Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education

Abstract Background Adolescents increasingly view cannabis as a substance with limited harm. Their propensity to engage in risky driving, combined with their relative driving inexperience, places adolescents at heightened risk for harm resulting from impaired driving. Driver education provides an op...

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Main Authors: Katherine Nameth, Elizabeth Ueland, Elizabeth J. D’Amico, Karen Chan Osilla
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Addiction Science & Clinical Practice
Subjects:
Online Access:https://doi.org/10.1186/s13722-024-00513-2
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author Katherine Nameth
Elizabeth Ueland
Elizabeth J. D’Amico
Karen Chan Osilla
author_facet Katherine Nameth
Elizabeth Ueland
Elizabeth J. D’Amico
Karen Chan Osilla
author_sort Katherine Nameth
collection DOAJ
description Abstract Background Adolescents increasingly view cannabis as a substance with limited harm. Their propensity to engage in risky driving, combined with their relative driving inexperience, places adolescents at heightened risk for harm resulting from impaired driving. Driver education provides an opportunity to help prevent and reduce these risks, yet few interventions address cannabis-impaired driving, especially impairment from simultaneous use of both cannabis and alcohol. Methods We adapted a single-session primary care brief intervention (CHAT) for driver education programs. First, we conducted two focus groups with adolescents aged 15–17 years (n = 6; n = 5) enrolled in driver education programs in Michigan and Colorado. Their feedback was integrated into a prototype of an online intervention called webCHAT that focuses on preventing alcohol and cannabis-impaired driving. Next, we recruited a new sample of adolescents who user tested webCHAT (n = 8) and provided qualitative and survey feedback. We analyzed qualitative data using classic content analysis and grouped themes according to the feasibility and acceptability of webCHAT. Results Participants suggested that webCHAT should have adolescent narrators in short, informal, and interactive videos. In satisfaction surveys (n = 8), 88% of participants would recommend webCHAT to a friend and 88% reported that they learned helpful skills regarding impaired driving. General acceptability was also reflected in interviews (n = 6; 100% would recommend the intervention to a friend, 100% indicated overall positive impressions, and 67% stated it was easy to use). Participants reported that it was helpful to learn about the negative effects of both cannabis and alcohol on driving behavior, voicing that webCHAT would help adolescents make more informed decisions. Conclusions Soliciting adolescent perspectives is critical when developing interventions targeting cannabis use because of increasingly permissive attitudes and perceptions of minimal risk associated with use. The current study highlights how feedback can help increase both the feasibility and acceptability of interventions.
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spelling doaj-art-9ecd5b8599894a898699270ad458c3cf2025-08-20T02:33:05ZengBMCAddiction Science & Clinical Practice1940-06402024-11-0119111210.1186/s13722-024-00513-2Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver educationKatherine Nameth0Elizabeth Ueland1Elizabeth J. D’Amico2Karen Chan Osilla3Department of Psychiatry and Behavioral Sciences, Stanford University School of MedicineDepartment of Psychiatry and Behavioral Sciences, Stanford University School of MedicineRANDDepartment of Psychiatry and Behavioral Sciences, Stanford University School of MedicineAbstract Background Adolescents increasingly view cannabis as a substance with limited harm. Their propensity to engage in risky driving, combined with their relative driving inexperience, places adolescents at heightened risk for harm resulting from impaired driving. Driver education provides an opportunity to help prevent and reduce these risks, yet few interventions address cannabis-impaired driving, especially impairment from simultaneous use of both cannabis and alcohol. Methods We adapted a single-session primary care brief intervention (CHAT) for driver education programs. First, we conducted two focus groups with adolescents aged 15–17 years (n = 6; n = 5) enrolled in driver education programs in Michigan and Colorado. Their feedback was integrated into a prototype of an online intervention called webCHAT that focuses on preventing alcohol and cannabis-impaired driving. Next, we recruited a new sample of adolescents who user tested webCHAT (n = 8) and provided qualitative and survey feedback. We analyzed qualitative data using classic content analysis and grouped themes according to the feasibility and acceptability of webCHAT. Results Participants suggested that webCHAT should have adolescent narrators in short, informal, and interactive videos. In satisfaction surveys (n = 8), 88% of participants would recommend webCHAT to a friend and 88% reported that they learned helpful skills regarding impaired driving. General acceptability was also reflected in interviews (n = 6; 100% would recommend the intervention to a friend, 100% indicated overall positive impressions, and 67% stated it was easy to use). Participants reported that it was helpful to learn about the negative effects of both cannabis and alcohol on driving behavior, voicing that webCHAT would help adolescents make more informed decisions. Conclusions Soliciting adolescent perspectives is critical when developing interventions targeting cannabis use because of increasingly permissive attitudes and perceptions of minimal risk associated with use. The current study highlights how feedback can help increase both the feasibility and acceptability of interventions.https://doi.org/10.1186/s13722-024-00513-2AdolescentsImpaired drivingAlcoholCannabisRisky driving behaviorsWeb intervention
spellingShingle Katherine Nameth
Elizabeth Ueland
Elizabeth J. D’Amico
Karen Chan Osilla
Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education
Addiction Science & Clinical Practice
Adolescents
Impaired driving
Alcohol
Cannabis
Risky driving behaviors
Web intervention
title Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education
title_full Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education
title_fullStr Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education
title_full_unstemmed Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education
title_short Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education
title_sort feasibility and acceptability of a web intervention to prevent alcohol and cannabis impaired driving among adolescents in driver education
topic Adolescents
Impaired driving
Alcohol
Cannabis
Risky driving behaviors
Web intervention
url https://doi.org/10.1186/s13722-024-00513-2
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