Campbell Brendan T, Borrup Kevin, Saleheen Hassan, Banco Leonard, Lapidus Garry
Injury Prevention Center, Connecticut Children's Medical Center and Hartford Hospital, Hartford, Connecticut 06106, USA.
J Trauma. 2009 Jul;67(1 Suppl):S54-7. doi: 10.1097/TA.0b013e3181a93194.
As part of a statewide campaign, we surveyed physician attitudes and practice regarding teen driving safety before and after a brief intervention designed to facilitate in office counseling.
A 31-item self-administered survey was mailed to Connecticut physicians, and this was followed by a mailing of teen driving safety materials to physician practices in the state. A postintervention survey was mailed 8 months after the presurvey.
A total of 102 physicians completed both the pre and postsurveys. Thirty-nine percent (39%) reported having had a teen in their practice die in a motor vehicle crash in the presurvey, compared with 49% in the postsurvey. Physician counseling increased significantly for a number of issues: driving while impaired from 86% to 94%; restrictions on teen driving from 53% to 64%; teen driving laws from 53% to 63%; safe vehicle from 32% to 42%; parents model safe driving from 29% to 44%; and teen-parent written contract from 15% to 37%.
At baseline, the majority of physicians who provide care to teenagers in Connecticut report discussing and counseling teens on first wave teen driver safety issues (seat belts, alcohol use), but most do not discuss graduate driver licensing laws or related issues. After a brief intervention, there was a significant increase in physician counseling of teens on teen driving laws and on the use of teen-parent contracts. Additional interventions targeting physician practices can improve physician counseling to teens and their parents on issues of teen driving safety.
作为一项全州范围活动的一部分，我们在一项旨在促进门诊咨询的简短干预措施实施前后，对医生关于青少年驾驶安全的态度和做法进行了调查。
向康涅狄格州的医生邮寄了一份包含31个项目的自填式调查问卷，随后向该州的医生诊所邮寄了青少年驾驶安全材料。在预调查8个月后邮寄了一份干预后调查问卷。
共有102名医生完成了预调查和后调查。在预调查中，39%的医生报告称其诊治的青少年中有死于机动车碰撞事故的，而在后调查中这一比例为49%。在一些问题上，医生的咨询显著增加：酒后驾驶从86%增至94%；青少年驾驶限制从53%增至64%；青少年驾驶法律从53%增至63%；安全车辆从32%增至42%；父母树立安全驾驶榜样从29%增至44%；青少年与父母签订书面合同从15%增至37%。
在基线时，康涅狄格州大多数为青少年提供护理的医生报告称会就青少年驾驶安全的第一波问题（安全带、饮酒）与青少年进行讨论和咨询，但大多数医生未讨论分级驾驶员执照法律或相关问题。经过简短干预后，医生就青少年驾驶法律和青少年与父母签订合同的使用情况对青少年进行咨询的比例显著增加。针对医生诊所的额外干预措施可以改善医生就青少年驾驶安全问题对青少年及其父母的咨询。
