Effectiveness and benefit-cost of peer-based workplace substance abuse prevention coupled with random testing

Few studies have evaluated the impact of workplace substance abuse prevention programs on occupational injury, despite this being a justification for these programs. This paper estimates the effectiveness and benefit-cost ratio of a peer-based substance abuse prevention program at a U.S. transportation company, implemented in phases from 1988 to 1990. The program focuses on changing workplace attitudes toward on-the-job substance use in addition to training workers to recognize and intervene with coworkers who have a problem. The program was strengthened by federally mandated random drug and alcohol testing (implemented, respectively, in 1990 and 1994). With time-series analysis, we analyzed the association of monthly injury rates and costs with phased program implementation, controlling for industry injury trend. The combination of the peer-based program and testing was associated with an approximate one-third reduction in injury rate, avoiding an estimated $48 million in employer costs in 1999. That year, the peer-based program cost the company $35 and testing cost another $35 per employee. The program avoided an estimated $1850 in employer injury costs per employee in 1999, corresponding to a benefit-cost ratio of 26:1. The findings suggest that peer-based programs buttressed by random testing can be cost-effective in the workplace.     

College students' prevalence and perceptions of text messaging while driving

By analyzing self-reports from sample of 91 college students from the United States who are frequent drivers, the present study examined the prevalence of text messaging (or “texting”) while driving and the incidence of recklessness and consequences that accompany this behavior. Analyses revealed that 91% of participants reported having used text messaging while driving, with many reporting doing so with passengers, including children, riding in their vehicles. Further, a substantial number of participants reported driving dangerously above the speed limit and drifting into other traffic lanes while texting, and many reported “sexting” and arguing via text messages while driving. However, these young drivers agreed that texting while driving is dangerous and should be illegal. These results and the limitations to the present study are discussed.     

A population-based study on the prevalence and correlates of drinking and driving in Hong Kong

To examine the prevalence and correlates of drinking and driving in Hong Kong, an anonymous, random telephone survey was conducted on 9860 Chinese adults (18-70 years of age) from April to June 2006. Trained interviewers administered a structured interview consisting of questions on socio-demographic information, drinking pattern, drink-driving, and motor vehicle accidents. The census age-standardized past-year prevalence of driving within 2 h of drinking was 5.2% among males and 0.8% among females. The prevalence across age showed an inverted U-shaped trend for males peaking at 8.2% between 41 and 45 years. For females the prevalence was fairly stable between the ages of 20 and 55. The past-year prevalence of alcohol-related motor vehicle accidents was 0.1%, with the majority being in the 26-30 age group. For males who drank, the prevalence of drinking and driving was 5.0% among those without problem drinking, 14.8% among binge drinkers, 37.1% among alcohol abusers and 22.4% among the alcohol dependent. For females who drank, the corresponding figures were all lower at 1.2%, 6.9%, 12.1% and 12.5%, respectively. Higher socio-economic status, weekly drinking, binge drinking and alcohol abuse were independently associated with higher likelihood of drinking and driving in both genders. Among drinking drivers, having a job that required drinking was the only predictor of having had a motor vehicle accident. The elevated prevalence of drinking and driving among alcohol abusers, binge drinkers and the alcohol dependent may portend higher population-level rates of alcohol-related motor accidents in the future since the prevalence of problem drinking has previously been noted to be increasing rapidly in Hong Kong.     

Cell phone conversing while driving in New Zealand: prevalence, risk perception and legislation

This study investigated (i) the prevalence of conversing on a cell phone while driving in New Zealand, (ii) respondents’ perception of risk regarding this behaviour and (iii) attitudes towards legislation banning cell phone use while driving. In addition, the study examined the association between the prevalence of conversing on a cell phone and risk perception. Anonymous, self-reported, survey data was collected via the internet from 1057 drivers nationwide regarding the frequency of conversing on a cell phone, including hands-free and hand-held conversing, risk perception, views on legislation, and demographic information. A positive relationship was found between the frequency of conversing on a cell phone and risk perception; that is, as the frequency of conversing on a cell phone increased, the perceived risk of this behaviour decreased.     

Mental workload when driving in a simulator: Effects of age and driving complexity

Driving errors for older drivers may result from a higher momentary mental workload resulting from complex driving situations, such as intersections. The present study examined if the mental workload of young and older active drivers vary with the difficulty of the driving context. We adopted the probe reaction time (RT) technique to measure the workload while driving in a simulator. The technique provided clear instructions about the primary (driving) and secondary (RT) tasks. To avoid structural interference, the secondary task consisted of responding as rapidly as possible with a vocal response (“top”) to an auditory stimulus. Participants drove through a continuous 26.4-km scenario including rural and urban sections and probes (stimuli) were given in a baseline static condition and in three different driving contexts embedded into the overall driving scenario. Specifically, stimuli were given randomly when (a) driving on straight roads at a constant speed, (b) approaching intersections for which the driver had to stop the car, and (c) when overtaking a slower vehicle. Unless a driving error was made, drivers did not need any emergency responses. Reaction time was defined as the temporal interval between the auditory stimulus and the onset of the corresponding verbal response detected from the analog signal of a piezo-electric microphone fixed on a headset (ms accuracy). Baseline RTs were similar for both groups. Both groups showed longer RTs when driving and RTs increased as the complexity of the driving contexts increased (driving straights, intersections, overtaking maneuvers). Compared to younger drivers, however, older drivers showed longer RTs for all driving contexts and the most complex driving context (overtaking maneuvers) yielded a disproportionate increase. In conclusion, driving leads to a greater mental workload for the older drivers than for the younger drivers and this effect was exacerbated by the more complex driving context (overtaking maneuvers).     

The role of parental alcohol consumption on driving under the influence of alcohol: results from a longitudinal, nationally representative sample

Purpose

Many studies have examined the role of peer and parental alcohol use on drinking behaviors among adolescents. Few studies, however, have examined parental influences on driving under the influence (DUI) of alcohol. The current study uses data from a longitudinal study to examine the role of parental alcohol use during adolescence on the risk for DUI among young adult men and women.

Methods

Data were derived from 9559 adolescents and young adults who participated in the National Longitudinal Study of Adolescent Health (Add Health) Waves I and III. Survey logistic regression was used to examine the relationship between multilevel risk and protective factors and self-reported DUI. Analyses were stratified by gender and frequency of parental alcohol consumption to understand the role of parental alcohol use on risk for DUI among their youth.

Results

Risk and protective factors for DUI were very similar among men and women. Parental alcohol use significantly predicted DUI among women (OR = 1.39, p < 0.01) and men (OR = 1.33, p < 0.05). When parents did not report alcohol use, peer alcohol use significantly increased risk for DUI for both women (OR = 1.26, p < 0.05) and men (OR = 1.31, p < 0.001). When parents reported alcohol use, however, peer alcohol use was not a significant independent predictor.

Conclusions

Findings suggest remarkable similarities in risk and protective factors for DUI across gender groups. For men and women, parental alcohol consumption was a risk factor for DUI. Peers’ alcohol use predicted DUI only when parents did not use alcohol.     

Adolescent antecedents of high-risk driving behavior into young adulthood: substance use and parental influences

Driver history data, in combination with previously collected tenth-grade questionnaire data, for 4403 subjects were analyzed by Poisson regression models to identify the significant substance use and parental characteristics predicting subsequent high-risk driving of new drivers (starting at age 16) through age 23-24 years. Substance use (cigarettes, marijuana, and alcohol) reported at age 15 was shown to be an important predictor of subsequent excess risk of serious offenses and serious crashes for both men and women. In addition, negative parental influences (lenient attitudes toward young people's drinking; low monitoring, nurturance, family connectedness), were also demonstrated to increase the risk of serious offenses and serious crashes for both men and women.     

Modelling cadmium flows in Australia on the basis of a substance flow analysis

This paper, which is an extension of the Suphaphat Kwonpongsagoon’s PhD thesis (2006), investigates a stationary model designed to evaluate substance flows for a case study of cadmium (Cd) in Australia. It covers the mining industry, the production and use of goods for agriculture, construction and households as well as the environmental sectors of agriculture, surface water and landfills. The model is calibrated with Cd flow data obtained in a previous study. The results of the calibrated model are consistent with those of other studies from other countries. Possible measures and options to reduce the Cd flows to various environmental sectors are discussed by applying sensitivity analysis and parameter variations to the calibrated model. As “agriculture” was used to illustrate one of the most important processes discussed in this paper, the results show that the most effective measures are the reduction of the Cd content in fertilizers and of atmospheric Cd deposition. It is concluded that a mathematical model is very useful for understanding a system that is crucial for environmental management.     

Evaluation of a program to reduce motor-vehicle collisions among young adults in the county of Landes, France

The aim of this study was to evaluate the impact of a prevention program called “Atout-Route”, based on the concept of commitment. The program was implemented in March 2000, to reduce the number of drivers under the age of 25 years involved in motor-vehicle collisions in the county of Landes (southwestern France). Using data from the regional observatory of road safety, we defined a target and three control groups similar on age or location. We used Poisson and quasi-Poisson regression to estimate whether the observed evolution of motor-vehicle collisions, after the program was implemented, was different in the targeted group than in the three control groups. The number of motor-vehicle collisions decreased everywhere and in every age group. The effect of the prevention program was not statistically significant (relative risk = 0.89; 95% confidence interval 0.74–1.07). Our results are compatible with a positive effect of the program. The possible dilution of its effect by national road safety actions implemented since 2000, and our early assessment are possible reasons for the non-significant observation.     

Prevalence of texting while driving and other risky driving behaviors among young people in Ontario,Canada: Evidence from 2012 and 2014

This paper reports on the prevalence of texting while driving and other risky driving behaviors by age and gender in two large samples of youth aged 16–19 years in Ontario, Canada. In Study 1 (N = 6133), we found that males reported more frequent texting while driving and speeding than females and, in terms of age, sixteen year olds reported frequent texting while driving than older participants. In Study 2 (N = 4450), which was conducted two years later, males again reported more frequent texting while driving, however there was no difference in the rate of talking on the phone while driving among males and females. Participants also reported on experiences that led to a significant reduction in their texting while driving. The most common reasons were the perceived danger of texting while driving, laws and fines against texting while driving, and observing close-calls and accidents experienced by other people. The results of both studies suggest that driving-related risk-taking behaviors co-occur and that young passengers in vehicles, including 14 and 15 year olds, are bystanders to texting while driving. Finally, there was a substantial decline in the prevalence of texting while driving across the studies. In Study 1, 27% of participants reported “sometimes” to “almost always” texting while driving compared to 6% of participants in Study 2. Limitations and implications for public campaigns targeted youth distracted driving are discussed.     

Shifting attention across near and far spaces: Implications for the use of hands-free cell phones while driving

In three experiments, participants performed two tasks concurrently during driving. In the peripheral detection task, they responded manually to visual stimuli delivered through a LED placed on the internal rear mirror; in the conversation task, they were engaged in a conversation with a passenger, or through earphone-operated, loudspeaker-operated, or hand-held cell phones. Results showed that drivers were slower at responding to the visual stimuli when conversing through a hand-held cell phone or an earphone-operated cell phone than when conversing through a loudspeaker-operated cell phone or with a passenger. These results suggest that due to the brain coding the space into multiple representations, devices that make phone conversations taking place in the near, personal space make drivers slower at responding to visual stimuli, compared to devices that make the conversation occurring in a far space.     

The effects of perception of risk and importance of answering and initiating a cellular phone call while driving

Recent data suggest that laws banning cellular phone use while driving may not change use patterns, especially among young drivers with high rates of mobile phone adoption. We examined reasons younger drivers choose or do not choose to talk on a phone while driving among a sample of young drivers (n = 276) with very high ownership of cellular phones (over 99%) and a very high use of cellular phones while driving (100% for those that were primary operators of an automobile). Respondents were surveyed for patterns of use, types of call, perceived risk, and motivations for use. The data were analyzed using structural equation modeling (SEM) to explore the relationships between perceived risk of the behavior, emotionality of the call, perceived importance of the call, and how often calls were initiated versus answered. The model suggests that even though people believe that talking on a cellular phone while driving is dangerous, they will tend to initiate a cellular conversation if they believe that the call is important.     

Taking a look behind the wheel: An investigation into the personality predictors of aggressive driving

The present study evaluated a theoretical model of the relationships among six aspects of driver personality (i.e., driving anger and the Big Five personality factors), aggressive driving, and two outcomes of aggressive driving: motor vehicle crashes and moving violations. Data from 308 drivers recruited from two vehicle licensing offices were analyzed using structural equation modeling. As expected, aggressive driving predicted crashes and moving violations. Based on the zero-order correlations, emotional stability, agreeableness, and conscientiousness were related to aggressive driving in the expected directions; however, the picture changed when the joint effects of all variables were examined via structural equation modeling. A model in which driver personality predicted aggressive driving, which in turn predicted crashes and moving violations was supported. Drivers who were high on driving anger and low on agreeableness reported driving more aggressively. Implications for traffic safety professionals and researchers are discussed.     

Driver distraction: the effects of concurrent in-vehicle tasks, road environment complexity and age on driving performance

This paper presents the findings of a simulator study that examined the effects of distraction upon driving performance for drivers in three age groups. There were two in-vehicle distracter tasks: operating the vehicle entertainment system and conducting a simulated hands-free mobile phone conversation. The effect of visual clutter was examined by requiring participants to drive in simple and complex road environments. Overall measures of driving performance were collected, together with responses to roadway hazards and subjective measures of driver perceived workload. The two in-vehicle distraction tasks degraded overall driving performance, degraded responses to hazards and increased subjective workload. The performance decrements that occurred as a result of in-vehicle distraction were observed in both the simple and complex highway environments and for drivers in different age groups. One key difference was that older drivers traveled at lower mean speeds in the complex highway environment compared with younger drivers. The conclusions of the research are that both in-vehicle tasks impaired several aspects of driving performance, with the entertainment system distracter having the greatest negative impact on performance, and that these findings were relatively stable across different driver age groups and different environmental complexities.     

How fleeting emotions affect hazard perception and steering while driving: The impact of image arousal and valence

Video-billboards and portable video-display devices are becoming increasingly common and the images they project can often be dramatic or provocative. This study investigated the lingering effects of emotion-evoking images on driving as measured in a driving simulator. Images were projected on an in-vehicle display while drivers followed a lead vehicle at a safe distance. To ensure attention to the images drivers were required to indicate whether each image was positive or negative by pressing a button. Occasional braking events (sudden decelerations in the lead vehicle that necessitated braking) occurred either 250 or 500 ms after the button press. In the 250 ms delay condition braking RT was faster after high arousal images (fastest for high arousal positive images); following a 500 ms delay braking RT was slower after high arousal images (slowest for high arousal negative images). Responding to all images reduced steering performance (in the period after the image but before the button press) but image valence had an effect on steering as well. Positive images were associated with better steering performance than negative images, especially when they were both low in arousal: a result that supports the broaden-and-build hypothesis of positive emotions and the theory that ambient (wide field/peripheral) vision controls steering performance. We discuss implications for both basic research on attention–emotion and applied research on driving.     

Effects of practice, age, and task demands, on interference from a phone task while driving

Experimental research on the effects of cellular phone conversations on driving indicates that the phone task interferes with many driving-related functions, especially with older drivers. Unfortunately in past research (1) the dual task conditions were not repeated in order to test for learning, (2) the 'phone tasks' were not representative of real conversations, and (3) most often both the driving and the phone tasks were experimenter-paced. In real driving drivers learn to time-share various tasks, they can pace their driving to accommodate the demands of a phone conversation, and they can even partially pace the phone conversation to accommodate the driving demands. The present study was designed to better simulate real driving conditions by providing a simulated driving environment with repeated experiences of driving while carrying two different hands-free 'phone' tasks with different proximities to real conversations. In the course of five sessions of driving and using the phone, there was a learning effect on most of the driving measures. In addition, the interference from the phone task on many of the driving tasks diminished over time as expected. Finally, the interference effects were greater when the phone task was the often-used artificial math operations task than when it was an emotionally involving conversation, when the driving demands were greater, and when the drivers were older. Thus, the deleterious effects of conversing on the phone are very real initially, but may not be as severe with continued practice at the dual task, especially for drivers who are not old.     

Impact of perceptual treatments on lateral control during driving on crest vertical curves: a driving simulator study

Approximately 48% of all fatal collisions in Europe are classified as single-vehicle run-off-road or head-on collisions. These crashes relate to trajectory control (road departure) and represent a safety challenge. In France, single-vehicle run-off-road crashes represent 21% of all crashes and head-on collisions represent 11%. This study evaluated the effectiveness of four perceptual treatments (i.e., a painted center line, post-delineators, rumble strips on both sides of the center line and sealed shoulders) in supporting the driver to maintain lateral control; that is, to support the driver to keep in the center of his/her lane. Forty-three participants drove a fixed-base driving simulator, on a simulated straight 3 km rural road with two crest vertical curves (CVC). Four sections were chosen for analysis: a reference section (i.e., the first CVC), a test section (i.e., the second CVC), a pre-test section (i.e., immediately before the second CVC) and a post-test section (i.e., immediately after the second CVC). The results showed that drivers drive more at the center of their lane with the rumble strips on both sides of the center line and with the sealed shoulders than with the actual marking (here center line) or other treatments.     

Factors influencing the use of cellular (mobile) phone during driving and hazards while using it

This study addressed the strategic decisions on not using a mobile phone at all while driving, and phone-related driving hazards among those drivers who do use one, reflecting tactical and operational level processes. A representative sample of 834 licensed drivers who own a mobile phone were interviewed on their phone use and hazards, background factors, and self-image as a driver. Logistic regression models indicated that older age, female gender, smaller amount of driving, and occupation promoted not using a phone at all while driving. Additionally, low skill level and high safety motivation contributed to this decision. Among those who used a phone while driving, exposure to risk in terms of higher mileage and more extensive phone use increased phone-related hazards, as also did young age, leading occupational position, and low safety motivation. Neither gender nor driving skill level had any effect on such self-reported hazards. This study clearly indicates that potential risks of mobile phones are being controlled at many levels, by strategic as well as tactical decisions and, consequently, phone-related accidents have not increased in line with the use of the mobile phones.     

The prevalence and nature of stopped on-the-road driving tests and the relationship with objective performance impairment

Introduction and objectives

The on-the-road driving test in normal traffic is applied to examine the impact of drugs on driving performance. Although participants are accompanied by a licensed driving instructor, under Dutch law, the driver is primarily responsible for safe driving and is not permitted to continue driving when it is judged that the drug compromises safety. This review examined the prevalence and nature of stopped driving tests, and the relationship with Standard Deviation of Lateral Position (SDLP), i.e. the “weaving of the car”.

Materials and methods

A literature search was conducted to gather all publications on clinical trials that applied the on-the-road driving test, examining the effects of Central Nervous System (CNS)-drugs such as anxiolytics, antidepressants, antihistamines, analgesics, and hypnotics.

Results

47 papers reported on 50 Dutch clinical trials in which 1059 subjects participated (903 healthy volunteers and 156 patients). A total of 7232 driving tests were performed; 5050 after drug treatment and 2042 after placebo. 3.1% of all driving tests were terminated before completion: 4.1% after drug treatment, and 0.7% after placebo. The decision to stop a driving test was 3–4 times more often made by the driving instructor than the subject. The most common reasons for stopping were the driver feeling tired or sleepy, or the driving instructor noticing signs of drowsiness and performance impairment. Although SDLP values of stopped driving tests are sometimes high, there is no clear relationship between SDLP (changes from placebo) and the decision to stop a driving test. Based on 8 studies that reported exact data, 39.6% of stopped drivers had a lower and 60.4% had a higher SDLP than 35 cm, i.e. the cut-off point of safe driving. This confirms that perception of the driver as well as judgment by the instructor of driving to be ‘unsafe’ differs between individuals.

Conclusion

Driving tests are sometimes stopped after drug treatment or placebo. The decision to stop driving is not a good correlate of objective performance.