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| Name | Class |
|---|---|
| State Farm Insurance Co. | UNKNOWN |
| Bryn Mawr Rehabilitation Hospital | UNKNOWN |
| GFK Knowledge Networks | OTHER |
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The long-term goal of this research is to increase safe driving among novice teen drivers by increasing the quantity, quality and diversity of driving practice while accompanied by an adult. In order to achieve the long term goal of the study, the investigators have developed a web-based intervention program known as Teen Driving Plan (TDP) intended to support high quality driving practice.
Motor vehicle crashes remain the number one cause of death among teens in the United States. Teen drivers (ages 16 to 19) are four times more likely to be involved in fatal crashes than adult drivers (ages 25 to 69). Inexperience is a fundamental factor in the high crash rate for novice teens. Safe and skilled driving is a complex task that involves behaviors (e.g., skills and actions) that vary and become increasingly challenging with increasing speed, unsafe road conditions and other hazards of the driving environment. Because teens are at their lowest lifetime risk of crashing when accompanied by an adult, adult-supervised practice provides a safe way for teens to gain needed experience under a variety of driving conditions. Unfortunately, few teens receive sufficient quantity, quality and diversity of adult-supervised practice prior to licensure.
The objective of the proposed research is to compare how the driving training process and the results of that training process differ between a group of young learning permit holders in families that have access to TDP (the intervention group) from the training process and the results of that process in an otherwise similar group of teens in families with no TDP access (the control group). The investigators hypothesize that teens given access to TDP will demonstrate greater competence and safety in a standardized on-road driving assessment than teens with no TDP access.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Teen Driving Plan | Experimental | Access to web-based driving intervention |
|
| Usual practice | No Intervention | Use of typical supervised practice driving resources |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Teen driving plan | Behavioral | Web-based intervention designed to facilitate parent supervised practice driving with novice teen driver. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Late Driving Performance in On-road Assessment (ODA) Test | The primary outcome was driving performance as measured by the teens completion of the standardized and validated ODA 24 weeks after enrollment. Certified professional driving evaluators blinded to randomization status terminated the ODA if they determined that the teen could not safely complete it. Criteria for termination included: (1) a driver action or inaction requiring evaluator intervention to prevent a collision; (2) a driving task requiring assistance from the evaluator to be performed safely; (3) violation of a traffic law; (4) evasive action needed by another vehicle or a pedestrian to avoid a collision; or (5) a subjective assessment by the evaluator that the teenager could not continue safely. We examined the teens ability to complete the ODA as measured by the number of terminations. | 24 weeks after enrollment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dennis R Durbin, MD, MSCE | Chidlren's Hospital of Philadelphia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24957844 | Derived | Mirman JH, Curry AE, Winston FK, Wang W, Elliott MR, Schultheis MT, Fisher Thiel MC, Durbin DR. Effect of the teen driving plan on the driving performance of teenagers before licensure: a randomized clinical trial. JAMA Pediatr. 2014 Aug;168(8):764-71. doi: 10.1001/jamapediatrics.2014.252. | |
| 24916684 | Derived |
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A subset of the teens were assigned to complete the On Road Driving (ODA) assessment. Study participation lasted from 6-36 months based on licensure status - all dyads participated in the study for 6 months, after which participation continued until teens obtained their junior driver's license (up to a max of 36 months from enrollment).
From December 2011 to August 2012, participants were recruited from 5 sources: (1) local high schools; (2) The Children's Hospital of Philadelphia (CHOP) primary care practices; (3) local licensing centers; (4) community events; and (5) targeted ads in online venues. Fliers, letters, and ads describing the study were distributed via these channels.
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| ID | Title | Description |
|---|---|---|
| FG000 | Teen Driving Plan (TDP) | Access to web-based driving intervention Teen driving plan: Web-based intervention designed to facilitate parent supervised practice driving with novice teen driver. |
| FG001 | Usual Practice (Control) | Use of typical supervised practice driving resources |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Sample |
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| ||||||||||||||||||
| On the Road Driving Assessment (ODA) |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Teen Driving Plan | Access to web-based driving intervention Teen driving plan: Web-based intervention designed to facilitate parent supervised practice driving with novice teen driver. |
| BG001 | Usual Practice |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Late Driving Performance in On-road Assessment (ODA) Test | The primary outcome was driving performance as measured by the teens completion of the standardized and validated ODA 24 weeks after enrollment. Certified professional driving evaluators blinded to randomization status terminated the ODA if they determined that the teen could not safely complete it. Criteria for termination included: (1) a driver action or inaction requiring evaluator intervention to prevent a collision; (2) a driving task requiring assistance from the evaluator to be performed safely; (3) violation of a traffic law; (4) evasive action needed by another vehicle or a pedestrian to avoid a collision; or (5) a subjective assessment by the evaluator that the teenager could not continue safely. We examined the teens ability to complete the ODA as measured by the number of terminations. | 512 teen-parent dyads were eligible and agreed to participate. Of these, 217 teens were scheduled to complete the ODA (128 were randomized to Teen Driving Plan (TDP), 89 to Usual Practice). Participant attrition over the time of the study resulted in 151 teens (86 TDP and 65 control) completing the 24-week ODA. | Posted | Number | Participants | 24 weeks after enrollment |
24 weeks from time of enrollment
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Teen Driving Plan (TDP) | Access to web-based driving intervention Teen driving plan: Web-based intervention designed to facilitate parent supervised practice driving with novice teen driver. |
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Moderate attrition (although no evidence of selective attrition); limited generalizability of results; and eight teenagers were not administered the highway module and were censored from analysis.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dennis Durbin, MD, MSCE | The Children's Hospital of Philadelphia | 215-590-7331 | DURBIND@EMAIL.CHOP.EDU |
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| Winston FK, Mirman JH, Curry AE, Pfeiffer MR, Elliott MR, Durbin DR. Engagement with the TeenDrivingPlan and diversity of teens' supervised practice driving: lessons for internet-based learner driver interventions. Inj Prev. 2015 Feb;21(1):4-9. doi: 10.1136/injuryprev-2014-041212. Epub 2014 Jun 10. |
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Use of typical supervised practice driving resources
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| ID | Title | Description |
|---|
| OG000 | Teen Driving Plan (TDP) | Access to web-based driving intervention that provides practice supervisors with specific guidance for facilitating supervision of teens' practice drives across several environments and conditions (eg., highways, commercial districts) using brief instructional videos and resources. |
| OG001 | Usual Practice (Control) | Participants received a hard copy of the Pennsylvania driver's manual, also available online and at licensing centers. |
|
|
| 0 |
| 610 |
| 0 |
| 610 |
| EG001 | Usual Practice (Control) | Use of typical supervised practice driving resources | 0 | 414 | 0 | 414 |
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