School-based driver education for the prevention of traffic crashes
Editorial Group: Cochrane Injuries Group
Published Online: 23 JUL 2001
Assessed as up-to-date: 17 MAY 2006
Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
How to Cite
Roberts IG, Kwan I. School-based driver education for the prevention of traffic crashes. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD003201. DOI: 10.1002/14651858.CD003201.
- Publication Status: Edited (no change to conclusions)
- Published Online: 23 JUL 2001
In the UK, drivers aged 17 to 21 years make up 7% of licence holders but 13% of drivers involved in road traffic crashes resulting in injury. As in many countries, the UK government has proposed to tackle this problem with driver education programmes in schools and colleges. However, there is a concern that if driver education leads to earlier licensing this could increase the number of teenagers involved in road traffic crashes.
To quantify the effect of school-based driver education on licensing and road traffic crashes.
We searched CENTRAL, CIG's specialised register, MEDLINE, National Research Register, and the Science & Social Science Citation Index. We also checked reference lists of identified papers and contacted authors and experts in the field.
Randomised controlled trials comparing school-based driver education to no driver education and assessing the effect on licensing and road traffic crash involvement.
Data collection and analysis
Two authors independently screened search results, extracted data and assessed trial quality.
Three trials, conducted between 1982 and 1984, met the inclusion criteria (n=17,965). Two trials examined the effect of driver education on licensing. In the trial by Stock (USA) 87% of students in the driver education group obtained their driving licence as compared to 84.3% in the control group (RR 1.04; 95% CI 1.02 to 1.05). In the trial by Wynne-Jones (New Zealand) the time from trial enrolment to licensing was 111 days in males receiving driver education compared with 300 days in males who did not receive driver education, and 105 days in females receiving driver education compared with 415 days in females who did not receive driver education.
All three trials examined the effect of driver education on road traffic crashes. In the trial by Strang (Australia), 42% of students in each group had one or more crashes since being licensed (RR 1.01, 95% CI 0.83 to 1.23). In the trial by Stock, the number of students involved in one or more crashes as a driver was 27.5% in the driver education group compared to 26.7% in the control group (RR 1.03; 95% CI 0.98 to 1.09). In the trial by Wynne-Jones, the number of students who experienced crashes was 16% in the driver education group as compared to 14.5% in the control group (RR 1.10; 95% CI 0.76 to 1.59).
The results show that driver education leads to early licensing. They provide no evidence that driver education reduces road crash involvement, and suggest that it may lead to a modest but potentially important increase in the proportion of teenagers involved in traffic crashes.
Plain language summary
School based driver education leads to early licensing and may increase road crash rates.
Teenagers have a higher risk of road death and serious injury than any other group. School based driver education has been promoted as a strategy to reduce the number of road crashes involving teenagers. The results of this systematic review show that driver education in schools leads to early licensing. They provide no evidence that driver education reduces road crash involvement, and suggest that it may lead to a modest but potentially important increase in the proportion of teenagers involved in traffic crashes.
我們檢索CENTRAL，CIG's 專科登記資料庫，MEDLINE，National Research Register，及the Science & Social Science Citation Index。我們也檢閱已確定文章的參考文獻並連絡該領域的作者與專家。
3篇試驗符合納入標準(n = 17,965)，其於1982至1984年間進行。2篇試驗評估駕駛人教育對於取照的影響。Stock(美國)的試驗顯示駕駛人教育組中有87%的學生取得他們的駕駛執照，相較於對照組有84.3%(RR 1.04; 95% CI 1.02 to 1.05)。WynneJones(紐西蘭)的試驗顯示接受駕駛人教育的男性從參與試驗到取得駕照的時間為111天，相較於沒有接受駕駛人教育的男性為300天，接受駕駛人教育的女性為105天，沒有接受駕駛人教育的女性為415天。三篇試驗全部皆評估駕駛人教育對於道路交通事故的影響。Strang(澳洲)的試驗顯示每組中有42%的學生在取得駕照後發生一次以上的事故(RR 1.01, 95% CI 0.83 to 1.23)。Stock的試驗顯示，駕駛人教育組中有27.5%有駕照的學生發生一次以上的事故，相較於對照組有26.7%(RR 1.03; 95% CI 0.98 to 1.09)。WynneJones的試驗顯示，駕駛人教育組中有16%的學生曾經歷事故，相較於對照組有14.5%(RR 1.10; 95% CI 0.76 to 1.59)。
此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。