Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Email:
J Inj Violence Res. 2021 Jan;13(1):69-80. doi: 10.5249/jivr.v13i1.1592. Epub 2021 Jan 18.
There is a vast amount of literature on the effects of driver education. However, the evidence has become somewhat fragmented, making it challenging to understand driver education's effectiveness for improving road safety. The current study aimed to provide the efficacy of pre-LDE and post-LDE interventions aimed at improving the safety of drivers (includes crashes, injuries, or secondary outcomes).
The following online databases were searched up to the 21st of February 2020: Web of Science (WOS), Scopus, PubMed, Cochrane library, and other relevant databases. Systematic reviews (SR) and meta-analyses were selected to investigate the efficacy of driving education in reducing crashes, injuries, or secondary outcomes. Two investigators independently conducted the data extraction and used the assessment of multiple systematic reviews (AMSTAR) tool to conduct a quality assessment of each SR identified.
Out of the 229 potential articles, seven SRs were eligible for the current overview of systematic reviews and meta-analyses. This overview showed that pre-and post-license education by people of all ages led to improvements in secondary outcomes, such as performance, self-perceived driving abilities, behind-the-wheel driving performance, and even a small decrease in traffic offenses. However, education was not effective in reducing crashes or injuries, either at the individual or community level.
There was no evidence that driver education is an effective approach to reducing crashes or injuries. This negative result might be due to ineffective teaching methods. To improve road safety, it appears necessary to change the method or content of driving education since the current approaches to driving education do not reduce traffic crashes or injuries.
关于驾驶教育效果的文献数量庞大。然而,这些证据已经变得有些分散,使得理解驾驶教育对提高道路安全的有效性变得具有挑战性。本研究旨在提供旨在提高驾驶员安全性(包括事故、伤害或次要结果)的预-LDE 和 post-LDE 干预措施的功效。
截至 2020 年 2 月 21 日,我们搜索了以下在线数据库:Web of Science(WOS)、Scopus、PubMed、Cochrane 图书馆和其他相关数据库。系统评价(SR)和荟萃分析被选中,以调查驾驶教育在减少事故、伤害或次要结果方面的功效。两名调查员独立进行数据提取,并使用评估多个系统评价(AMSTAR)工具对确定的每个 SR 进行质量评估。
在 229 篇潜在文章中,有 7 篇 SR 符合当前系统评价和荟萃分析综述的条件。该综述表明,所有年龄段的人进行的预和许可证后的教育都导致了次要结果的改善,例如性能、自我感知的驾驶能力、路考驾驶表现,甚至交通违规行为略有减少。然而,教育在减少个人或社区层面的事故或伤害方面并没有效果。
没有证据表明驾驶教育是减少事故或伤害的有效方法。这一负面结果可能是由于教学方法无效所致。为了提高道路安全,似乎有必要改变驾驶教育的方法或内容,因为目前的驾驶教育方法并不能减少交通事故或伤害。