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首页> 外文会议>Canadian multidisciplinary road safety conference >Remedial Programs for Convicted Drinking Drivers: Use of Regression-Discontinuity Analyses to Demonstrate Beneficial Effects of a Criterion-Based Increase in Program Duration.
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Remedial Programs for Convicted Drinking Drivers: Use of Regression-Discontinuity Analyses to Demonstrate Beneficial Effects of a Criterion-Based Increase in Program Duration.

机译：被判有罪的酒后驾驶者的补救计划：使用回归不连续分析来证明基于标准的计划持续时间的增加所产生的有益影响。

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Purpose An assumption underlying most remedial programs for convicted drinking drivers isthat individuals with more severe alcohol problems benefit from being assigned to longer ormore intense remedial interventions, but this has never been tested directly. Using regressiondiscontinuityanalyses (RD), we examined if assignment to a longer program at the point ofdiscontinuity (the cutoff point for assignment based on scores on the Research Institute onAddictions Self-Inventory (RIASI -Total and -Recidivism) is associated with a significantreduction in number of days using alcohol and certain drugs.Methods: Convicted drinking drivers in Ontario seeking relicensing are required to complete theBack on Track (BOT) remedial program. They are assigned to complete either an 8-houreducation or a 16-hour treatment program based on alcohol problem severity as determined byan assessment interview including the RIASI. Between 2000 and 2005, 22,277 convicteddrinking drivers registered for BOT and completed the follow-up interview six months aftercompletion of the education or treatment programs. Clients were assigned to the longertreatment program based on problem severity as measured by a RIASI-T score of 9+ and aRIASI-R score of 6+.Results: The main outcome measures were number of days of alcohol and drug use (e.g.,cannabis, prescription opioids, tobacco) during the 90 days preceding the six-month follow-upinterview. A significant reduction in the number of drinking days from the point of assignment tothe treatment program was found. Specifically, there was a reduction of one drinking day(regression coeff. = -1.1) for the RIASI-T assignment strategy and two drinking days (regressioncoeff. = -1.96) for the RIASI-R assignment strategy. A significant reduction of less than one dayof cannabis use (regression coeff. = -0.16) from the point of assignment to the 16-hour programbased on the RIASI-T was also found.Conclusions: These results provide support for longer or more intensive treatmentinterventions for convicted drinking drivers when severity-based criteria are met. They alsoillustrate the value of RD analysis when randomized designs are not possible.
机译：目的一项针对大多数酒后驾车者的补救措施的假设是 酒精问题更严重的人受益于分配更长的时间或 更强的补救措施，但这从未直接进行过测试。使用回归不连续性 分析（RD），我们检查了是否在 不连续性（根据 上瘾自我清单（RIASI-总计和-累犯）与重大 减少使用酒精和某些药物的天数。 方法：安大略省被判有罪的酒后驾车者必须获得许可，才能完成 回到正轨（BOT）修复程序。他们被分配完成8小时 根据酒精问题严重程度进行的教育或16小时治疗计划，具体取决于 包括RIASI在内的评估访谈。在2000年至2005年之间，有22,277人被定罪 酒后驾车的人注册了BOT，并在六个月后完成了后续采访 完成教育或治疗计划。客户被分配到更长的时间 根据RIASI-T评分为9+和 RIASI-R得分为6+。 结果：主要结局指标是饮酒和吸毒的天数（例如， 六个月随访前90天内的大麻，处方类阿片类药物，烟草） 面试。从分配到 找到了治疗方案。具体来说，减少了一天的饮酒时间 （回归系数= -1.1）用于RIASI-T分配策略和两个饮酒日（回归 效率= -1.96）。大大减少了不到一天的时间 从分配到16小时计划的时间点的大麻使用量（回归系数= -0.16） 还发现了基于RIASI-T的产品。 结论：这些结果为更长或更长时间的治疗提供了支持。 满足基于严重程度的标准时对有罪酒后驾驶的干预措施。他们也 说明了不可能进行随机设计时RD分析的价值。

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