Improving parenting capacity to promote safe driving for adolescents with ADHD

提高育儿能力，促进多动症青少年的安全驾驶

• 批准号: 8208319
• 负责人: GREGORY A FABIANO
• 金额: $ 1.48万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-12-30 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8208319
• 关键词: 20 year old; Academy; Accidental Injury; Accidents; Adolescence; Adolescent; Age; Alcohols; American; Attention; Attention deficit hyperactivity disorder; Automobile Driving; Behavior; Behavior Therapy; Behavioral; Cessation of life; Child; Communication; Communication Programs; Complex; Conflict (Psychology); Contracts; Data; Development; Diagnosis; Discipline; Education; Effectiveness; Effectiveness of Interventions; Electronics; Exhibits; Family; Fostering; Health; Health Benefit; Impairment; Injury; Intervention; Joints; Learning; Licensing; Literature; Measurement; Measures; Mediating; Mediation; Mental Health; Monitor; Motor Vehicles; Outcome; Parenting behavior; Parents; Patient Self-Report; Pattern; Pediatrics; Pharmaceutical Preparations; Population; Procedures; Prospective Studies; Public Health; Rage; Randomized Clinical Trials; Randomized Controlled Trials; Recording of previous events; Records; Regimen; Relative (related person); Reporting; Research; Risk; Robin bird; Running; Safety; Subgroup; Substance abuse problem; Symptoms; Teenagers; Time; Training; Treatment Efficacy; Work; age group; contingency management; cost; driving behavior; driving under influence; effective intervention; improved; innovative technologies; intervention effect; motivational enhancement therapy; parental monitoring; prevent; programs; psychosocial; public health relevance; skills; standard care; teen driving; therapy design; trafficking; treatment program

DESCRIPTION (provided by applicant): There is clear, converging evidence from multiple prospective studies with well-diagnosed adolescents with ADHD and comparison, non-ADHD adolescents, that teen drivers with ADHD have more accidents (Fischer et al., 2007; Nada-Raja et al., 1997; Thompson et al., 2007; Weiss et al., 1979; Woodward et al., 2000) that result in greater costs (Fischer et al., 2007), injuries (Woodward et al., 2000), and fatalities (Lambert, 1995). Adolescent drivers with ADHD are also more likely to be cited for a traffic citation or reckless driving, driving without a license, having hit-and-run accidents, and having a revoked or suspended license (see Barkley & Cox, 2007 for a review). Available research indicates parental monitoring and limit-setting for adolescent drivers is one of the most effective interventions for preventing negative driving outcomes (e.g., Simons-Morton et al., 2007). For children with ADHD, interventions to promote parenting capacity to effectively oversee and intervene in teen driving will likely need to be intensive and require multiple treatment components. The present proposal aims to compare the standard care for teen drivers (driver's education classes and driving practice) to the Supporting a Teen's Effective Entry to the Roadway (STEER) program, that includes a parent- teen intervention, adolescent skill building, parent training on effective adolescent management strategies, joint parent-teen negotiations sessions, practice on a driving simulator, parental monitoring of objective driving behaviors, and the targeting of safe teen driving via contingency management strategies (i.e., parent-teen contracts). To facilitate teen and parent engagement the intervention will be preceded by a motivational interview. The specific aims of the proposal are to investigate the efficacy of the STEER program relative to a standard care group in a randomized clinical trial (N=172) on measures of objective driving outcome and parenting capacity. PUBLIC HEALTH RELEVANCE: This study holds substantial public health benefit as it will be the first randomized controlled trial for the behavior modification treatment of driving behavior for adolescents with ADHD. Relative to typical adolescents, those with ADHD are most at-risk for a number of negative driving outcomes including accidents, injury, and death. In addition, the study will enhance the understanding of how increasing the parenting capacity for monitoring and limit setting improves adolescent driving behavior as measured by innovative technologies as well as by typical measurement strategies.

描述（由申请人提供）：有来自多个前瞻性研究的明确，有诊断为ADHD和比较的青少年，非ADHD青少年的证据，患有ADHD的青少年驾驶员有更多的事故（Fischer等，2007; Nada-Raja et al。成本（Fischer等，2007），伤害（Woodward等，2000）和死亡（Lambert，1995）。具有多动症的青少年驾驶员也更有可能被引用用于交通引用或鲁ck驾驶，无驾驶执照的驾驶，发生撞车事故以及被吊销或吊销许可证（请参阅Barkley＆Cox，2007年，审查）。可用的研究表明，对青少年驾驶员的父母监测和限制设定是预防负面驾驶结果的最有效干预措施之一（例如，Simons-Morton等，2007）。对于患有多动症的儿童，促进育儿能力以有效监督和干预青少年驾驶的干预措施可能需要密集，并且需要多种治疗成分。本提案旨在比较青少年驾驶员（驾驶员的教育课程和驾驶练习）的标准护理与支持青少年有效进入道路（Steer）计划的计划，其中包括一项父母 - 青少年干预，青少年技能建设，对有效的青少年管理策略的父母培训，有效的青少年管理策略，共同的父母teen型谈判，通过驾驶驾驶策略的驾驶策略，以及驾驶的驾驶策略，以及驾驶的驾驶策略，以及在驾驶范围内的驾驶范围，以及企业的驾驶范围，以及企业的驾驶行为，以及企业的驾驶行为，以及企业的驾驶行为，并构成了企业的行为，并培养了企业的行为，并培养了企业的行为，并培养了企业的行为，并培训了企业的行为，并培训（即，父母青少年合同）。为了促进青少年和父母的参与，干预将进行励志采访。该提案的具体目的是在随机临床试验（n = 172）中研究转向程序对标准护理组的疗效，以实现客观驾驶结果和育儿能力的度量。 公共卫生相关性：这项研究具有可观的公共卫生益处，因为它将是第一个随机对照试验，用于对ADHD的青少年进行行为修改行为的行为治疗。相对于典型的青少年，患有多动症的青少年对于许多负面驾驶结果（包括事故，伤害和死亡）最为处于危险中。此外，该研究将增强对增加监测和限制设置的育儿能力的理解，从而改善了通过创新技术以及典型的测量策略来衡量的青少年驾驶行为。