Reducing Youthful Dangerous Driving (RYDD)

减少青少年危险驾驶 (RYDD)

• 批准号: 7010310
• 负责人: TED D NIRENBERG
• 金额: $ 29.46万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7010310
• 关键词: adolescence (12-20); alcoholic beverage consumption; attitude; behavior modification; behavior therapy; behavioral /social science research tag; clinical research; driving while intoxicated; focus groups; high risk behavior /lifestyle; human subject; human therapy evaluation; injury prevention; interview; legal /correctional; longitudinal human study; motivation; negative reinforcements; psychological stressor; transportation /recreation safety; vehicular accident

DESCRIPTION: Motor Vehicle Crashes (MVCs) are the most prevalent cause of fatalities among 16 to 20 year olds. High-risk driving offenses (which are frequently related to alcohol use) by adolescents at-risk would appreciably decrease the health risks for this population, as well as reduce the $40 billion negative economic impact of such MVCs. To date, interventions to reduce driving offenses have had a very modest impact on driving offenders in general, and an unknown impact on adolescent drivers. The proposed study is a resubmission of a previous grant submitted to CDC (February 2004) which while receiving an excellent score 180 was criticized on two main points: lack of a randomized control group and the need to measure the driving experience of participants. Both of these issues have been addressed in the current study design. The primary aim of this study is to test whether RYDD (Trauma Room exposure with motivational interviewing) in comparison to PCS (Prototypic Community Service) will: (1) change attitudes towards risky driving behaviors post treatment; (2) reduce alcohol use and high-risk driving behaviors at 6-month follow-up; (3) reduce driving offenses at 12-month follow-up; and (4) reduce the number of MVCs at 24-month follow-up. Court mandated youth (n=500) who have been convicted of a high-risk driving offense are randomly assigned to one of two 16 hour program interventions (RYDD or PCS) and followed for one to two years. Subsequent infractions are measured through a combination of court records and self-report. In order to facilitate the dissemination of the RYDD program, the investigators will determine for whom it works best (Aim 2) and how it works (Aim 3) by examining a number of proposed mediators and moderators. Based on their 4 year pilot program, it is expected that positive results for RYDD would be enthusiastically embraced by state and national leaders within the judicial and traffic safety communities and easily transported and implemented in other courts.

描述：机动车碰撞 (MVC) 是 16 至 20 岁人群死亡的最常见原因。 高危青少年的高风险驾驶违法行为（通常与饮酒有关）将显着降低该人群的健康风险，并减少此类 MVC 带来的 400 亿美元的负面经济影响。 迄今为止，减少驾驶违法行为的干预措施对一般驾驶违法者的影响非常有限，对青少年司机的影响尚不清楚。 拟议的研究是对先前提交给 CDC（2004 年 2 月）的资助的重新提交，该资助虽然获得了 180 分的优异成绩，但仍受到两个主要问题的批评：缺乏随机对照组和需要测量参与者的驾驶体验。 这两个问题都已在当前的研究设计中得到解决。 本研究的主要目的是测试 RYDD（创伤室暴露与动机访谈）与 PCS（原型社区服务）相比是否会：（1）改变治疗后对危险驾驶行为的态度； （2）在6个月的随访中减少饮酒和高风险驾驶行为； (3) 在 12 个月的随访中减少驾驶违法行为； (4) 减少 24 个月随访时的 MVC 数量。 法院强制被判犯有高风险驾驶违法行为的青少年 (n=500) 被随机分配到两个 16 小时计划干预中的一个（RYDD 或 PCS），并跟踪一到两年。 随后的违规行为将通过法庭记录和自我报告相结合来衡量。 为了促进 RYDD 计划的传播，调查人员将通过审查一些拟议的调解人和主持人来确定该计划最适合谁（目标 2）以及如何运作（目标 3）。 根据为期 4 年的试点计划，预计 RYDD 的积极成果将受到司法和交通安全领域的州和国家领导人的热烈欢迎，并在其他法院轻松传播和实施。