Citation

Mirman JH, Curry AE, Elliott MR, Long L, Pfeiffer MR. J. Adolesc. Health 2018; 62(3): 341-348.

Affiliation

Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.jadohealth.2017.09.015

PMID

29223562

Abstract

PURPOSE: Although motor vehicle crashes are the leading cause of death for adolescents, there is a scarcity of research addressing adolescents' lack of pre-licensure practical driving experience, which is theorized to increase their post-licensure crash risk.

METHODS: Utilizing police-reported crashes and survey data from a randomized and quasi-randomized trial (n = 458 adolescents, 16 or 17 years of age at enrollment), the impact of a parent-directed supervised practice driving intervention and a comprehensive on-road driving assessment (ODA) with feedback was evaluated on adolescent drivers' motor vehicle crashes involvement.

RESULTS: Compared with the control condition, a nonsignificant 20% relative reduction in risk was observed for the parent-directed intervention: adjusted hazard ratio  = .80 (95% confidence interval [CI].44, 1.43); the unadjusted absolute risk reduction was 1.1% (95% CI -4.4, 7.1). Exposure to the ODA resulted in an 53% relative reduction of risk: adjusted hazard ratio  = .47 (95% CI.24,.91); the unadjusted absolute risk reduction was 5.4% (95% CI -.3, 10.7).

CONCLUSIONS: Comprehensive ODA might be protective for adolescents; however, additional research is needed.

Copyright © 2017 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Adolescence; Expertise; Graduated driver licensing; Motor vehicle crashes; Teen drivers