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Related Experiment Videos

Screening and Brief Advice to Reduce Adolescents' Risk of Riding With Substance-Using Drivers.

John R Knight1,2,3, Ladislav Csemy4,5, Lon Sherritt1,2,3

  • 1Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Journal of Studies on Alcohol and Drugs
|August 7, 2018
PubMed
Summary

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Computer-facilitated Screening and Brief Advice (cSBA) reduced adolescent riding with substance-using drivers. However, this intervention did not significantly impact driving after alcohol or drug use among teens.

Area of Science:

  • Public Health
  • Adolescent Medicine
  • Substance Abuse Prevention

Background:

  • Alcohol- and drug-related car crashes are a major cause of adolescent mortality in the US.
  • Primary care settings offer opportunities to address risky driving behaviors in adolescents.

Purpose of the Study:

  • To evaluate the effectiveness of a computer-facilitated Screening and Brief Advice (cSBA) system in reducing adolescent driving after substance use and riding with substance-using drivers.
  • To assess the impact of cSBA on adolescent risky driving and riding behaviors within a primary care context.

Main Methods:

  • A study involving 2,096 adolescents aged 12-18 in nine New England pediatric offices.
  • Implementation of an 18-month cSBA intervention following an 18-month treatment-as-usual phase, including provider training and a computer-based screening tool.

Related Experiment Videos

  • Logistic regression with generalized estimating equations was used to analyze adjusted relative risk ratios for driving and riding outcomes at 3- and 12-month follow-ups.

    • Main Results:

    • No significant effects were observed on adolescents' driving after drinking or drug use.
    • At 3-month follow-up, adolescents receiving cSBA were less likely to report riding with a drinking driver (aRRR = 0.70) or a driver using cannabis/other drugs (aRRR = 0.46).
    • The reduction in riding with drinking drivers was more pronounced when the drivers were adult family members (aRRR = 0.34), but these effects diminished by 12 months.

    Conclusions:

    • Pediatrician brief advice and screening show potential for reducing adolescents' risk of riding with substance-using drivers.
    • While the cSBA system demonstrated short-term benefits in reducing riding with impaired drivers, its long-term impact on driving behaviors requires further investigation.