@article{17270,
  author = {Ivers R. and Chen H. and van Beurden E. and Zask A. and Stevenson Mark and Senserrick T. and Boufous S. and Norton R},
  title = {Young driver education programs that build resilience have potential to reduce road crashes},
  abstract = {<p>
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 ("driver-focused") 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 ("resilience-focused"). 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 &gt;or=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>
},
  year = {2009},
  journal = {Pediatrics},
  volume = {124},
  edition = {2009/10/07},
  number = {5},
  pages = {1287-92},
  isbn = {1098-4275 (Electronic)0031-4005 (Linking)},
  note = {Senserrick, TeresaIvers, RebeccaBoufous, SoufianeChen, Huei-YangNorton, RobynStevenson, Markvan Beurden, EricZask, AvigdorComparative StudyResearch Support, Non-U.S. Gov'tUnited StatesPediatricsPediatrics. 2009 Nov;124(5):1287-92. Epub 2009 Oct 5.},
  language = {eng},
}