T r a f f i c i n j u r y r e s e a r c h F o u n d a t i o n white paper on adept drivers’ teensmart program: Sa f e t y Performan c e the traffic injury research foundation The mission of the Traffic Injury Research Foundation (TIRF) is to reduce traffic-related deaths and injuries. TIRF is an independent, charitable road safety institute. Since its inception in 1964, TIRF has become internationally recognized for its accomplishments in identifying the causes of road crashes and developing program and policies to address them effectively. Traffic Injury Research Foundation 171 Nepean St. Suite 200 Ottawa, ON K2P 0B4 Ph: (613)238-5235 Fax: (613)238-5292 Email: tirf@tirf.ca www.tirf.ca August 2012 WHITE PAPER ON ADEPT DRIVERS’ teenSMART PROGRAM: Safety Performance Prepared by: Dan Mayhew, Senior Vice President Robyn Robertson, President and CEO Ward Vanlaar, Vice-President of Research Traffic Injury Research Foundation (TIRF) August 2012 Traffic Injury Research Foundation about the Lead author Dan Mayhew, MA Dan Mayhew is Senior Vice President of the Traffic Injury Research Foundation (TIRF), a charitable independent road safety institute. TIRF is a world leader in research, safety programs, and policy development. Since joining TIRF in 1980, Dan has managed numerous research projects for the Foundation. His extensive work in the areas of young and novice drivers, graduated driver licensing, and driver education is very well known in the field of road safety in Canada and elsewhere. Dan’s research interests include: driver licensing improvement systems, motorcycle safety, young driver accident prevention, senior driver safety, motor vehicle accident data systems, driver competency and experience, commercial vehicle driver licensing, driver education and training, enforcement, driving simulation, fuel efficient driving, and alcohol, drugs and traffic safety. Disclosure Dan Mayhew participated on the Advisory Team during the development and initial evaluation of teenSMART over 12 years ago. Since then, Mr Mayhew has not had any involvement with teenSMART, including its’ evaluation, promotion or marketing. He is, however, currently chair of an Advisory Council of experts providing guidance for the development of Lifelong Driver, a computer-based training program for older drivers, and a product of ADEPT Driver. Robyn Robertson and Dr. Ward Vanlaar were not employed at TIRF when teenSMART was developed and have had no involvement in any way with this program. i Traffic Injury Research Foundation tabLe of contents About the Lead Author i Executive Summary v Introduction 1 teenSMART Description 3 teenSMART Development and Early Research 5 teenSMART and Insurance Discounts 9 teenSMART and Collision Reduction 13 Discussion 17 References 19 Appendix A: Advisory Team Members 21 Appendix B: A New Approach to Reducing Collisions Among Young Drivers 25 Appendix C: Developmental Evaluation of teenSMART 97 Appendix D: Experiences of Three Insurance Companies with teenSMART 141 Appendix E: Safety Effectiveness of teenSMART 151 iii Traffic Injury Research Foundation executive summary The Traffic Injury Research Foundation has conducted an objective and independent review of teenSMART, a product of ADEPT Driver. The purpose of this review is to assess the veracity and strength of the available evidence that this training program reduces teen driver crashes, which is a stated objective and claim of the program. This critical review has established the following. > teenSMART is a computer-based training program consisting of three core elements: computer-based driving tutorials (CBTs); parent-teen materials and activities; and a certification test to pass the program. > teenSMART has face validity and content (logical) validity as a collision reduction program based on expert knowledge, judgment and consensus. > teenSMART has been shown to have criterion-related validity (meeting its’ safety objectives) in terms of statistically significant improvements in: knowledge, drivingrelated skills, and on-road driving performance. These are encouraging results from the developmental evaluation of teenSMART. The replication of these findings with a larger sampe size is needed to further establish the criterion-related validity of teenSMART. > teenSMART has been shown to have criterion-related validity based on the indirect, antecdotal evidence and the practices of six insurance companies that offer an insurance discount for teenSMART and Departments of Insurances in most states that approve the rate filings by insurance companies for the discount. This suggests that these insurance companies have solid evidence convincing them that teenSMART reduces their claims experiences – i.e., teenSMART graduates have statistically lower collision rates. And in this regard, three insurance companies – Allstate, AAA Insurance, and Liberty Mutual – have recently gone on public record to espouse the safety benefits of teenSMART. > teenSMART may also have criterion-related validity based on the results of several studies showing that teen drivers exposed to teenSMART have statistically significant lower collision rates than those not exposed to teenSMART. However, these results are suggestive but not conclusive because other factors related to self-selection of teen drivers who take teenSMART – e.g., greater safety consciousness -- may have also contributed to, or account for, their lower collision rates. This critical review supports the claim that teen drivers who take teenSMART have lower collision rates than those who do not. Indeed, teenSMART has an impressive track record of review and assessment by insurance companies over the past 12 years that attest to its safety benefits. And, to our knowledge, it is unlikely that other driver training programs v Traffic Injury Research Foundation have been so rigorously validated and have undergone such intense and ongoing scrutiny by insurance companies. The reasons teen drivers exposed to teenSMART have statistically significant lower collision rates, however, are less clear and could be the result of teenSMART training or self-selection, for example, by more safety conscious teen drivers taking teenSMART, or a combination of these factors. Given that teenSMART has been shown in the developmental evaluation to have some criterion-related validity – improved knowledge, driving-related skills, and especially, on-road driving performance – it seems reasonable to conclude that some combination of teenSMART training and other person-centered factors likely contributed to the lower collision rates of teenSMART graduates. Improvements in intermediate, criterion-related measures, such as on-road driving performance, through teenSMART training should logically translate into fewer teen driver crashes. Regardless of the relative contribution of teenSMART training to reducing teen driver crashes, the fact that insurance companies offer discounts and make their own public statements, as well as support those of ADEPT Driver, about teenSMART significantly reducing collisions is remarkably telling about the safety performance of teenSMART within an insurance environment. vi Traffic Injury Research Foundation introduction The Traffic Injury Research Foundation (TIRF) has conducted an objective and independent review of teenSMART, a computer-based training program, developed by ADEPT Driver (adeptdriver.com). To facilitate this review, Dr. Richard Harkness, President and CEO of ADEPT Driver, provided TIRF information on the development, operation, and safety effectiveness of the teenSMART program as well as information on the process by which automobile insurance companies offer an insurance discount for teenSMART. This paper critically reviews the available documentation on teenSMART to assess the veracity and strength of the evidence that this training program reduces teen driver crashes, which is a stated objective and claim of the program. 1 Traffic Injury Research Foundation teensmart description The teenSMART program consists of a Certification license, program software DVD, Student Workbook, Parent Guide and Parent-Teen Activity Video DVD. There are three core elements to this program. These are done at home and are self-paced so the teen can progress at their own speed. The three elements are: 1. Computer-based driving tutorials (CBTs) are completed on the home computer. These tutorials provide hands-on, in-depth practice. Teens are asked to demonstrate specific driving skills and are given immediate, interactive feedback. The computer software also provides a step-by-step roadmap to guide the teen through the program. 2. Parent-Teen Activities include informational videos, workbook exercises in the Student Workbook and Parent Guide, and in-car driving sessions conducted under parental supervision. During the driving sessions, teens apply what they have learned during the CBTs to real-world driving situations. 3. A Certification Test completes the program. It comprises multiple choice knowledge questions and driving simulations similar to the training exercises, for example, on hazard detection. Teens receive an ADEPT Driver certification once they pass the test and upload test results to the online ADEPT Driver software tool. It takes an estimated ten hours to complete the teenSMART program. Approximately half of the time is allotted to Parent-Teen Activities, which include in-car driving exercises. Computer activities and the at-home Certification Test take up the remaining time. . 3 Traffic Injury Research Foundation teensmart deveLopment and earLy research ADEPT Driver designed the teenSMART program in the mid-to late-1990’s over a four-year period with the assistance of an Advisory Team of behavioral scientists, including experts in traffic safety, adolescent development, risk perception/management, and instructional design and technology. A list of experts on the Advisory Team is provided in Appendix A. teenSMART was designed as a “breakthrough” product, distinct from traditional driver education programs, with the objectives to change teen drivers’ knowledge, skills and behaviours, and thereby, to reduce teen driver crashes. A review of reports on the development and early evaluation of teenSMART as well as the program itself establishes that it has both content (logical) validity, face validity, and some aspects of criterion-related validity – e.g., achieving its objectives of improving knowledge and driving-related skills. These reports are provided in Appendix B: A New Approach to Reducing Collisions among Young Drivers and Appendix C: Developmental Evaluation of teenSMART. The teenSMART program can be obtained from ADEPT Driver’s website: adeptdriver.com. teenSMART has content validity because it addresses the key factors that cause most teen driver crashes – see report in Appendix B. These include skill deficiencies in: visual search, speed adjustment, hazard detection, space management, risk perception, and lifestyle issues (e.g., susceptibility to peer pressure). These key factors were identified through a comprehensive literature and program review by TIRF (Mayhew and Simpson 1990; Mayhew and Simpson, 1994; TIRF 1995) and a consensus amongst experts on the Advisory Team that these factors are critical in teen driver crashes and needed to be influenced to effectively address the problem. Importantly, these key crash factors are as valid today as they were more than a decade ago when they were first identified by the panel of experts during the development of the teenSMART program (Compton and Ellison-Potter, 2008; Curry et. el., 2011; Mayhew et. al., 2006; NRC et. al., 2007; Shope and Bingham, 2008). teenSMART also has face validity because it uses realistic driving simulation and computerbased driving skill exercises that on “face value” are good representations of the key risk factors, driving skills, and driving situations relevant to teen drivers – e.g., the “Where is it” exercises are a good representation of visual search; the “Hazard clicking” exercises are a good representation of hazard detection; the “Risk-O-Meter” exercises are a good 5 Traffic Injury Research Foundation representation of risk perception. More specifically, teenSMART training, for example, in hazard detection, appears to be a good representation or measure of hazard detection on “the face of it” and more generally, on “its face”, teenSMART is a good teen driver crash reduction program. This was the conclusion of experts on the Advisory Team who unanimously approved of the overall approach, psychometrics and instructional technology to be used in teenSMART as well as the prototype that was developed for beta testing. Given that teenSMART has both content and face validity based on expert knowledge, judgement and consensus, it could also be concluded that teenSMART has some elements of construct validity – i.e., translating a construct or concept into a functioning and operating reality (operationalization). However, establishing construct validity also requires assessing the performance of teenSMART against some external criterion related to the stated objectives of this program – i.e., to change teen drivers’ knowledge, skills and behaviours, and thereby, to reduce teen driver crashes (Cozby, 2007; Trochim, 2006). The influence of the teenSMART training program on student outcomes – knowledge, skills, behaviors – was assessed in a developmental evaluation conducted by scientists from Carnegie Mellon University and TIRF – see the report in Appendix C. Teens’ knowledge, skills and driving behaviors were measured before and after taking teenSMART. Approximately 150 teens age 16 and 17 participated in various aspects of the developmental evaluation. How these teens were recruited and more detail on the study method are provided in the report in Appendix C. The teens were assessed using multiple choice knowledge questions, computer-based skills tests involving a variety of scenarios showing videos of the roadway from the driver’s point of view (POV), and a real-world on-road driving test over a predetermined route during which performance was continuously videotaped. Subjects were randomly assigned to one of four groups to control for testing effects, and double-blind evaluations of video clips were used to determine pre- and post-driving behavior. teenSMART evaluation findings indicated statistically significant improvement in: > knowledge in all of the domains taught in the teenSMART program – hazard detection, space management, speed adjustment, and visual search; > driving-related skills measured by three of the five point-of-view (POV) exercises – hazard detection, risk assessment and visual search; and, > on-road driving performance related to visual search, speed management and speed control. 6 Traffic Injury Research Foundation This well-designed developmental evaluation provided initial encouraging findings that teenSMART improves knowledge, skills and driving performance and suggests that the program has some criterion-related validity, in at least meeting its objectives of improving student outcomes. In this regard, the authors of the developmental evaluation concluded that these encouraging results warranted replication with a larger sample. To our knowledge, a follow-up evaluation to confirm these initial findings with a larger sample to determine the effectiveness of teenSMART in improving knowledge and skills related to safe driving has not been conducted. However, there have been several recent developments and studies that relate to the criterion-related validity of teenSMART and its effectiveness in reducing collisions – see the following two sections for a review and discussion of this evidence. 7 Traffic Injury Research Foundation teensmart and insurance discounts Insurance rates and discounts are generally based on how likely someone is to get into a crash. Insurance actuaries and statisticians use established and sophisticated formulas based on years of data to calculate how likely someone will cause or be involved in a collision, and discounts are offered to those who belong to a defined group that pose a lower risk of collision – i.e., statistically less likely to be in a collision. Lower risk groups are defined, for example, in terms of good grades (e.g. maintain a B average), graduation from approved driver education, and low-mileage car use. In the case of driver education, this could include premium discounts to teen drivers who graduate from traditional driving schools or obtain certificates from non-traditional driving programs. In some cases, companies offer their own driver education programs, including on-line defensive driving programs and “day-at-the track” programs (e.g., skid control, slippery road, training in a parking lot or an off-road track). State Farm, for example, offers the Steer Clear Safe Driver Discount Program (see: http://www.statefarm.com/insurance/auto_insurance/steerClear. asp). It includes 20 practice drives that young adults take with their parents, and those aged 16 to 24 who complete the free program qualify for a teen driver discount on car insurance of up to 15%. AAA offers in some states an insurance discount for its’ Teaching Your Teen to Drive program which comes with an illustrated in-car handbook and a 56-minute video that instructors may incorporate into any driver education course (see: http://www.aaa.com/ Automotive/checkpoints/TYTTDflyer08b.pdf). Insurance discounts for teenSMART are offered by six independent insurance companies: AAA Insurance Exchange, Allstate, Liberty Mutual, American Commerce, Commerce Insurance and Mapfre Insurance. The discounts, which can be as high as 35%, are available in 44 states from one or more of these insurance companies. In the case of AAA Insurance Exchange, the program and auto insurance discounts are being offered in 24 states. The most common discount offered by AAA Insurance Exchange for teenSMART is 20%, which compares to 5% or less, or no discount, for other driver training programs – e.g., AAA’s Teaching Your Teen to Drive program in California. Appendix D includes information by state on the rate filings for discounts with Departments of Insurance, nationwide rollouts, and evaluations of teenSMART for AAA Insurance Exchange, Allstate and Liberty Mutual, three of the larger insurance companies offering 9 Traffic Injury Research Foundation discounts for teenSMART. This Appendix also includes a brief report on the experiences of these three insurance companies with the teenSMART program. This report describes: > the process of evaluation used by the Insurance Industry; > department of Insurance filings for a teenSMART discount; > pilot programs; > pilot Program Evaluation Time Frames; > nationwide Roll Out History. The information provided in Appendix D was prepared by Dr Richard Harkness, President and CEO of ADEPT Driver. A review of these reports establishes that teenSMART has undergone rigorous initial and ongoing annual evaluations by independent and competitive insurance companies to determine whether it reduces teen driver crashes. The process is laborious and timeconsuming with the safety performance of teenSMART from an insurance discount perspective having been under review and evaluation for over 12 years. The process each insurance company offering an insurance discount for teenSMART undertakes includes: > initial internal program review from a variety of perspectives in different departments; > pilot studies offering the program in a few states to examine outcome performance measures (e.g., collision frequencies) in large samples (about 5,000 teen drivers); > roll-out of the program nationwide based on favorable program performance; > state-by-state rate filings with state Departments of Insurance for program insurance discounts; > annual, sometimes semi-annual, evaluations of the performance of the program, which could result in the discount being pulled and/or the program dropped. This review and evaluation process of teenSMART appears to have produced compelling, and impressive evidence that teen drivers trained and certified by teenSMART have lower collision claims experiences than teen drivers not exposed to the teenSMART program. Logically, and from a business and financial standpoint, these insurance companies would not continue to offer a premium discount and the Department of Insurances would not approve one, in the absence of solid evidence convincing them that teenSMART reduces claims experiences – i.e., teenSMART graduates have statistically lower collision rates. 10 Traffic Injury Research Foundation As further recent evidence of the insurance sectors support for the crash reduction benefits of teenSMART, California State Insurance Commissioner Dave Jones joined Dr. Richard Harkness, the CEO of ADEPT Driver and maker of teenSMART, representatives from insurance companies and others at May and June 2012 news conferences in California to encourage a “safe summer for teen drivers”. According to the San Diego press release, Commissioner Jones said “…it is important for parents, teachers – all of us – to regularly take the time and educate our kids about becoming safe drivers and learning crash avoidance techniques’”. The press release also mentions that teenSMART was “highlighted as a resource that teens can use to improve their driving skills and avoid danger.” And, it included several quotes about teenSMART from Allstate, AAA Insurance, and Liberty Mutual: > “Allstate supports teen driver safety through research. The teenSMART program was developed over 12 years ago with funding and support from Allstate. teenSMART is a science based program designed to reduce teen car crashes. We have observed the performance of teenSMART for many years and see that teens that complete the program have fewer collisions and injuries. That is why we are proud to offer a significant discount for those that complete the teenSMART program here in California. We want our teens to be safe on the road and know they are in good hands.” (Jeffery L. Thomas, territorial product manager for Allstate Insurance) > “AAA Insurance has been an advocate for teen driver safety for decades. We offer the teenSMART discount because we want teen drivers to have the best tools available to remain safe on the road. We find that teens that complete the program have fewer crashes with less severe outcomes. That is why we recommend and provide up to a 20% discount for teenSMART in Northern California.” (Matthew Hardin, regional vice president for AAA Northern California, Nevada and Utah Insurance Exchange) > “Liberty Mutual is a leader in driver safety research. We have a dedicated team that focuses on young drivers and how to keep them safe. teenSMART is a key component in our mission to keep young drivers safe on the road and out of the hospital. We pilot tested the performance of teenSMART several years ago in California and observed significant crash reduction with less severe crashes among the teens that completed the program. That is why we offer a 20% discount for those that complete the teenSMART program in California. Liberty Mutual is rolling out teenSMART nationwide. Teen drivers are very important to Liberty Mutual and learning crash avoidance techniques now will give our teen drivers skills they can use for a lifetime.” (Kathleen Bissell, assistant vice president and senior regional director of public affairs for Liberty Mutual Insurance) The convergence and weight of evidence based on the experiences of independent insurance companies with teenSMART in different states and over many years is certainly 11 Traffic Injury Research Foundation convincing. And, it is bolstered significantly by the fact that these insurance companies have recently gone on public record to espouse the safety benefits of teenSMART. As noted by DR Richard Harkness, however, the reports that he has prepared on insurance companies experiences with, and insurance discounts for, teenSMART provide antecdotal, and not statistical, evidence that teenSMART reduces teen driver collisions. We concur with this observation and recognize that Insurance companies use these data to compete in the marketplace and the data are considered proprietary. However, some statistical evidence on the safety effectiveness of teenSMART, including from insurance companies, is available and examined in the next section. 12 Traffic Injury Research Foundation teensmart and coLLision reduction ADEPT Driver provided TIRF with four summary reports on studies that have evaluated the safety effectiveness of teenSMART to determine if the program achieves its objectives in reducing teen driver collisions and claims. One of these studies was conducted during the development and beta testing of teenSMART using police-reported collision data and the other three are more recent studies conducted by ADEPT Driver using insurance collision claims data. The reports on these studies are brief and included in Appendix E. The first impact evaluation was conducted when teenSMART was beta tested in Elk Grove, California during the summer of 1998. The study compared 145 teen drivers aged 1619 who completed the teenSMART 12 hour training course and passed the teenSMART certification test with 135 teen drivers aged 16-19 who did not take teenSMART training. The two groups were matched for school district, age, gender, and driving experience. Both groups had taken driver’s training and had passed the states’ driver license exam. An examination of DMV driving records one year after teen drivers completed teenSMART showed a 30% lower collision rate for teenSMART teens one year after training – rates of 10.3 and 14.8 per 100 drivers, respectively. Although not provided in the study report, however, a Chi-square test by TIRF research staff showed that this difference was not statistically significant – p=0.258. In this report, the collision rates of the teenSMART group were also compared to the overall collision rate for teen drivers aged 16-19 in the United States during 1998 taken from statistics included in the National Safety Council (NSC) “Accident Facts”. In the case of this comparison, the teenSMART group had a collision rate 71% lower than the national average – rates of 10.3 and 36 – and this difference was statistically significant (p < .001). The reasons why the collision rate for 16-19 year old drivers nationally is so high compared to the collision rates of the teenSMART group as well as the matched control group in this study are not known but likely related to factors other than exposure to teenSMART – e.g., different state driver license systems, minimum driver licensing ages, and procedures for counting collisions and licensed drivers than in California; different road infrastructure, urban/rural mix, seasonal and weather patterns (e.g., severe winter conditions) than in Elk Grove, California. For these myriad of reasons, the per-driver collision rates of 16-19 year 13 Traffic Injury Research Foundation olds will be below or above the national average in the various states on which the average is calculated. The other three studies conducted by ADEPT Driver were based on an analysis of insurance claims data from a nationwide sample of 15 states. In all three studies, the frequency of collision claims were standardized by annualized exposure – a single annualized exposure consists of 12 months of driving exposure – for two groups of drivers: the first group comprised teens who purchased teenSMART and recorded a passing certification test score; the second group comprised teens who did not purchase or complete the teenSMART training. Each study report mentions that the non-teenSMART group came from the same states and that the gender and age compositions by state within the non-teenSMART group “proved to be a very close match” to the teenSMART group. However, no data on gender and age are provided by state or overall for the two comparison groups in the study reports. All three studies used large samples of teen drivers, especially in the non-teenSMART group. These three studies differ in that each of them report results for different age groups and years. The results and sample sizes are provided below. Number Collision Rate 16-18 year olds in 2002 teenSMART non-teenSMART Difference 2,235 184,886 11.7 15.9 -26.4% 16-17 year olds in 2000-2003 teenSMART non-teenSMART 7,172 255,589 10.1 14.4 -29.8% 18 year olds in 2000-2003 teenSMART non-teenSMART 3,511 160,290 9.3 12.2 -23.8% All three studies report statistically significant lower collision rates for the teenSMART group – lower collision rates of 26.4% for 16-18 year old teen drivers (p > .000); 29.8% for those aged 16-17 (p > .000); and 23.8% for 18 year old teen drivers (p > .000). The above results provide strong direct, statistical evidence that teen drivers who take teenSMART have lower collision rates than teen drivers who do not. However, these results do not conclusively establish that teenSMART reduces teen driver crashes. 14 Traffic Injury Research Foundation These analysis all adopt a non-randomized, matched control design which is an acceptable design but falls short of an experimental randomized design, which is often considered the “gold” standard in evaluations of safety programs, such as driver education (Campbell and Stanley 1966; Clinton and Lonero, 2006; Pedhazur and Schmelkin, 1991; Lonero and Mayhew, 2010). The primary issue with these studies, which is an issue that has plagued evaluations of driver education programs in the past, is that they do not adequately control for volunteer bias and self-selection (Mayhew and Simpson 1997; Mayhew et., al., 1998; Mayhew et. al., 2002; Williams et al., 2009). Teen drivers taking teenSMART are self-selected and may differ from non-teenSMART teen drivers on person-centered characteristics beyond age, gender and geographic location which are typically the only variables being matched. These volunteers may be more safety conscious than those choosing not to take teenSMART and have a lower crash rate for these reasons and not because of the training in teenSMART. In fact, this is the actuarial basis for some insurance companies offering discounts to traditional, or their own, driver education programs (Williams et. al., 2009). In this regard, similar to being female or being middle-aged or having good grades or being a low mileage driver, teenSMART may provide the insurance company with an indicator or “flag” to identify teen drivers statistically less likely to be involved in a collision. It is also possible that teen drivers who purchase teenSMART are from a household with a higher socio-economic status and income, which are factors shown to be related to lower collision rates (Chenetal, 2010; Hasselberg and Laflamme, 2003; Males, 2007; Males 2009). As a counter argument, however, teen drivers may be more likely to take teenSMART because of the insurance discount (suggestive of a lower socio-economic status) and not because they are more safety conscious. However, another confounding factor may be that teenSMART teens may be motivated not to report claims for collisions because this could result in the insurance discount being pulled. This could contribute to, or be the reason for, teenSMART teens having lower collision rates. Importantly, the above discussion is somewhat speculative and to our knowledge, research has not been conducted that has either established a relationship between insurance discounts and being more safety conscious or teen drivers with insurance discounts being less likely to report a collision to their insurance company. Comparing self-selected groups in a quasi-experimental design is admittedly a weaker design than an experimental one, fraught with interpretive difficulties, but it is better than no evaluation at all, if a more rigorous evaluation is not feasible (Campbell and Stanley 15 Traffic Injury Research Foundation 1966). An experimental design with random assignment is costly and as can be attested by the well-known DeKalb study of driver education, even an experimental evaluation design can produce ambiguous results because not all factors can be controlled in a naturalistic setting – e.g., teens can be assigned to a program and not take it or only partially complete it resulting in drop-out rates that result in significant self-selection bias; some may choose to delay licensure whereas others become licensed as soon as they are eligible introducing further confounding factors (Mayhew et. al., 1998; Stock et. al., 1993; Williams et al., 2009). The bottom line is that teen drivers who take teenSMART have lower collision rates than those who do not. This is supported by the analysis of insurance collision claims data as well as the practice of insurance companies offering a discount for teenSMART. Far less clear, however, is whether teenSMART training actually reduces teen driver collisions, or other factors (greater safety consciousness of teen drivers choosing to take teenSMART), independently or in combination with training, explain the lower collision rates of teenSMART graduates. 16 Traffic Injury Research Foundation discussion The critical review of available documentation has shown that teenSMART has face validity and content (logical) validity as a collision reduction program based on expert knowledge, judgment and consensus. It has also been shown to have criterion-related validity (meeting its safety objectives) in terms of statistically significant improvements in: knowledge, drivingrelated skills, and on-road driving performance. These are encouraging results from the developmental evaluation of teenSMART. The replication of these findings with a larger sample is needed to further establish the criterion-related validity of teenSMART. The evidence is mixed and less clear for teenSMART in terms of collision reductions. teenSMART has been shown to have criterion-related validity based on the indirect, antecdotal evidence: the practices of six insurance companies that offer an insurance discount for teenSMART; and Departments of Insurances in most states that approve the rate filings by insurance companies for the discount. This suggests that these insurance companies have solid evidence convincing them that teenSMART reduces their claims experiences – i.e., teenSMART graduates have statistically lower collision rates. The veracity of this evidence is further supported by three insurance companies – Allstate, AAA Insurance and Liberty Mutual – recently going on public record to espouse the collisionreduction benefits of teenSMART. To some extent this is supported by direct, statistical evidence from studies showing that teen drivers exposed to teenSMART have statistically significant lower collision rates than those not exposed to teenSMART. However, these results are suggestive but not conclusive because these studies have not adequately accounted for confounding factors, such as self-selection. This critical review supports the claim that teen drivers who take teenSMART have lower collision rates than those who do not. The reasons for this, however, are less clear and could be the result of teenSMART training or self-selection, for example, by more safety conscious teen drivers taking teenSMART, or a combination of these factors. Given that teenSMART has been shown in the developmental evaluation to have some criterionrelated validity – improved knowledge, driving-related skills, and especially, on-road driving performance – it seems reasonable to conclude that some combination of training and other person-centered factors likely contributed to the lower collision rates of teenSMART graduates. Improvements in intermediate, criterion-related measures, such as on-road driving performance, through teenSMART training should logically translate into fewer teen driver crashes. The extent to which this is the case, however, and the relative contribution 17 Traffic Injury Research Foundation of teenSMART and other person-centered factors related to self-selection, cannot be determined from the available information provided for this critical review and White Paper. 18 Traffic Injury Research Foundation references Campbell, D.T. and Stanley, J.C. (1966). Experimental and Quasi-Experimental Designs for Research. 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Washington D.C.: National Highway Safety Administration. 20 Traffic Injury Research Foundation appendix a: advisory team members 21 Traffic Injury Research Foundation teensmart advisory team Affiliations at the Time of teenSMART Development Dr. Baruch Fishhoff, Ph.D Director and Howard Heinz University Professor Department of Social and Decision Making Sciences Carnegie Melon University Dr. Richard Harkness, Ed.D, CEO CEO ADEPT Driver Dr. Richard Jessor, Ph.D Director and Professor of Psychology Institute of Behavioral Sciences University of Colorado at Boulder Mr. Dan Mayhew, M.A. Senior Vice President Traffic Injury Research Foundation Dr. Jim McKnight, Ph.D Principal Researcher Pacific Institute for Research and Evaluation Dr. Allison Rossett, Ed.D Professor of Instructional Technology School of Education San Diego State University Dr. Herb Simpson, Ph.D President and CEO Traffic Injury Research Foundation 23 Traffic Injury Research Foundation appendix b: a new approach to reducing collisions among young drivers 25 Traffic Injury Research Foundation 27 Traffic Injury Research Foundation 28 Traffic Injury Research Foundation 29 Traffic Injury Research Foundation 30 Traffic Injury Research Foundation 31 Traffic Injury Research Foundation 32 Traffic Injury Research Foundation 33 Traffic Injury Research Foundation 34 Traffic Injury Research Foundation 35 Traffic Injury Research Foundation 36 Traffic Injury Research Foundation 37 Traffic Injury Research Foundation 38 Traffic Injury Research Foundation 39 Traffic Injury Research Foundation 40 Traffic Injury Research Foundation 41 Traffic Injury Research Foundation 42 Traffic Injury Research Foundation 43 Traffic Injury Research Foundation 44 Traffic Injury Research Foundation 45 Traffic Injury Research Foundation 46 Traffic Injury Research Foundation 47 Traffic Injury Research Foundation 48 Traffic Injury Research Foundation 49 Traffic Injury Research Foundation 50 Traffic Injury Research Foundation 51 Traffic Injury Research Foundation 52 Traffic Injury Research Foundation 53 Traffic Injury Research Foundation 54 Traffic Injury Research Foundation 55 Traffic Injury Research Foundation 56 Traffic Injury Research Foundation 57 Traffic Injury Research Foundation 58 Traffic Injury Research Foundation 59 Traffic Injury Research Foundation 60 Traffic Injury Research Foundation 61 Traffic Injury Research Foundation 62 Traffic Injury Research Foundation 63 Traffic Injury Research Foundation 64 Traffic Injury Research Foundation 65 Traffic Injury Research Foundation 66 Traffic Injury Research Foundation 67 Traffic Injury Research Foundation 68 Traffic Injury Research Foundation 69 Traffic Injury Research Foundation 70 Traffic Injury Research Foundation 71 Traffic Injury Research Foundation 72 Traffic Injury Research Foundation 73 Traffic Injury Research Foundation 74 Traffic Injury Research Foundation 75 Traffic Injury Research Foundation 76 Traffic Injury Research Foundation 77 Traffic Injury Research Foundation 78 Traffic Injury Research Foundation 79 Traffic Injury Research Foundation 80 Traffic Injury Research Foundation 81 Traffic Injury Research Foundation 82 Traffic Injury Research Foundation 83 Traffic Injury Research Foundation 84 Traffic Injury Research Foundation 85 Traffic Injury Research Foundation 86 Traffic Injury Research Foundation 87 Traffic Injury Research Foundation 88 Traffic Injury Research Foundation 89 Traffic Injury Research Foundation 90 Traffic Injury Research Foundation 91 Traffic Injury Research Foundation 92 Traffic Injury Research Foundation 93 Traffic Injury Research Foundation 94 Traffic Injury Research Foundation 95 Traffic Injury Research Foundation 96 Traffic Injury Research Foundation appendix c: developmental evaluation of teensmart 97 Traffic Injury Research Foundation 99 Traffic Injury Research Foundation 100 Traffic Injury Research Foundation 101 Traffic Injury Research Foundation 102 Traffic Injury Research Foundation 103 Traffic Injury Research Foundation 104 Traffic Injury Research Foundation 105 Traffic Injury Research Foundation 106 Traffic Injury Research Foundation 107 Traffic Injury Research Foundation 108 Traffic Injury Research Foundation 109 Traffic Injury Research Foundation 110 Traffic Injury Research Foundation 111 Traffic Injury Research Foundation 112 Traffic Injury Research Foundation 113 Traffic Injury Research Foundation 114 Traffic Injury Research Foundation 115 Traffic Injury Research Foundation 116 Traffic Injury Research Foundation 117 Traffic Injury Research Foundation 118 Traffic Injury Research Foundation 119 Traffic Injury Research Foundation 120 Traffic Injury Research Foundation 121 Traffic Injury Research Foundation 122 Traffic Injury Research Foundation 123 Traffic Injury Research Foundation 124 Traffic Injury Research Foundation 125 Traffic Injury Research Foundation 126 Traffic Injury Research Foundation 127 Traffic Injury Research Foundation 128 Traffic Injury Research Foundation 129 Traffic Injury Research Foundation 130 Traffic Injury Research Foundation 131 Traffic Injury Research Foundation 132 Traffic Injury Research Foundation 133 Traffic Injury Research Foundation 134 Traffic Injury Research Foundation 135 Traffic Injury Research Foundation 136 Traffic Injury Research Foundation 137 Traffic Injury Research Foundation 138 Traffic Injury Research Foundation 139 Traffic Injury Research Foundation 140 Traffic Injury Research Foundation appendix d: experiences of three insurance companies with teensmart 141 Traffic Injury Research Foundation 143 Traffic Injury Research Foundation 144 Traffic Injury Research Foundation 145 Traffic Injury Research Foundation 146 Traffic Injury Research Foundation 147 Traffic Injury Research Foundation 148 Traffic Injury Research Foundation 149 Traffic Injury Research Foundation 150 Traffic Injury Research Foundation appendix e: safety effectiveness of teensmart 151 Traffic Injury Research Foundation 153 Traffic Injury Research Foundation 154 Traffic Injury Research Foundation 155 Traffic Injury Research Foundation 156 Traffic Injury Research Foundation 157 Traffic Injury Research Foundation 158 Traffic Injury Research Foundation 159 Traffic Injury Research Foundation 160 Traffic Injury Research Foundation 161