Gunn Anna, McLeod Janet, Chapman Rebecca, Ball Hayley, Fitzgerald Mark, Howard Teresa, Cameron Peter, Mitra Biswadev
National Trauma Research Institute, The Alfred, Melbourne, Victoria, Australia.
Emergency and Trauma Centre, The Alfred, Melbourne, Victoria, Australia.
Emerg Med Australas. 2018 Apr;30(2):209-213. doi: 10.1111/1742-6723.12878. Epub 2018 Jan 21.
The Prevent Alcohol and Risk-Related Trauma in Youth (P.A.R.T.Y.) Program at The Alfred uses vivid clinical reality to build resilience and prevent injury by following a trauma patient's journey through hospital. The present study aims to analyse the effect of P.A.R.T.Y. on safety perceptions of driving after alcohol, seat belt use and risk-taking activities.
Pre-programme, immediately post-programme and 3-5 months post-programme surveys with questions focused on the programme aims were distributed to all consented participants.
There were 2502 participants during the study period and 1315 (53%) responses were received. The mean age was 16.2 (SD 0.8) years, 724 (56%) were women and 892 (68%) possessed a learner's permit for driving. Pre-programme, 1130 (86%) participants reported 'definitely not' likely to drive after drinking alcohol, that improved to 1231 (94%) immediately post-programme and 1215 (93%) at 3-5 months post-programme (P < 0.01). Designating a safe driver after drinking was reported by 1275 (97%) pre-programme, 1295 (98%) immediately post-programme and 1286 (98.2%) 3-5 months post-programme (P = 0.02). The perception of sustaining 'definite' injury after a motor vehicle crash without a seat belt increased from 780 (60%) pre-programme to 1051 (80%) immediately post-programme and 886 (69%) 3-5 months post-programme (P < 0.01). The possibility of sustaining 'definite' injury after risk-taking activities was reported by 158 (12%) pre-programme, 467 (36%) post-programme and 306 (23%) 3-5 months post-programme (P < 0.01).
The P.A.R.T.Y. Program at The Alfred engaged substantial numbers of youths and achieved significant improvements among key outcome measures. Objectives were sustained at 3-5 months post-programme, but demonstrated decay, highlighting the importance of continual reinforcement.
阿尔弗雷德医院的青少年预防酒精及相关创伤（P.A.R.T.Y.）项目通过让青少年跟随创伤患者在医院的救治过程，利用生动的临床实际情况来增强他们的适应力并预防伤害。本研究旨在分析P.A.R.T.Y.项目对饮酒后驾驶的安全认知、安全带使用情况以及冒险行为的影响。
在项目开展前、结束后即刻以及结束后3至5个月，向所有同意参与的参与者发放了聚焦于项目目标的调查问卷。
研究期间共有2502名参与者，共收到1315份（53%）回复。参与者的平均年龄为16.2（标准差0.8）岁，其中724名（56%）为女性，892名（68%）拥有学习驾驶许可证。项目开展前，1130名（86%）参与者表示饮酒后“绝对不会”开车，这一比例在项目结束后即刻提高到1231名（94%），在项目结束后3至5个月时为1215名（93%）（P < 0.01）。项目开展前，1275名（97%）参与者表示会指定一名饮酒后的安全驾驶员，项目结束后即刻这一比例为1295名（98%），在项目结束后3至5个月时为1286名（98.2%）（P = 0.02）。认为在未系安全带的机动车碰撞事故中会受到“肯定”伤害的比例，从项目开展前的780名（60%）增加到项目结束后即刻的1051名（80%），在项目结束后3至5个月时为886名（69%）（P < 0.01）。表示在冒险活动后会受到“肯定”伤害的可能性，在项目开展前为158名（12%），项目结束后为467名（36%），在项目结束后3至5个月时为306名（23%）（P < 0.01）。
阿尔弗雷德医院的P.A.R.T.Y.项目吸引了大量青少年参与，并在关键成果指标方面取得了显著改善。项目目标在项目结束后3至5个月得以维持，但出现了衰减，这凸显了持续强化的重要性。
