Web- based Interven.on for Risky Driving Brandon McKenzie SUMR Scholar 2015 Swarthmore College Mentor: Dr. Catherine McDonald University of Pennsylvania School of Nursing Center for Injury Research and Preven.on at CHOP
Presenta.on Objec.ves Background of the project Research goal Study design Eligibility criteria for the study Methods v Web- based interven.on v Simulator SUMR scholar role Future study plans
Background Motor vehicle crashes are the leading cause of death in teens v 2,524 fatal crashes in 2013 Distrac.ons that can take a teen s aven.on away from the road include: v Passengers v Tex.ng v Phone Calls v Mobile Phone Apps v GPS
Research Goal To assess the feasibility of a web- based interven.on to prevent risky driving v Par.cipant reten.on through all visits v Can this interven.on help reduce teen driver inaven.on to the road? To es.mate effect size of the interven.on on: v Simulated driving performance v Self- reported driving behaviors v Self- reported crash data
Study Design Consent/ Baseline Randomiza.on Simulator Assessment Take Web- based Control or Interven.on 3 more visits
Eligibility Teen drivers v 16-17 years old v Valid driver s license in the state of Pennsylvania v Have had license for maximum of 90 days
Web- based Interven.on For Risky Driving Based on Theory of Planned Behavior v Addressing teen driver distrac.ons including: o cell phones o passengers E- learning sobware Takes about 30 minutes Interac.ve content Team members
Web- Based Interven.on (RCT) ARM 1 - Risky driving preven2on (Interven2on) Promote teen driver aven.on to the roadway v Targets knowledge, aetudes, perceived control and norms about driver inaven.on, with strategies to keep aven.on on roadway ARM 2 General Health Promo2on (Control group) Promote healthy lifestyles v Enhance par.cipants' knowledge and ability to reduce their risk of adverse health condi.ons including obesity and heart disease
Methods Baseline Survey & Simulator Randomiza.on - Risky driving OR Healthy Ea.ng (Control) 1 month follow- up 3 month follow- up 6 month follow- up Survey Survey Simulator Survey Crash Report
CIRP Simulator & Eye Tracker Portable eye tracking system ASL Mobile Eye used to capture scanning and eye movement High fidelity fixed- based simulator Pon.ac G6 driver seat, 3- channel 46 LCD panels (160 degree field of view) Inlayed rearview, leb side, and right side mirror images, ac.ve pedals & steering system, rich audio environment
Simulator Overview 1 prac.ce drive, 3 experimental drives v Different scenarios v Scripted simulator introduc.on At least two staff members per visit Notes on par.cipant driving behaviors Star.ng the simulator v Steering and eye- tracker calibra.on 3 study cell phones
Simulator Distrac.ons Par.cipants may encounter: v Driving with a passenger v Pick up change v Cell phone call from parent v Text message from friend v Take a picture of something v Turn on radio for weather
Simulator Events Crash events: v Truck stops suddenly v Car pulls out in the road suddenly v Child runs in the middle of the road v Construc.on Do what you would normally do while driving
Phase I: Feasibility Randomized Controlled Trial
Pilot Study Evaluate the feasibility of different aspects of the study Improve on study design v Prac.ce drive v Simulator phone calls to par.cipants v Who should be the passenger Focus Groups
Problems Encountered Eye- tracker calibra.on Simulator malfunc.ons v Panic buvon Mo.on Sickness No- shows
My Role Pilot Study Conduc.ng study visits v Seeng up simulator v Conduc.ng experimental & prac.ce drives v Seeng up eye tracker v Distrac.ons Data entry & data checking Literature Review
My Role Cont Took notes during par.cipant driving Par.cipant recruitment Consent process
Future for the Study Need to con.nue recrui.ng and comple.ng study visits v S.ll in the beginning stages v Results yet to be analyzed Planned Enrollment (n=60) If successful, the study can be done on a larger scale
What I ve learned How to conduct human subjects research study visits U.liza.on of research databases like Redcap How to pilot study procedures Web- based interven.on delivery Recruitment and enrollment is challenging (sent 4000 levers) Research relies on subject par.cipa.on v All par.cipants are volunteers
Acknowledgements This study was previously supported by the Na.onal Ins.tute of Nursing Research of the Na.onal Ins.tutes of Health. Award Number K99NR013548 and currently by R00NR013548. PI: Catherine McDonald. Inves.gators: v Catherine McDonald, PhD, RN (PI) v Jennifer Swope, MS (Research Coordinator) Co- Inves.gators o Marilyn S. Sommers, PhD, RN, FAAN o Thomas Power, PhD o Flaura Winston, PhD, MD Fellow Student Trainees o Skye Miller, Zach Blake, Morgan Purcell, BriVney Tuff Joanne Levy, Safa Browne, and LDI SUMR Program
Ques.ons? Thank you SUMR PROGRAM