University of Iowa, Iowa City, IA 52242, USA.
Health Educ Behav. 2013 Aug;40(4):426-34. doi: 10.1177/1090198112459517. Epub 2012 Oct 4.
Parents play a fundamental role in teaching their children safe driving skills to reduce risk of motor vehicle crashes, the leading cause of death for teens. Steering Teens Safe is a new parent-based intervention that equips parents with communication skills to talk about, demonstrate, and practice safe driving behaviors and skills with their teens. This implementation evaluation focuses on a sample of 83 parents who delivered Steering Teens Safe to their teens. One-, 2- and 3-month follow-up assessments were conducted with intervention parents to evaluate the self-reported quantity and quality of talking about, demonstrating, and practicing safe driving goals with teens; perceived success and benefit of the program; and barriers to implementation. Over 3 months of follow-up, parents discussed driving goals with their teens for a median of 101.5 minutes. The most frequently addressed topics were general safety principles, including distracted driving, driving in bad weather, wearing a seat belt, and being a safe passenger. Parents spent a median of 30 minutes practicing safe driving skills such as changing lanes. Sixty-seven percent of parents talked to their children about rural road safety, but just 36% demonstrated and half practiced these skills with their teens. Barriers to implementation include time and opportunity barriers and resistant attitudes of their teens. However, barriers neither affected frequency of engagement nor parents' perceived benefit and comfort in delivering the program. Parents with time/opportunity barriers also had higher practice and demonstration times than parents without these barriers. Findings indicate high acceptability among parent implementers and promise for real-world delivery. Future studies are needed to assess intervention impact.
父母在教授孩子安全驾驶技能方面起着至关重要的作用，可以降低青少年机动车事故这一致死率最高的原因的风险。Steering Teens Safe 是一种新的以父母为基础的干预措施，它为父母提供沟通技巧，与青少年谈论、示范和练习安全驾驶行为和技能。本实施评估聚焦于 83 名向青少年提供 Steering Teens Safe 的父母的样本。对干预父母进行了 1 个月、2 个月和 3 个月的随访评估，以评估与青少年谈论、示范和练习安全驾驶目标的自我报告数量和质量；对项目的感知成功和益处；以及实施的障碍。在 3 个月的随访期间，父母与青少年讨论驾驶目标的中位数为 101.5 分钟。最常讨论的主题是一般安全原则，包括分心驾驶、恶劣天气驾驶、系安全带和安全乘客。父母花费中位数 30 分钟练习安全驾驶技能，如变道。67%的父母与孩子讨论过农村道路安全问题，但只有 36%的父母向孩子示范了这些技能，只有一半的父母与孩子练习了这些技能。实施障碍包括时间和机会障碍以及青少年的抵触态度。然而，这些障碍既没有影响参与的频率，也没有影响父母对提供项目的感知益处和舒适度。存在时间/机会障碍的父母的实践和示范时间也高于没有这些障碍的父母。研究结果表明，家长实施者的接受度很高，为现实世界的推广提供了希望。未来需要研究来评估干预措施的影响。
