Talking with teens about traffic safety: Initial feasibility, acceptability, and efficacy of a parent-targeted intervention for primary care settings

Mirman, Jessica Hafetz; Goodman, Emma; Friedrich, Elizabeth; Ford, Carol A.

doi:10.1016/j.jsr.2018.06.008

Cited by 12 publications

(12 citation statements)

References 48 publications

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“…Reviews of parenting interventions outside of clinic settings have shown favorable associations with the quality of parent-adolescent relationships, as well as health-related outcomes . Emerging literature shows that clinic-based interventions can effectively improve parenting communication and relationships as well as parent-adolescent communication about specific adolescent health-related outcomes in domains of sexual health, alcohol use, and teen driving . Our study supports the groundwork for a renewed interest in interventions and strategies designed to nurture and support the development of high-quality parent-adolescent relationships, above and beyond efforts targeting early childhood .…”

Section: Discussionsupporting

confidence: 65%

Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health

et al. 2023

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ImportanceStudies linking the quality of parent-adolescent relationships with young adult health outcomes could inform investments to support these complex relationships.ObjectiveTo evaluate whether consistently measured, modifiable characteristics of parent-adolescent relationships are associated with young adult health across multiple domains.Design, Setting, and ParticipantsThis cohort study used data from waves I (1994-1995; ages 12-17 years) and IV (2008-2009; ages 24-32 years) of the US National Longitudinal Study of Adolescent to Adult Health. Of 20 745 adolescents enrolled in wave I, 15 701 of 19 560 who were eligible completed wave IV (response rate, 80.3%). Data analyses were conducted from February 2019 to November 2020.ExposuresParental warmth, parent-adolescent communication, time together, relationship and communication satisfaction, academic expectations, and maternal inductive discipline as reported at wave I by adolescent participants.Main Outcomes and MeasuresWave IV participant-reported self-rated health, depression, stress, optimism, nicotine dependence, substance abuse symptoms (alcohol, cannabis, or other drugs), unintended pregnancy, romantic relationship quality, physical violence, and alcohol-related injury. Separate regression models were run for mother-adolescent and father-adolescent relationships while controlling for age, biological sex, race and ethnicity, parental educational level, family structure, and child maltreatment experiences.ResultsA total of 10 744 participants (mean [SD] age at wave IV, 28.2 [1.8] years; 52.0% female; 67.3% non-Hispanic White) and 8214 participants (mean [SD] age at wave IV, 28.2 [1.8] years; 50.8% female; 71.9% non-Hispanic White) had valid sampling weights and complete data for mother-adolescent and father-adolescent relationship characteristics, respectively. Adolescents who reported higher levels of mother-adolescent warmth (β = 0.11 [95% CI, 0.06-0.15]), communication (β = 0.02 [95% CI, 0.00-0.04]), time together (β = 0.07 [95% CI, 0.05-0.09]), academic expectations (β = 0.05 [95% CI, 0.02-0.08]), relationship or communication satisfaction (β = 0.07 [95% CI, 0.04-0.10]), and inductive discipline (β = 0.03 [95% CI, 0.01-0.05]) reported significantly higher levels of self-rated general health in young adulthood. Adolescents who reported higher levels of father-adolescent warmth (β = 0.07 [95% CI, 0.03-0.11]), communication (β = 0.03 [95% CI, 0.01-0.05]), time together (β = 0.06 [95% CI, 0.03-0.08]), academic expectations (β = 0.04 [95% CI, 0.01-0.06]), and relationship satisfaction (β = 0.07 [95% CI, 0.04-0.10]) also reported significantly higher levels of self-rated general health in young adulthood. Adolescents reporting higher levels of all exposures also reported significantly higher levels of optimism and romantic relationship quality in young adulthood (β coefficient range, 0.02 [95% CI, 0.00-0.04] to 0.24 [95% CI, 0.15-0.34]) and lower levels of stress and depressive symptoms (β coefficient range, −0.07 [95% CI, –0.12 to –0.02] to −0.48 [95% CI, –0.61 to –0.35]). Higher levels of parental warmth, time together, and relationship or communication satisfaction were significantly associated with lower levels of nicotine dependence (odds ratio range, 0.78 [95% CI, 0.72-0.85] to 0.89 [95% CI, 0.81-0.98]) and substance abuse symptoms (incidence rate ratio range, 0.60 [95% CI, 0.50-0.73] to 0.94 [95% CI, 0.89-0.99]), as well as lower odds of unintended pregnancy (odds ratio range, 0.81 [95% CI, 0.74-0.88] to 0.93 [95% CI, 0.86-0.99]). Patterns were less consistent for physical violence and alcohol-related injury. Characteristics of mother-adolescent and father-adolescent relationships were similarly associated with young adult outcomes.Conclusions and RelevanceThe findings of this cohort study suggest that adolescents’ positive perceptions of their relationships with their mothers and fathers are associated with a wide range of favorable outcomes in young adulthood. Investments in improving parent-adolescent relationships may have substantial benefits for young adult population health.

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Section: Discussionsupporting

confidence: 65%

Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health

et al. 2023

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“…Surveys were administered through CHOP's Research Electronic Data Capture (REDCap) portal and designed to be completed in ≤ 10 min (Harris et al, 2009(Harris et al, , 2019. The survey was informed by young driver research (Anderson et al, 2018;Mirman et al, 2018aMirman et al, , 2018bTaylor & Henninger, 2015). First, providers answered questions about their practice location, clinical role, and demographic information.…”

Section: Methodsmentioning

confidence: 99%

“…Health and behavioral service providers may be uniquely poised to provide resources or counsel and assist families as they make transportation-related decisions. Several studies have reported parents, adolescents, and providers themselves consider the teen's primary care physician a resource for information about transportation topics, and in particular, independent driving (Ford et al, 2016;Gaw et al, 2020;Mirman et al, 2018aMirman et al, , 2018b. However, a recent survey found only 62% of primary care physicians were comfortable counseling their patients on driving (Gaw et al, 2020).…”

mentioning

confidence: 99%

Brief Report: Healthcare Providers’ Discussions Regarding Transportation and Driving with Autistic and Non-autistic Patients

Sartin

Myers

Labows

et al. 2021

J Autism Dev Disord

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Objective To characterize healthcare and behavioral service providers' transportation-related discussions with their autistic and non-autistic patients. Method 78 providers completed a cross-sectional survey assessing their transportation discussions with patients. We used Mann-Whitney U tests and chi-square tests to compare differences in provider reports by patient diagnosis. Results Compared with one in two providers who reported they discuss transportation with non-autistic patients, only one in five have these conversations with their autistic patients. Few (8%) providers felt prepared to assess driving readiness in autistic patients, yet only a quarter refer patients elsewhere. Conclusion There is a critical need to develop resources for use in medical settings to effectively support autistic adolescents' independence and mobility as they transition into adulthood.

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“…Mclaughlin et al (2019) signi cantly improved children's pedestrian crossing behaviour through interactive pedestrian safety education. Mirman et al (2018) found that teenagers could improve their tra c safety awareness through discussions with their parents.…”

Section: Street-crossing Risk Perceptionmentioning

confidence: 99%

A method to improve the street-crossing risk perception of hearing-impaired teenagers based on constructivist teaching theory

Gao

Feng

et al. 2022

Preprint

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Hearing-impaired people are a vulnerable group in the transportation system. Due to the particularity of their hearing impairments, they face a more complex environment than non-hearing-impaired people when participating in road traffic, which threatens their safety. The safety of hearing-impaired teenagers crossing the street is an important and serious issue. However, there is no research on how to improve the risk perception of hearing-impaired teenagers when crossing the street. An intervention method based on constructivist teaching theory may become an important means to improve road traffic safety for hearing-impaired teenagers. By understanding the eye movement indicators and behavioural indicators of hearing-impaired teenagers when crossing the street, this paper proposes targeted street-crossing intervention methods to improve their risk perception of street crossing to ensure the safety of hearing-impaired teenagers. In this paper, two kinds of street-crossing scenes and 20 hearing-impaired teenagers are included in a randomized controlled experiment, and an approach based on the intervention method of constructivist teaching theory is proposed. The purpose is to conduct research on the safety of hearing-impaired teenagers when crossing the street. Based on an analysis of visual characteristics in different areas of interest (AOIs) and behavioural characteristics, the conclusions are as follows: (1) when hearing-impaired teenagers participate in street crossing, part of their attention is wasted in areas with fewer risk factors, and (2) the teaching method based on constructivist intervention measures can improve the risk perception ability of hearing-impaired teenagers when crossing the street.

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Talking with teens about traffic safety: Initial feasibility, acceptability, and efficacy of a parent-targeted intervention for primary care settings

Cited by 12 publications

References 48 publications

Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health

Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health

Brief Report: Healthcare Providers’ Discussions Regarding Transportation and Driving with Autistic and Non-autistic Patients

A method to improve the street-crossing risk perception of hearing-impaired teenagers based on constructivist teaching theory

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