Examining & Implementing Effective Evidence-Based Strategies to Reduce Distracted Driving!

Transcription

1 Examining & Implementing Effective Evidence-Based Strategies to Reduce Distracted Driving! Stewart Williams Injury Preven4on Manager Dell Children s Medical Center

2 More than 9 people are killed every day! In crashes that involve a! distracted driver.! h>ps://

3 A growing issue! In 2015, 3,477 people were killed in motor vehicle crashes involving distracted drivers During daylight hours, approximately 660,000 drivers are using cell phones while driving Cell phone use con4nues to be higher among females than male drivers Cell phone us con4nues to be highest among 16 to 24 year old drivers h>ps://

4 In Texas! Governor s EMS and Trauma Advisory Council (GETAC) Injury Preven4on Commi>ee 13 member commi>ee Aus4n (3) Lake Jackson Dallas (3) Ft Worth El Paso Houston San Antonio (2) Van Horn

5 The Question! What are the evidence-based strategies or countermeasures that reduce distracted driving among persons 16+ years of age? Sources: Pub Med Embase Cinahl Centers for Disease Control and Preven4on Na4onal Highway Traffic Safety Administra4on Na4onal Safety Council Federal Highways Administra4on World Health Organiza4on Governors Highway Safety Associa4on Texas Department of Transporta4on Distracted Driving.gov Safe Kids Worldwide American College of Emergency Physicians Insurance companies Key search words used: evalua4on of distracted driving preven4on; OR evalua4on of distracted driving preven4on interven4ons; OR evalua4on of distracted driving countermeasures; OR evalua4on of technology to prevent distracted driving; OR evalua4on of state laws/policies to prevent distracted driving; OR mindfulness and driving; OR ina>en4on and driving The years searched for all ques4ons were The language searched was English.

6 Sorting the Findings! Evidence-based Prac4ce in Nursing & Healthcare: A Guide to Best Prac4ce Nursing levels of evidence Level I: Evidence from a systema4c review of all relevant randomized controlled trials (RCT's), or evidence-based clinical prac4ce guidelines based on systema4c reviews of RCT's Level II: Evidence obtained from at least one welldesigned Randomized Controlled Trial (RCT) Level III: Evidence obtained from well-designed controlled trials without randomiza4on, quasiexperimental Level IV: Evidence from well-designed case-control and cohort studies Level V: Evidence from systema4c reviews of descrip4ve and qualita4ve studies Level VI: Evidence from a single descrip4ve or qualita4ve study Level VII: Evidence from the opinion of authori4es and/or reports of expert commi>ees

7 Grading the Findings!

8 Categorizing the Findings!

9 20 Ar4cles (describe 16 interven4ons) 3 Effec4ve 3 Inconclusive 1 ineffec4ve & harmful 13 lacked evalua4on

10 The Findings GREEN! Steering teens safe: a randomized trial of a parent-based interven4on to improve safe teen driving Implementa4on Evalua4on of "Steering Teens Safe": Engaging Parents to Deliver a New Parent-Based Teen Driving Interven4on to Their Teens Front Windshield S4cker Reminder

11 The Findings YELLOW! Center line rumble strips Road shoulder rumble strips Cell phone bans

12 The Findings RED! Mo4va4onal counseling/interven4on with exposure to trauma room

13 The Findings GREY! Laws prohibi4ng all cell phone use High-visibility enforcement of cell phone laws with public awareness campaign High-visibility enforcement of cell phone laws with public awareness campaign State all-driver distracted driving laws and high school students' tex4ng while driving behavior Distracted driving law enforcement Center line rumble strips Computer-delivered driver safety behavior screening and interven4on program ini4ated during an emergency department visit High School/Hospital Educa4onal Program Public Service Announcements Cell Phone Filter/Blocker Systems Approach to the Management of Distracted Driving Reviews from Expert Panels

14 No studies were found for the following! Pledges not to text while driving Informa4on on distracted driving as a required component of driver educa4on Communica4on and informa4onal campaigns about the dangers of tex4ng while driving

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