Hamann Cara, Schwab-Reese Laura, O'Neal Elizabeth E, Butcher Brandon, Yang Jingzhen, Peek-Asa Corinne
Clinical Assistant Professor, University of Iowa Injury Prevention Research Center and Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA;, Email:
Assistant Professor, Department of Health & Kinesiology, Purdue University College of Health and Human Sciences, West Lafayette, IN.
Am J Health Behav. 2019 Sep 1;43(5):963-975. doi: 10.5993/AJHB.43.5.8.
Teen drivers are at increased crash risk, largely due to lack of experience. Parents play a key role in influencing teen behaviors and attitudes around driving safety. Parent-involved interventions may improve teen driving safety but tend to be resource intensive and have limited scalability. In this study, we examined how family communication patterns (FCPs) impact teen risky driving and the effectiveness of a parent-focused teen driving intervention. Our data came from a large randomized controlled teen driving intervention trial. We randomized parent-teen dyads into one of 3 groups: ; ; or . The primary outcome variable was teen risky driving (self-reports and triggered events); the primary exposure variables were FCPs and intervention group. We used generalized linear models to calculate effect estimates. Teens' baseline risky driving did not vary by family communication pattern. The impact of the parent-focused intervention was stronger in families with a laissez-faire FCP. The laissez-faire FCP focuses little on child conformity and downplays communication. These results provide a framework for targeting high-resource teen driving interventions (event recorder feedback and parent-communication training) to families with laissez-faire communication patterns to attain the greatest risk reductions.
青少年驾驶员面临的撞车风险更高，这主要是由于缺乏经验。父母在影响青少年关于驾驶安全的行为和态度方面起着关键作用。父母参与的干预措施可能会提高青少年的驾驶安全性，但往往资源密集且可扩展性有限。在本研究中，我们考察了家庭沟通模式（FCPs）如何影响青少年危险驾驶以及以父母为中心的青少年驾驶干预措施的有效性。我们的数据来自一项大型随机对照青少年驾驶干预试验。我们将父母与青少年的二元组随机分为三组之一：；；或。主要结果变量是青少年危险驾驶（自我报告和触发事件）；主要暴露变量是家庭沟通模式和干预组。我们使用广义线性模型来计算效应估计值。青少年的基线危险驾驶情况在不同家庭沟通模式之间并无差异。在具有自由放任型家庭沟通模式的家庭中，以父母为中心的干预措施的影响更强。自由放任型家庭沟通模式很少关注孩子的顺从性，也不重视沟通。这些结果为将高资源的青少年驾驶干预措施（事件记录仪反馈和父母沟通培训）针对具有自由放任型沟通模式的家庭提供了一个框架，以实现最大程度的风险降低。
