Crossroads Teen Driving

Providers and Parents as Partners in Teen Driving Safety May 2017

By the end of this training, you will be able to: Explain the overall goal and objectives of the Crossroads Teen Driving program State data regarding teen driving risks and the role of parental engagement in preventing teen driver crashes Deliver a brief amount of standardized guidance to patients and their families on teen driving safety

Crossroads Teen Driving Goal Our goal is to improve the health of Wisconsin teens by preventing traffic-related loss.

How we work Teens choose their own behavior, which is influenced through their interactions with their: Relationships Community Society and policy The social-ecological model is the foundation of our approach. Teens choose their own behavior, for example deciding to wear a seat belt when driving. We can have a positive influence on these choices by providing a supportive environment at all levels. The Social-Ecological Model: A Framework for Prevention. (2015, March 25). Retrieved March 15, 2017, from https://www.cdc.gov/violenceprevention/overview/social-ecologicalmodel.html Urie Bronfenbrenner. (1979). The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA: Harvard University Press. ISBN 0-674-22457-4

How we work Relationships Parent/caregiver Family Friends Community School Work Extracurricular Church Driver education Health providers Law enforcement Society Laws Policies Driving environment Licensing process Media This shows examples of what our work looks like in each layer of the social-ecological model. We use best practices to develop activities and goals in each of these layers of influence. Hand out logic model.

Who we work with Schools Driver Education Health Departments Law Enforcement Coalitions Community groups We do a little direct delivery of services, such as delivering parent programs and attending events that our communities invite us to, but most of the work we do is supporting those agencies and partners that are already doing teen driving safety work in their communities. We work with many different agencies and serve the whole state. One of our roles is to connect these agencies to each other, and to county and state resources. What questions can I answer about the work we do, before we get into the research project?

Teen driving provider safety project In this project we intend to answer the question, “Can an evidence-informed teen driver safety intervention increase the frequency and quality of provider delivery of anticipatory guidance in the clinical care environment?”

Review of the literature Topic area Campbell Weiss Dellinger Seat belts 92% 87% 84% Alcohol/drug impairment 82% 80% Distractions/cell phones 81% 47% 74% Speed - 43% 51% Nighttime driving 54%* 21% 20% Peer passengers 41% GDL 52% 13% 10% Parent engagement or role modeling 29% 23% Driving agreements 16% *categorized as “restrictions” in the Campbell survey Campbell Weiss Dellinger

Review of best practices AAP Policy statement CDC/AAP handout Society for Adolescent Health and Medicine position paper

3-step Intervention State the importance of teen car crashes as a major risk of injury or death for teens Provide materials to parents and teens that explain state law pertaining to teen drivers Provide and briefly explain the effectiveness of using parent-teen driving contracts

Step 1 State the importance of teen car crashes as a major risk of injury or death for teens State that motor vehicle crashes are one of the leading causes of deaths and injuries in this age group Share common risk factors: inexperience, lower seat belt use, drug/alcohol use, drowsy driving, speed, distractions Focus on the increased risks of night time, peer passengers

Step 2 Provide materials to parents and teens that explain state law pertaining to teen drivers Share GDL handout Show how restrictions relate to risks

Step 3 Provide and briefly explain the effectiveness of using parent-teen driving contracts Talk about setting additional limits using GDL as a foundation Share parent-teen contract Talk about the importance of parent role modeling

Clinic process example Clinic staff will identify the charts of patients within the criteria to receive teen driving intervention: Patient is >14 and <18 years of age Primary parent/caregiver is present Patient and parent/caregiver are English-speaking Patient has a visit type that allows for the intervention to be delivered Provider delivers the intervention Provider completes checklist

Contact us Deena Liska Teen Driving Coordinator dliska@chw.org  414-231-4893 Children's Hospital of Wisconsin Community Health 620 South 76th Street, Milwaukee, WI 53214 View our website: crossroadsteendriving.org Like us on Facebook Follow us on Twitter