Maryam Akbari, Kamran B Lankarani, Seyed Taghi Heydari, Seyed Abbas Motevalian, Reza Tabrizi, Mark J M Sullman
{"title":"Is driver education contributing towards road safety? a systematic review of systematic reviews.","authors":"Maryam Akbari, Kamran B Lankarani, Seyed Taghi Heydari, Seyed Abbas Motevalian, Reza Tabrizi, Mark J M Sullman","doi":"10.5249/jivr.v13i1.1592","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is a vast amount of literature on the effects of driver education. However, the evidence has become somewhat fragmented, making it challenging to understand driver education's effectiveness for improving road safety. The current study aimed to provide the efficacy of pre-LDE and post-LDE interventions aimed at improving the safety of drivers (includes crashes, injuries, or secondary outcomes).</p><p><strong>Methods: </strong>The following online databases were searched up to the 21st of February 2020: Web of Science (WOS), Scopus, PubMed, Cochrane library, and other relevant databases. Systematic reviews (SR) and meta-analyses were selected to investigate the efficacy of driving education in reducing crashes, injuries, or secondary outcomes. Two investigators independently conducted the data extraction and used the assessment of multiple systematic reviews (AMSTAR) tool to conduct a quality assessment of each SR identified.</p><p><strong>Results: </strong>Out of the 229 potential articles, seven SRs were eligible for the current overview of systematic reviews and meta-analyses. This overview showed that pre-and post-license education by people of all ages led to improvements in secondary outcomes, such as performance, self-perceived driving abilities, behind-the-wheel driving performance, and even a small decrease in traffic offenses. However, education was not effective in reducing crashes or injuries, either at the individual or community level.</p><p><strong>Conclusions: </strong>There was no evidence that driver education is an effective approach to reducing crashes or injuries. This negative result might be due to ineffective teaching methods. To improve road safety, it appears necessary to change the method or content of driving education since the current approaches to driving education do not reduce traffic crashes or injuries.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"13 1","pages":"69-80"},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142340/pdf/","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of injury & violence research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5249/jivr.v13i1.1592","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 6
Abstract
Background: There is a vast amount of literature on the effects of driver education. However, the evidence has become somewhat fragmented, making it challenging to understand driver education's effectiveness for improving road safety. The current study aimed to provide the efficacy of pre-LDE and post-LDE interventions aimed at improving the safety of drivers (includes crashes, injuries, or secondary outcomes).
Methods: The following online databases were searched up to the 21st of February 2020: Web of Science (WOS), Scopus, PubMed, Cochrane library, and other relevant databases. Systematic reviews (SR) and meta-analyses were selected to investigate the efficacy of driving education in reducing crashes, injuries, or secondary outcomes. Two investigators independently conducted the data extraction and used the assessment of multiple systematic reviews (AMSTAR) tool to conduct a quality assessment of each SR identified.
Results: Out of the 229 potential articles, seven SRs were eligible for the current overview of systematic reviews and meta-analyses. This overview showed that pre-and post-license education by people of all ages led to improvements in secondary outcomes, such as performance, self-perceived driving abilities, behind-the-wheel driving performance, and even a small decrease in traffic offenses. However, education was not effective in reducing crashes or injuries, either at the individual or community level.
Conclusions: There was no evidence that driver education is an effective approach to reducing crashes or injuries. This negative result might be due to ineffective teaching methods. To improve road safety, it appears necessary to change the method or content of driving education since the current approaches to driving education do not reduce traffic crashes or injuries.
背景:关于驾驶员教育的效果有大量的文献。然而,证据已经变得有些支离破碎,这使得理解驾驶员教育对改善道路安全的有效性变得具有挑战性。目前的研究旨在提供lde前和lde后干预措施的有效性,旨在提高驾驶员的安全性(包括碰撞、伤害或次要后果)。方法:检索截至2020年2月21日的在线数据库:Web of Science (WOS)、Scopus、PubMed、Cochrane library等相关数据库。采用系统评价(SR)和荟萃分析来调查驾驶教育在减少碰撞、伤害或次要后果方面的效果。两名研究者独立进行了数据提取,并使用多系统评价评估(AMSTAR)工具对所确定的每个SR进行了质量评估。结果:在229篇潜在的文章中,有7篇SRs符合当前系统评价和荟萃分析的概述。这一综述表明,所有年龄段的人接受驾照前和驾照后的教育,会导致次要结果的改善,比如表现、自我感知的驾驶能力、驾驶表现,甚至交通违法行为都有小幅下降。然而,无论是在个人还是在社区一级,教育都不能有效地减少车祸或伤害。结论:没有证据表明驾驶员教育是减少车祸或伤害的有效方法。这种消极的结果可能是由于无效的教学方法。为了提高道路安全,有必要改变驾驶教育的方法或内容,因为目前的驾驶教育方法并没有减少交通事故或伤害。