@article{ref1,
title="Young Driver Education Programs That Build Resilience Have Potential to Reduce Road Crashes",
journal="Pediatrics",
year="2009",
author="Senserrick, Teresa M. and Ivers, Rebecca Q. and Boufous, Soufiane and Chen, Huei-Yang and Norton, R. and Stevenson, Mark R. and van Beurden, Eric and Zask, Avigdor",
volume="124",
number="5",
pages="1287-1292",
abstract="Objective: The research aimed to explore associations between participation in 2 education programs for school-based learner drivers and subsequent road traffic offenses and crashes among a large cohort of newly licensed drivers. Methods: DRIVE is a prospective cohort study of 20822 first-year drivers aged 17 to 24 in New South Wales (NSW), Australia. Participants completed a detailed questionnaire and consented to data linkage in 2003-2004. Questionnaire items included year of participation in 2 specific education programs: a 1-day workshop-only program focusing on driving risks (&quot;driver-focused&quot;) and a whole-of-community program also including a 1-day workshop but also longer term follow-up activities and a broader focus on reducing risk-taking and building resilience (&quot;resilience-focused&quot;). Survey data were subsequently linked to police-reported crash and offense data for 1996-2005. Poisson regression models that adjusted for multiple confounders were created to explore offenses and crashes as a driver (dichotomized as 0 vs >/=1) after program participation. Results: Offenses did not differ between groups; however, whereas the driver-focused program was not associated with reduced crash risk, the resilience-focused program was associated with a 44% reduced relative risk for crash (0.56 [95% confidence interval: 0.34-0.93]). Conclusions: The large effect size observed and complementary findings from a comparable randomized, controlled trial in the United States suggest programs that focus more generally on reducing risks and building resilience have the potential to reduce crashes. A large, representative, randomized, controlled trial is urgently needed to confirm road safety benefits and ensure evidence-based spending and practitioner recommendations in this field.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2009-0659",
url="http://dx.doi.org/10.1542/peds.2009-0659"
}