A Pilot Trial to Prevent Intoxicated and Impaired Driving Among Adolescents

预防青少年酒后驾驶和不清醒驾驶的试点

• 批准号: 10414465
• 负责人: Karen Chan Osilla
• 金额: $ 17.22万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10414465
• 关键词: 16 year old; 17 year old; Address; Adolescent; Adult; Affect; Age; Alcohol consumption; Alcohols; Attitude; Automobile Driving; Automobiles; Behavior; Belief; California; Climate; Consumption; Country; Drug Compounding; Drug abuse; Education; Educational Curriculum; Feasibility Studies; Impairment; Internet; Intervention; Judgment; Legal; Licensing; Licensure; Marijuana; Marijuana Smoking; Mediating; Motor; Online Systems; Outcome; Participant; Pilot Projects; Policies; Preparation; Prevention; Prevention trial; Primary Health Care; Procedures; Provider; Public Health; Randomized; Randomized Clinical Trials; Reaction Time; Reporting; Resistance; Risk; Risk Behaviors; Sampling; Self Efficacy; Source; Speed; Surveys; Teenagers; Testing; Text Messaging; Time; Training; Vehicle crash; Work; Youth; adolescent health outcomes; adolescent substance use; alcohol abuse prevention; alcohol consequences; binge drinking; cost; deter alcohol use; drinking; driving behavior; driving under influence; effective intervention; efficacy evaluation; experience; feasibility testing; follow-up; human subject; impaired driving performance; improved; innovation; insight; intervention effect; marijuana use; online course; pilot trial; prevent; preventive intervention; programs; recruit; reduced alcohol use; retention rate; risky driving; social; substance use; substance use prevention; teen drivers; therapy development; treatment as usual; underage drinking; university student; web-based intervention; welfare; young drivers intervention

ABSTRACT Alcohol and marijuana (AM) are the most commonly used substances among adolescents in the U.S. The consequences of AM use are significantly higher relative to use of either substance alone. Teens’ propensity to engage in multiple risky behaviors while driving combined with their relative inexperience with the timing and duration of marijuana’s effects puts them at heightened risk for experiencing harms related to driving under the influence. Marijuana use initiation and binge drinking peak at age 16, the legal age teens may apply for a provisional driver’s license in some states. Thus, targeting these novice teen drivers prior to licensure is an ideal time for prevention efforts focused on reducing alcohol and/or marijuana initiation, use, and impaired driving. This study builds on effective interventions that have demonstrated reductions in alcohol and/or marijuana use and reduced consequences one year later, and proposes to adapt one of those interventions, CHAT, to the web (web-CHAT). We will evaluate the efficacy of web-CHAT among 15.5-16-year-old adolescents (n=150) recruited when they are attending behind-the-wheel training at the Automobile Club of Southern California (AAA). The study has the potential to promote public welfare by improving adolescent health outcomes and reducing risky driving behaviors that can have substantial monetary and social costs, as well as by providing unique insight into what mediates reduced risky driving attitudes behaviors among those in the intervention. The study is innovative because it is for both youth who are at risk for substance use as well as those who are not, and it is delivered during a teachable moment when adolescents receive driver’s education. We also collaborate with a leading provider of youth driver education, AAA, which provides online curriculum to AAA and non-AAA programs across the country. Finally, our study can provide unique insights about the efficacy of web-CHAT to reduce marijuana initiation, use, and risky driving attitudes in the context of a changing marijuana policy climate. We propose a 3-year study to test the feasibility of our procedures in a driver education setting and pilot the efficacy of web-CHAT. We will test whether web-CHAT reduces alcohol and/or marijuana initiation or use, and reduced risky driving attitudes and behaviors (intent to drive after drinking/using, passenger with someone who drank/used) compared to teens in UC, at three and six-month follow-up. We propose a crucial, time-sensitive intervention during driver education. This proposal allows us to establish the feasibility of our recruitment and study workflows, while also establishing acceptance and efficacy of web-CHAT among a diverse group of adolescents.

抽象的 酒精和大麻（AM）是美国青少年中最常用的物质 相对于仅使用任何两种物质，AM使用的后果都显着更高。青少年的承诺 驾驶时从事多种危险行为，以及其相对的经验与时机和时机和 大麻效果的持续时间使他们面临着与驾驶有关的危害的风险 影响。大麻使用启动和狂欢饮酒峰在16岁时，法定年龄可能申请 某些州的临时驾驶执照。那是针对这些新颖的青少年司机许可证的 预防努力的理想时间侧重于减少酒精和/或大麻倡议，使用和损害 驾驶。这项研究以有效的干预措施为基础，这些干预措施表明酒精和/或 一年后，大麻使用并减少了后果，并提议适应其中一种干预措施， 聊天，与Web（Web-Chat）。我们将评估15.5-16岁的Web-Chat的效率 青少年（n = 150）在参加汽车俱乐部的幕后训练时招募 南加州（AAA）。这项研究有可能通过改善青少年来促进公共福利 健康成果和降低可能具有大量货币和社会成本的冒险行为，作为 以及通过提供独特的见解，了解介导的降低风险驾驶参与者行为的行为 干预。这项研究具有创新性，因为这是针对有药物使用风险的年轻人 作为那些不是的人，它是在青少年收到驾驶员的教师时刻交付的 教育。我们还与青年驾驶员教育的领先提供商AAA合作，该提供商在线提供 全国AAA和非AAA计划的课程。最后，我们的研究可以提供独特的见解 关于在减少大麻倡议，使用和有风险的驾驶与会者的效率 大麻政策环境变化。我们提出了一项为期3年的研究，以测试我们在 驾驶员教育设置和驾驶Web-Chat的效率。我们将测试Web-Chat是否减少酒精 和/或大麻的启动或使用，以及降低的冒险驾驶参加和行为（意图在 与UC的青少年相比，饮酒/使用，与饮用/使用的人一起喝酒/使用的人，三个月和六个月 后续。我们建议在驾驶员教育期间进行至关重要的时间敏感干预措施。该建议使我们能够 确定我们招聘和学习工作流程的可行性，同时还建立接受和效率 在潜水者的青少年中的网络聊天。

项目成果

Study design to evaluate a web-intervention to prevent alcohol and cannabis-impaired driving and use among adolescents in driver education.

研究设计旨在评估网络干预措施，以防止青少年在驾驶员教育中酒精和大麻影响驾驶和使用。

• DOI: 10.1186/s13722-023-00373-2
• 发表时间: 2023-03-24
• 期刊: ADDICTION SCIENCE & CLINICAL PRACTICE
• 影响因子: 3.7
• 作者: Osilla, Karen Chan;D'Amico, Elizabeth J.;Smart, Rosanna;Rodriguez, Anthony;Nameth, Katherine;Hummer, Justin
• 通讯作者: Hummer, Justin