The University of Alabama at Birmingham, Department of Psychology, 1720 2nd Avenue South, Birmingham, AL 35294, USA.
The University of Alabama at Birmingham, Department of Psychology, 1720 2nd Avenue South, Birmingham, AL 35294, USA.
J Safety Res. 2018 Sep;66:113-120. doi: 10.1016/j.jsr.2018.06.008. Epub 2018 Jun 23.
The aims of the current pilot study were to evaluate the feasibility, acceptability, and preliminary efficacy of the Talking with Teens about Traffic Safety Program. The program consists of a clinic-based health coaching session with parents of adolescents at their annual well-child visit to promote parent-teen communication about teen driver safety including: a Parent Handbook that is designed to serve as a primer on teen driver safety and facilitate parent-teen communication on a variety of teen driver topics; an interactive practice driving toolset; and an endorsement of the materials by the primary care provider.
Fifty-four parent-teen dyads (n = 108 total) were recruited from a primary care practice. Dyads were randomized (1:1) into a treatment group or a usual care group. Implementation fidelity was assessed using checklists completed by health coaches and parent interviews. After 6 months, parents reported how often they talked with their teen about 12 safe driving topics (e.g., state graduated driver licensing laws).
Parents in the treatment group reported more frequent discussions than parents in the control group on 7 out of the 12 topics. Fidelity data indicate that 100% of sessions were implemented as designed and were acceptable to parents.
The program was feasible to administer and there was evidence for preliminary efficacy. Generally, effects were larger for more infrequently discussed topics, which is to be expected due to the potential for ceiling effects on more commonly discussed topics (e.g., distracted driving). A larger multi-site study is warranted.
The results from this pilot study provide support for implementation fidelity and establish a proof-of-concept for the Talking with Teens about Traffic Safety Program. The results provide guidance for developing partnerships with pediatricians and parents to develop parent-teen communication interventions on injury prevention topics.
本研究旨在评估“青少年交通安全对话”计划的可行性、可接受性和初步疗效。该计划包括在青少年年度健康检查时，为家长提供一次基于诊所的健康辅导，以促进家长与青少年就青少年司机安全问题进行沟通，包括：一本家长手册，旨在作为青少年司机安全的入门读物，促进家长与青少年就各种青少年司机话题进行沟通；一个互动练习驾驶工具包；以及由初级保健提供者对这些材料的认可。
从一家初级保健诊所招募了 54 对父母-青少年（共 108 人）。将这些青少年分为治疗组和常规护理组，进行 1:1 随机分组。通过健康教练填写的检查表和家长访谈来评估实施的一致性。6 个月后，家长报告他们与青少年讨论 12 个安全驾驶话题的频率（例如，州级毕业驾驶员许可证法律）。
治疗组的家长报告比对照组的家长在 12 个话题中的 7 个话题上进行了更频繁的讨论。一致性数据表明，100%的课程都按照设计进行，并且得到了家长的认可。
该计划的实施是可行的，并且有初步疗效的证据。一般来说，对于讨论较少的话题，效果更大，这是由于对更常讨论的话题（例如，分心驾驶）可能存在上限效应。因此，需要进行更大规模的多地点研究。
本研究的结果为实施一致性提供了支持，并为“青少年交通安全对话”计划提供了概念验证。结果为与儿科医生和家长建立伙伴关系以开发伤害预防话题的家长与青少年沟通干预措施提供了指导。
