Intervention Review

School-based driver education for the prevention of traffic crashes

  1. Ian G Roberts1,*,
  2. Irene Kwan2

Editorial Group: Cochrane Injuries Group

Published Online: 23 JUL 2001

Assessed as up-to-date: 17 MAY 2006

DOI: 10.1002/14651858.CD003201

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.

Author Information

  1. 1

    London School of Hygiene & Tropical Medicine, Cochrane Injuries Group, London, UK

  2. 2

    Royal College of Obstetricians & Gynaecologists, National Collaborating Centre For Women's and Children's Health, London, UK

*Ian G Roberts, Cochrane Injuries Group, London School of Hygiene & Tropical Medicine, North Courtyard, Keppel Street, London, WC1E 7HT, UK. ian.roberts@lshtm.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 23 JUL 2001

SEARCH

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

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.

Objectives

To quantify the effect of school-based driver education on licensing and road traffic crashes.

Search methods

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.

Selection criteria

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.

Main results

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).

Authors' conclusions

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

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

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.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

以學校為基礎的駕駛人教育以預防交通事故

在英國,駕照持有人中年齡17至21歲的駕駛人佔7%,但13%的駕駛人在道路交通事故中造成傷害。如同許多國家,英國政府提出了學校及學院的駕駛人教育方案以解決這個問題。然而,有人擔心如果駕駛人教育導致較早取照,這可能會增加青少年遭受道路交通事故的人數。

目標

量化以學校為基礎的駕駛人教育對於取照與道路交通事故的影響。

搜尋策略

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。

選擇標準

比較以學校為基礎的駕駛人教育與無駕駛人教育,並評估取照與發生道路交通事故的隨機對照試驗。

資料收集與分析

兩名作者分別審閱檢索結果,摘錄資料並評估試驗品質。

主要結論

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)。WynneJones(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)。WynneJones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)。

作者結論

研究結果顯示駕駛人教育導致較早取得駕照。沒有提供關於駕駛人教育會減少道路事故發生的證據,並認為這也許會導致中度但潛在地重要的增加青少年發生交通事故的比例。

翻譯人

本摘要由高雄榮民總醫院金沁琳翻譯。

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

以學校為基礎的駕駛人教育導致早期取得駕照且也許會增加道路事故比率。青少年比任何其他族群有較高的道路死亡及嚴重傷害的風險。以學校為基礎的駕駛人教育已建議作為減少青少年發生道路事故的策略。這篇系統性回顧的結果顯示,校內的駕駛人教育導致早期取得駕照。沒有提供關於駕駛人教育會減少道路事故發生的證據,且認為這也許會導致中度但潛在地重要的增加青少年發生交通事故的比例。