1. Crossroads Teen Driving

2. Providers and Parents as Partners in Teen Driving Safety
May 2017

3. 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

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

5. 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
Urie Bronfenbrenner. (1979). The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA: Harvard University Press. ISBN

6. 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.

7. 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?

8. 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?”

9. 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

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

11. 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

12. 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

13. 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

14. 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

15. 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

16. Contact us
Deena Liska
Teen Driving Coordinator
Children's Hospital of Wisconsin Community Health 620 South 76th Street, Milwaukee, WI View our website: crossroadsteendriving.org Like us on Facebook Follow us on Twitter