Fabiano Gregory A, Schatz Nicole K, Morris Karen L, Willoughby Michael T, Vujnovic Rebecca K, Hulme Kevin F, Riordan Jessica, Howard Marlana, Hennessy Dwight, Lewis Kemper, Hawk Larry, Wylie Amanda, Pelham William E
Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York.
RTI International.
J Consult Clin Psychol. 2016 Dec;84(12):1078-1093. doi: 10.1037/ccp0000137. Epub 2016 Sep 12.
Teenage drivers diagnosed with attention-deficit/hyperactivity disorder (ADHD) are at significant risk for negative driving outcomes related to morbidity and mortality. However, there are few viable psychosocial treatments for teens with ADHD and none focus on the key functional area of driving. The Supporting the Effective Entry to the Roadway (STEER) program was evaluated in a clinical trial to investigate whether it improved family functioning as a proximal outcome and driving behavior as a distal outcome.
One hundred seventy-two teenagers with ADHD, combined type, were randomly assigned to STEER or a driver education driver practice program (DEDP).
Relative to parents in the DEDP condition, parents in STEER were observed to be less negative at posttreatment and 6-month follow-up but not at 12-month follow-up, and there were no significant differences for observed positive parenting. Relative to teens in the DEDP condition, teens in STEER reported lower levels of risky driving behaviors at posttreatment and 6-month follow-up, but not at 12-month follow-up. Groups did not differ on objective observations of risky driving or citations/accidents.
The STEER program for novice drivers with ADHD was effective in reducing observations of negative parenting behavior and teen self-reports of risky driving relative to DEDP; groups did not significantly differ on observations of positive parenting or driving behaviors. (PsycINFO Database Record
被诊断患有注意力缺陷多动障碍（ADHD）的青少年驾驶员面临与发病率和死亡率相关的负面驾驶结果的重大风险。然而，针对患有ADHD的青少年，几乎没有可行的心理社会治疗方法，而且没有一种方法专注于驾驶这一关键功能领域。在一项临床试验中对“支持有效上路驾驶”（STEER）项目进行了评估，以调查它是否能改善家庭功能这一近端结果以及驾驶行为这一远端结果。
172名患有混合型ADHD的青少年被随机分配到STEER项目组或驾驶员教育驾驶实践项目（DEDP）组。
与DEDP组的家长相比，STEER组的家长在治疗后和6个月随访时被观察到负面情绪较少，但在12个月随访时并非如此，并且在观察到的积极育儿方面没有显著差异。与DEDP组的青少年相比，STEER组的青少年在治疗后和6个月随访时报告的危险驾驶行为水平较低，但在12个月随访时并非如此。两组在危险驾驶的客观观察或罚单/事故方面没有差异。
相对于DEDP，针对患有ADHD的新手驾驶员的STEER项目在减少负面育儿行为的观察以及青少年危险驾驶的自我报告方面是有效的；两组在积极育儿或驾驶行为的观察方面没有显著差异。（PsycINFO数据库记录
