Document Detail


Young driver education programs that build resilience have potential to reduce road crashes.
MedLine Citation:
PMID:  19805458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The research aimed to explore associations between participation in 2 education programs for school-based learner drivers and subsequent road traffic offenses and crashes among a large cohort of newly licensed drivers. METHODS: DRIVE is a prospective cohort study of 20822 first-year drivers aged 17 to 24 in New South Wales (NSW), Australia. Participants completed a detailed questionnaire and consented to data linkage in 2003-2004. Questionnaire items included year of participation in 2 specific education programs: a 1-day workshop-only program focusing on driving risks ("driver-focused") and a whole-of-community program also including a 1-day workshop but also longer term follow-up activities and a broader focus on reducing risk-taking and building resilience ("resilience-focused"). Survey data were subsequently linked to police-reported crash and offense data for 1996-2005. Poisson regression models that adjusted for multiple confounders were created to explore offenses and crashes as a driver (dichotomized as 0 vs >or=1) after program participation. RESULTS: Offenses did not differ between groups; however, whereas the driver-focused program was not associated with reduced crash risk, the resilience-focused program was associated with a 44% reduced relative risk for crash (0.56 [95% confidence interval: 0.34-0.93]). CONCLUSIONS: The large effect size observed and complementary findings from a comparable randomized, controlled trial in the United States suggest programs that focus more generally on reducing risks and building resilience have the potential to reduce crashes. A large, representative, randomized, controlled trial is urgently needed to confirm road safety benefits and ensure evidence-based spending and practitioner recommendations in this field.
Authors:
Teresa Senserrick; Rebecca Ivers; Soufiane Boufous; Huei-Yang Chen; Robyn Norton; Mark Stevenson; Eric van Beurden; Avigdor Zask
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-05
Journal Detail:
Title:  Pediatrics     Volume:  124     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-02     Completed Date:  2009-12-31     Revised Date:  2010-02-02    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1287-92     Citation Subset:  AIM; IM    
Affiliation:
The George Institute for International Health, University of Sydney, Sydney, New South Wales, Australia. tsenserrick@george.org.au
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / prevention & control*
Adolescent
Automobile Driving / education*
Female
Humans
Male
New South Wales
Safety
Teaching / methods
Young Adult
Comments/Corrections
Erratum In:
Pediatrics. 2010 Feb;125(2):415

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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