640 |
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| author | Jessica Hafetz Catherine C. McDonald D. Leann Long Carol A. Ford Thandwa Mdluli Andrew Weiss Jackson Felkins Nicole Wilson Bradley MacDonald |
| author_facet | Jessica Hafetz Catherine C. McDonald D. Leann Long Carol A. Ford Thandwa Mdluli Andrew Weiss Jackson Felkins Nicole Wilson Bradley MacDonald |
| author_sort | Jessica Hafetz |
| collection | DOAJ |
| description | Abstract Background The impact of young drivers’ motor vehicle crashes (MVC) is substantial, with young drivers constituting only 14% of the US population, but contributing to 30% of all fatal and nonfatal injuries due to MVCs and 35% ($25 billion) of the all medical and lost productivity costs. The current best-practice policy approach, Graduated Driver Licensing (GDL) programs, are effective primarily by delaying licensure and restricting crash opportunity. There is a critical need for interventions that target families to complement GDL. Consequently, we will determine if a comprehensive parent-teen intervention, the Drivingly Program, reduces teens’ risk for a police-reported MVC in the first 12 months of licensure. Drivingly is based on strong preliminary data and targets multiple risk and protective factors by delivering intervention content to teens, and their parents, at the learner and early independent licensing phases. Methods Eligible participants are aged 16-17.33 years of age, have a learner’s permit in Pennsylvania, have practiced no more than 10 h, and have at least one parent/caregiver supervising. Participants are recruited from the general community and through the Children’s Hospital of Philadelphia’s Recruitment Enhancement Core. Teen-parent dyads are randomized 1:1 to Drivingly or usual practice control group. Drivingly participants receive access to an online curriculum which has 16 lessons for parents and 13 for teens and an online logbook; website usage is tracked. Parents receive two, brief, psychoeducational sessions with a trained health coach and teens receive an on-road driving intervention and feedback session after 4.5 months in the study and access to DriverZed, the AAA Foundation’s online hazard training program. Teens complete surveys at baseline, 3 months post-baseline, at licensure, 3months post-licensure, 6 months post-licensure, and 12 months post-licensure. Parents complete surveys at baseline, 3 months post-baseline, and at teen licensure. The primary end-point is police-reported MVCs within the first 12 months of licensure; crash data are provided by the Pennsylvania Department of Transportation. Discussion Most evaluations of teen driver safety programs have significant methodological limitations including lack of random assignment, insufficient statistical power, and reliance on self-reported MVCs instead of police reports. Results will identify pragmatic and sustainable solutions for MVC prevention in adolescence. Trial Registration ClinicalTrials.gov # NCT03639753. |
| first_indexed | 2024-03-10T16:55:05Z |
| format | Article |
| id | doaj.art-881a5c600fea44759380d0037393f34f |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:55:05Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-881a5c600fea44759380d0037393f34f2023-11-20T11:10:19ZengBMCBMC Public Health1471-24582023-10-012311810.1186/s12889-023-16801-6Promoting transportation safety in adolescence: the drivingly randomized controlled trialJessica Hafetz0Catherine C. McDonald1D. Leann Long2Carol A. Ford3Thandwa Mdluli4Andrew Weiss5Jackson Felkins6Nicole Wilson7Bradley MacDonald8Department of Clinical and Health Psychology, Centre for Applied Developmental Psychology, The University of EdinburghPenn Injury Science Center, University of Pennsylvania School of NursingSchool of Public Health, Department of Biostatistics, University of Alabama at BirminghamThe Children’s Hospital of Philadelphia, University of Pennsylvania School of MedicineUniversity of Pennsylvania School of NursingUniversity of Pennsylvania School of NursingUniversity of Pennsylvania School of NursingSchool of Public Health, Department of Biostatistics, University of Alabama at BirminghamThe University of Edinburgh, Department of Clinical and Health PsychologyAbstract Background The impact of young drivers’ motor vehicle crashes (MVC) is substantial, with young drivers constituting only 14% of the US population, but contributing to 30% of all fatal and nonfatal injuries due to MVCs and 35% ($25 billion) of the all medical and lost productivity costs. The current best-practice policy approach, Graduated Driver Licensing (GDL) programs, are effective primarily by delaying licensure and restricting crash opportunity. There is a critical need for interventions that target families to complement GDL. Consequently, we will determine if a comprehensive parent-teen intervention, the Drivingly Program, reduces teens’ risk for a police-reported MVC in the first 12 months of licensure. Drivingly is based on strong preliminary data and targets multiple risk and protective factors by delivering intervention content to teens, and their parents, at the learner and early independent licensing phases. Methods Eligible participants are aged 16-17.33 years of age, have a learner’s permit in Pennsylvania, have practiced no more than 10 h, and have at least one parent/caregiver supervising. Participants are recruited from the general community and through the Children’s Hospital of Philadelphia’s Recruitment Enhancement Core. Teen-parent dyads are randomized 1:1 to Drivingly or usual practice control group. Drivingly participants receive access to an online curriculum which has 16 lessons for parents and 13 for teens and an online logbook; website usage is tracked. Parents receive two, brief, psychoeducational sessions with a trained health coach and teens receive an on-road driving intervention and feedback session after 4.5 months in the study and access to DriverZed, the AAA Foundation’s online hazard training program. Teens complete surveys at baseline, 3 months post-baseline, at licensure, 3months post-licensure, 6 months post-licensure, and 12 months post-licensure. Parents complete surveys at baseline, 3 months post-baseline, and at teen licensure. The primary end-point is police-reported MVCs within the first 12 months of licensure; crash data are provided by the Pennsylvania Department of Transportation. Discussion Most evaluations of teen driver safety programs have significant methodological limitations including lack of random assignment, insufficient statistical power, and reliance on self-reported MVCs instead of police reports. Results will identify pragmatic and sustainable solutions for MVC prevention in adolescence. Trial Registration ClinicalTrials.gov # NCT03639753.https://doi.org/10.1186/s12889-023-16801-6Teen driversMotor vehicle crashesTeen driver safetyInjury preventionDriver training |
| spellingShingle | Jessica Hafetz Catherine C. McDonald D. Leann Long Carol A. Ford Thandwa Mdluli Andrew Weiss Jackson Felkins Nicole Wilson Bradley MacDonald Promoting transportation safety in adolescence: the drivingly randomized controlled trial BMC Public Health Teen drivers Motor vehicle crashes Teen driver safety Injury prevention Driver training |
| title | Promoting transportation safety in adolescence: the drivingly randomized controlled trial |
| title_full | Promoting transportation safety in adolescence: the drivingly randomized controlled trial |
| title_fullStr | Promoting transportation safety in adolescence: the drivingly randomized controlled trial |
| title_full_unstemmed | Promoting transportation safety in adolescence: the drivingly randomized controlled trial |
| title_short | Promoting transportation safety in adolescence: the drivingly randomized controlled trial |
| title_sort | promoting transportation safety in adolescence the drivingly randomized controlled trial |
| topic | Teen drivers Motor vehicle crashes Teen driver safety Injury prevention Driver training |
| url | https://doi.org/10.1186/s12889-023-16801-6 |
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