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首页> 外文期刊>BMC Public Health >Steering teens safe: a randomized trial of a parent-based intervention to improve safe teen driving
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Steering teens safe: a randomized trial of a parent-based intervention to improve safe teen driving

机译：指导青少年安全：一项基于父母干预以改善青少年安全驾驶的随机试验

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Background Crashes are the leading cause of death for teens, and parent-based interventions are a promising approach. We assess the effectiveness of Steering Teens Safe, a parent-focused program to increase safe teen driving. Methods Steering Teens Safe aimed to improve parental communication with teens about safe driving using motivational interviewing techniques in conjunction with 19 safe driving lessons. A randomized controlled trial involved 145 parent-teen dyads (70 intervention and 75 control). Intervention parents received a 45-minute session to learn the program with four follow-up phone sessions, a DVD, and a workbook. Control parents received a standard brochure about safe driving. Scores were developed to measure teen-reported quantity and quality of parental communication about safe driving. The main outcome measure was a previously validated Risky Driving Score reported by teens. Because the Score was highly skewed, a generalized linear model based on a gamma distribution was used for analysis. Results Intervention teens ranked their parent’s success in talking about driving safety higher than control teens (p?=?0.035) and reported that their parents talked about more topics (non-significant difference). The Risky Driving Score was 21% lower in intervention compared to control teens (85% CI?=?0.60, 1.00). Interaction between communication quantity and the intervention was examined. Intervention teens who reported more successful communication had a 42% lower Risky Driving Score (95% CI?=?0.37, 0.94) than control parents with less successful communication. Conclusions This program had a positive although not strong effect, and it may hold the most promise in partnership with other programs, such as Driver’s Education or Graduated Driver’s License policies. Trial registration ClinicalTrials.gov NCT01014923 . Registered Nov. 16, 2009.
机译：背景技术事故是青少年死亡的主要原因，基于父母的干预是一种有前途的方法。我们评估了以青少年为中心的计划“指导青少年安全”的有效性，以提高青少年安全驾驶的能力。方法《指导青少年安全》旨在通过动机访谈技术结合19个安全驾驶课程，改善与青少年的父母关于安全驾驶的沟通。一项随机对照试验涉及145个亲本二元组（70个干预组和75个对照组）。干预措施的家长接受了为时45分钟的会议，通过四个后续电话会议，DVD和一本工作簿来学习该程序。控制父母收到了有关安全驾驶的标准手册。制定分数来衡量青少年报告的有关安全驾驶的父母沟通的数量和质量。主要结局指标是青少年报告的先前验证的危险驾驶得分。由于得分高度偏斜，因此使用基于伽玛分布的广义线性模型进行分析。结果干预青少年将其父母在谈论驾驶安全方面的成功程度高于控制青少年（p？=？0.035），并报告其父母讨论了更多话题（无显着差异）。与对照组青少年相比，干预中的危险驾驶得分降低了21％（85％CI？=？0.60，1.00）。研究了沟通量与干预之间的相互作用。与成功沟通较少的对照组父母相比，沟通成功的干预青少年的危险驾驶分数（95％CI？=？0.37，0.94）低42％。结论该计划产生了积极的影响，尽管效果不是很强，但它可能与其他计划（例如驾驶员的教育或毕业的驾驶执照政策）合作，具有最大的前景。试用注册ClinicalTrials.gov NCT01014923。 2009年11月16日注册。

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