Dale H, Scott C, Ozakinci G
NHS Fife Department of Psychology, Lynebank Hospital, Dunfermline, UK.
School of Medicine, University of St Andrews, North Hague, St Andrews, UK.
Inj Prev. 2017 Apr;23(2):109-113. doi: 10.1136/injuryprev-2015-041831. Epub 2016 May 13.
Young drivers are greatly over-represented in road traffic collisions (RTCs) worldwide. Interventions attempt to change driving-related behaviours to reduce injuries and deaths from RTCs. The current study evaluated the effectiveness of the well-established Fife Safe Drive Stay Alive (SDSA) practice-based intervention on determinants of driving behaviour using the health action process approach (HAPA) model. Adolescent participants (predominantly predrivers) attending the SDSA intervention from schools and colleges in Fife, Scotland, were invited to complete an evaluation at baseline and at 3 months exploring motivational determinants of driving behaviour (eg, risk perception). Intervention content was examined for behaviour change techniques (BCTs). Eighty-seven participants completed both baseline and follow-up evaluations. The motivational HAPA model variables predicted driving intentions. There was no significant overall effect of the SDSA intervention between baseline and 3-month follow-up. Seven negatively framed BCTs were used in the intervention. The effectiveness of SDSA is questioned; however, the study supports the use of the HAPA model in explaining driving intentions, and therefore, may usefully inform driving interventions.
在全球范围内，年轻驾驶员在道路交通事故（RTCs）中所占比例过高。各种干预措施试图改变与驾驶相关的行为，以减少道路交通事故造成的伤亡。本研究使用健康行动过程方法（HAPA）模型，评估了成熟的基于实践的法夫安全驾驶保命（SDSA）干预措施对驾驶行为决定因素的有效性。邀请了来自苏格兰法夫郡学校和学院参加SDSA干预的青少年参与者（主要是准驾驶员）在基线和3个月时完成一项评估，以探究驾驶行为的动机决定因素（如风险认知）。对干预内容进行了行为改变技术（BCTs）检查。87名参与者完成了基线和随访评估。动机性HAPA模型变量预测了驾驶意图。在基线和3个月随访之间，SDSA干预没有显著的总体效果。干预中使用了7种负面框架的BCTs。SDSA的有效性受到质疑；然而，该研究支持使用HAPA模型来解释驾驶意图，因此，可能会为驾驶干预提供有益的信息。
