Reducing Driving Offenses of Adolescent Drinkers

减少青少年饮酒者的驾驶违法行为

• 批准号: 7414589
• 负责人: TED D NIRENBERG
• 金额: $ 55.6万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7414589
• 关键词: 20 year old; Adolescent; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohols; Area; Arousal; Automobile Driving; Behavior; Behavioral; Characteristics; Charge; Cognition; Communities; Community Services; Condition; Coupled; Data; Distal; Drunk driving; Economics; Effect Modifiers (Epidemiology); Effectiveness of Interventions; Emotional; Emotions; Equilibrium; Event; Exposure to; Feedback; Gender; Goals; Group Interviews; Hand; Health; Heavy Drinking; Hospitals; Hour; Individual; Injury; Intervention; Lead; Legal; Legal system; Measures; Mediating; Mediation; Modeling; Motivation; Outcome; Participant; Pathway interactions; Patient Self-Report; Perception; Population; Population Study; Predisposition; Principal Investigator; Probability; Process; Professional counselor; Program Effectiveness; Public Health; Randomized; Rate; Readiness; Recording of previous events; Records; Relative (related person); Reporting; Research; Research Personnel; Rhode Island; Risk; Risk Behaviors; Risk-Taking; Score; Self Efficacy; Services; Severities; Social Network; Solid; Source; Surveys; System; Target Populations; Techniques; Testing; Trauma; Variant; Vehicle crash; Young driver; Youth; adjudication; age group; alcohol behavior; alcohol misuse; alcohol related problem; anti social; base; behavior change; convict; cost; court; drinking; drinking behavior; driving behavior; expectation; experience; follow-up; high risk behavior; intervention program; member; motivational enhancement therapy; motivational intervention; neighborhood safety; offender; parental influence; parental role; peer; peer influence; prognostic; programs; role model; social; trafficking; treatment effect; volunteer; 20 year old; Adolescent; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohols; Area; Arousal; Automobile Driving; Behavior; Behavioral; Characteristics; Charge; Cognition; Communities; Community Services; Condition; Coupled; Data; Distal; Drunk driving; Economics; Effect Modifiers (Epidemiology); Effectiveness of Interventions; Emotional; Emotions; Equilibrium; Event; Exposure to; Feedback; Gender; Goals; Group Interviews; Hand; Health; Heavy Drinking; Hospitals; Hour; Individual; Injury; Intervention; Lead; Legal; Legal system; Measures; Mediating; Mediation; Modeling; Motivation; Outcome; Participant; Pathway interactions; Patient Self-Report; Perception; Population; Population Study; Predisposition; Principal Investigator; Probability; Process; Professional counselor; Program Effectiveness; Public Health; Randomized; Rate; Readiness; Recording of previous events; Records; Relative (related person); Reporting; Research; Research Personnel; Rhode Island; Risk; Risk Behaviors; Risk-Taking; Score; Self Efficacy; Services; Severities; Social Network; Solid; Source; Surveys; System; Target Populations; Techniques; Testing; Trauma; Variant; Vehicle crash; Young driver; Youth; adjudication; age group; alcohol behavior; alcohol misuse; alcohol related problem; anti social; base; behavior change; convict; cost; court; drinking; drinking behavior; driving behavior; expectation; experience; follow-up; high risk behavior; intervention program; member; motivational enhancement therapy; motivational intervention; neighborhood safety; offender; parental influence; parental role; peer; peer influence; prognostic; programs; role model; social; trafficking; treatment effect; volunteer

DESCRIPTION (provided by applicant): Motor Vehicle Crashes (MVCs) are the most prevalent cause of fatalities among 16-20 year olds. Alcoholrelated driving convictions are a frequent precursor of MVCs, as well as alcohol use being a public health problem in their own right. Reduction in high risk driving convictions by adolescents who drink before driving would appreciably decrease the health risks for this population, as well as reduce the $40 billion negative economic impact of MVCs by young drivers. To date, interventions to reduce subsequent alcohol related convictions have had a very modest impact on driving offenders in general, and an unknown impact on adolescent drivers. The aim of the study is to test whether two variations of adapted motivational interviewing (AMI) will lower the probability of subsequent alcohol-related convictions and high risk driving convictions more than will the combination of sanctions and remedial actions otherwise mandated by the court, and to determine if one of those variations (i.e. AMI in combination with Trauma Room exposure) is most predictive of a lower probability of subsequent alcohol-related convictions and high risk driving convictions. Court mandated youth who have: 1) been convicted of an alcohol-related offense or 2) who have been convicted of a risk driving offense and who are hazardous drinkers who drink before driving are randomly assigned to one of three 16 hour program interventions, prototypic community service (PCS), enhanced Ml (EMI), and enhanced Ml plus Trauma Room exposure (EMIT), and followed for one to three years. Subsequent convictions are measured through a combination of court records and self-report. It is hypothesized that EMI will be more effective than PCS, but that EMIT will be more effective than EMI, in lowering the probability of obtaining at least one 12-month high risk driving conviction. Hypothesized mechanisms of change for the interventions will be measured and tested in a mediation analysis to identify the active ingredients of treatment, intrapersonal change, and behavior change hypothesized to differentiate EMI and EMIT from PCS and from one another. Based on our 4 year pilot program data, it is expected that positive results for EMIT would be enthusiastically embraced by state and national leaders within the judicial and traffic safety communities and would be easily disseminated to other states for implementation by other court systems.

描述（由申请人提供）：汽车撞车事故（MVC）是16-20岁儿童死亡的最普遍原因。与酒精相关的驾驶定罪是MVC的常见先驱，而饮酒本身就是一个公共卫生问题。在开车前喝酒的青少年的高风险驾驶定罪的降低将显着降低该人群的健康风险，并减少年轻驾驶员对MVC的400亿美元负面经济影响。迄今为止，减少与酒精相关的信念的干预措施对总体上驾驶罪犯产生了非常适中的影响，并且对青少年驾驶员的影响不明。该研究的目的是测试两种适应动机访谈（AMI）是否会降低与酒精相关的定罪和高风险驾驶定罪的可能性，而不是法院另有规定的制裁和补救措施的结合，并确定了这些变化中的一项（即，与Trearuma Brocel and a a ami相结合）是否降低了制裁和补救措施的结合。高风险推动定罪。法院规定的年轻人：1）被定罪与酒精有关的罪行或2）被定罪的，他们因驾驶犯罪而被定罪，他们是在开车前喝酒的危险饮酒者，被随机分配到三个16小时的计划干预，原型社区服务（PCS），ML（EMI），增强的ML Plus Trauma Roome（Emit（EmiT）（Emit（Emit）（Emit（EmiT））和三个年级），并以3个年限）（emi）（emiT），以及三个年前（Emit（Emit）（emit（Emit），随后的定罪是通过法院记录和自我报告的结合来衡量的。假设EMI将比PC更有效，但是该EMIT比EMI更有效，在降低获得至少一个12个月的高风险驾驶定罪的可能性方面。在调解分析中将测量和测试假设的干预措施变化机制，以确定治疗，人际变化和行为变化的主动成分，该作用据说可以区分EMI并彼此区分EMI和发射。根据我们的4年试点计划数据，预计EMIT的积极成果将受到司法和交通安全社区中的州和国家领导人的热情拥抱，并且很容易被其他法院系统传播给其他州以实施。