一项针对不良驾驶违规者的面对面与视频会议的补救方案的有效性：一项随机对照试验

IF 3.8 Q2 TRANSPORTATION

Transportation Research Interdisciplinary Perspectives Pub Date : 2025-08-27 DOI:10.1016/j.trip.2025.101586

Christine M. Wickens , Gina Stoduto , Rosely Flam-Zalcman , Chloe Docherty , Susan Labadia , Heulwen Ann Williams , Tinsae Neamen , Branka Agic , Nigel Turner , Wei Wang

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引用次数: 0

摘要

医学教育项目在减少酒后驾车再犯方面是有效的。加拿大安大略省的“重回正轨”（BOT）项目被授权亲自交付；然而，由于2019冠状病毒病大流行，有必要转向在线配送。现有文献表明，通过视频会议提供的药物使用治疗与面对面提供的治疗一样有效；然而，这些交付模式对驾驶障碍教育的相对有效性知之甚少。目的：进行一项随机对照试验，检查面对面与在线BOT交付的有效性。方法145名参加8小时BOT研讨会的参与者随机分为面对面（n = 71）和视频会议（n = 75）两组。参加研讨会后立即、6个月和9-12个月收集评估结果。结果：在研讨会结束后，两种情况下的参与者都在一个5分制的测试中表现出积极的变化，该测试测量了与驾驶障碍有关的消极影响、态度和行为意图。与基线相比，面对面会议的平均增幅为0.13至0.48，视频会议的平均增幅为0.05至0.12。面对面会议和视频会议的参与者在客户满意度（70分中的64分）、演讲清晰度（110分中的108分和107分）和学习者参与度（135分中的123分和124分）方面的平均得分都很高。在亲自参加研讨会（0.9和14.3）和视频会议条件下（3.3和10.4），9-12个月后，饮酒和吸烟天数的平均变化较基线为正。两种情况之间几乎没有区别。结论：研究结果为继续开展在线BOT项目提供了支持。

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Effectiveness of a remedial program for impaired driving offenders delivered in-person versus via videoconferencing: A randomized controlled trial

Background

Remedial education programs are effective at reducing impaired driving recidivism. The Back on Track (BOT) program in Ontario, Canada, was mandated to be delivered in-person; however, the COVID-19 pandemic necessitated a shift to online delivery. Existing literature suggests that substance use treatment delivered via videoconferencing is as effective as treatment delivered in-person; however, little is known about the comparative effectiveness of these delivery modes for impaired driving education.

Purpose

Conducted a randomized controlled trial examining effectiveness of in-person versus online delivery of BOT.

Method

145 participants attending the 8-hour BOT workshop were randomly assigned to in-person (n = 71) or videoconference (n = 75) modalities. Assessments were collected immediately, 6 months, and 9–12 months following workshop participation.

Results

Immediately following the workshop, participants in both conditions demonstrated positive change on a 5-point scale measuring negative affect, attitudes, and behavioural intentions related to impaired driving. Mean increase from baseline ranged from 0.13 to 0.48 for the in-person and 0.05 to 0.12 for the videoconference conditions. Participants in both in-person and videoconference conditions demonstrated high mean scores on client satisfaction (64 out of 70 for both groups), clarity of presentation (108 and 107 out of 110, respectively), and learner engagement (123 and 124 out of 135, respectively). Positive mean changes from baseline in number of days consuming alcohol and tobacco were seen 9–12 months following workshop participation in both in-person (0.9 and 14.3) and videoconference conditions (3.3 and 10.4). Few differences between conditions were identified.