The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce...

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PREVENTION RESEARCH BRANCH * DESPR * NICHD * NIH * DHHS The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem Bruce Simons-Morton, EdD, MPH Elevated G-Force Event Rate Analyses Naturalistic Teenage Driver Study 1) Utility 2) Validity 3) Variability issues

Transcript of The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce...

Page 1: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

PREVENTION RESEARCH BRANCH * DESPR * NICHD * NIH * DHHS

The Young Driver Problem Bruce Simons-Morton, EdD, MPH

Chief, Prevention Research Branch

The Novice Young Driver Problem

Bruce Simons-Morton, EdD, MPH

Elevated G-Force Event Rate Analyses

Naturalistic Teenage Driver Study 1) Utility

2) Validity

3) Variability issues

Page 2: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

PREVENTION RESEARCH BRANCH * DESPR * NICHD * NIH * DHHS

Naturalistic Teenage Driving Study (NTDS)

A. Overview

42 volunteer teens & parents recruited at permit

Instrumentation of primary vehicle

18 month follow up

Examine teen driving performance over time

B. Crash and near crash (CNC) causes

1) Road, traffic, trip conditions

2) Driver behavior - risky driving

Distraction

Speeding

Elevated g-force events (risky driving)

Page 3: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

PREVENTION RESEARCH BRANCH * DESPR * NICHD * NIH * DHHS

Elevated G-Force Event Analyses

Advantages/utility

Numerous events

Objective measure of risky driving

• Associated with Crash/Near Crash (CNC)

• Higher in teenagers (novices) than adults (experienced drivers)

Employed in safety programs for fleet operators, teenage drivers (e.g., Drive Cam; Green Road)

Limitations

Variability

Page 4: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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NTDS Crash and Near Crash

Incidence (18-months)

Crashes

Near

Crashes

Total

Teenagers (n=42) 36 238 274

Adults (n=54) 2 31 33

Page 5: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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NTDS

Kinematic Measures

Page 6: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Composite Kinematic Measure

Total 18 Months

Teen (N = 42)

Standardized alpha = .78

Measures Mean/

100 mi SD

Correlation

w/ Composite

Rapid starts 2.73 3.81 0.86

Hard stops 1.71 1.63 0.59

Hard left turns 1.58 1.55 0.83

Hard right turns 1.17 1.26 0.63

Yaw 0.50 0.69 0.57

Composite/100 miles 7.68 6.73

Page 7: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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1. Rate calculation: mean or median incidence rates/miles

2. Aggregate over time (month or quarter)

3. Small sample; large number of trips

4. Variability within and between subjects

5. Enable assessment of covariates

6. Statistical approaches for modeling count data: Poisson; GEE with regression; marginal analysis of longitudinal count data; survival analysis; trajectory (latent) class

7. Model specifications

Logarithm of mileage offset

Subject-specific random effects to account for over-dispersion and serial correlation

Kinematic Measures of Risky Driving

Analysis Issues

Page 8: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

PREVENTION RESEARCH BRANCH * DESPR * NICHD * NIH * DHHS

NTDS Elevated G Force Rate Analyses

Inferential Questions

Do rates change over time?

Do teen and parent (adult) rates differ?

What are the factors that influence g-force

rates?

Page 9: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Inference

G-Force Event Rates – Teens and Parents

IRR=5.08

Simons-Morton et al., American Journal of Public Health, 2011

Page 10: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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1.Correlation of Risky Driving & CNC -- 18 months

2.Generalized Equation Estimation regression model

3.Time to crash – Cox Survival Model

4.ROC curve – Zeger-Qagish Model

5.Trajectory classes

Elevated G-Force Event Rate Analyses

Association and Prediction of CNC

Page 11: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Correlations with C/NC

Hard Stops

.71**

Rapid Starts

.25

Left Turns

.35**

Right Turns

.57**

Yaw

.31*

Elevated G-Force Events & CNC Correlations

Kinematic

Measure

Pearson

Correlations

Spearman

Rank Order

Correlations

Hard Stops 0.71 0.76

Rapid Starts 0.25 0.75

Left Turns 0.35 0.53

Right Turns 0.57 0.62

Yaw 0.31 0.46

Composite 0.52 0.60

Page 12: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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GEE With Logistic Regression

Prediction of C/NC by Period

0.00 0.05 0.10 0.15 0.20 0.25 0.30

0.0

0

.1

0.2

0

.3

0.4

0

.5

0.6

0

.7

Composite Event Rate

Pro

ba

bil

ity o

f C

/NC

First 6-months

Second 6-months

Third 6-months

Simons-Morton et al., American Journal of Epidemiology, 2012

Page 13: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Does risky driving in past month predict CNC?

1. Repeat for each CNC event, each study participant

2. Kinematic event rates past month as IV

3. Account for CNC in past 2 months

4. Mileage offset

5. Area under the curve/ROC

• Sensitivity

• specificity

Zeger-Qagish Logistic Regression Model

Page 14: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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ROC Curve for Model

Page 15: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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ROC Curve for Model

Bias-adjusted Estimate

Sen

sitiv

ity

0.00

0.25

0.50

0.75

1.00

1-Specificity

0.00 0.25 0.50 0.75 1.00

Leave-one-out Cross Validation ROC CurveArea Under the Curve = 0.7367

Simons-Morton et al., American Journal of Epidemiology, 2012

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Variability in Elevated G-Force Event Rates

1 2 3 4 5 6

01

02

03

04

05

0

Time since licensure (quarter)

IR p

er

10

0 m

ile

s fo

r co

mp

osite

me

asu

re

Typical teen

Typical parent

Individual teen

IRR=5.08

Page 17: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Longitudinal Trajectory Classes

Latent Class Models

Low High Low High Low High Low High

1st 6-months 2nd 6-months 3rd 6-months 18 months

Page 18: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Summary & Conclusions

1. G-force event rates driving correlated w CNC over 18 mo.

2. Survival analyses

• Previous month = hazard ratio of 10 x

• 18 month = hazard ratio of ~45 x

3. ROC/AUC indicates that risky driving is ~73% predictive

• Need to test model with another data set

4. Trajectory classes = 2

Conclusion: Kinematic measures valid measure of risky driving

Limitations: High variability and small sample size

• Marginal analyses of count data

Page 19: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Collaborators

NICHD: Marie Claude Ouimet, Paul Albert, Zhiwei

Zhang, Jing Wang, Anuj Pradhan

VTTI: Tom Dingus; Charlie Klauer; Suzie Lee,

Feng Guo

Thank you

Page 20: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Histogram of Teen Risky Driving

(Composite Measure; Rates/100 Miles)

Page 21: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Crash/Near Crash – Teens and Parents

IRR=3.91

Page 22: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Does Risky Driving Change

After a Crash/Near Crash?

Time/miles before

& after C/NC

Wilcoxon

Signed Rank

2 Days p= 0.13

1 week p = 0.72

1 month p = 0.85

Page 23: The Young Driver Problem - Virginia Tech · 2012. 12. 10. · The Young Driver Problem Bruce Simons-Morton, EdD, MPH Chief, Prevention Research Branch The Novice Young Driver Problem

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Risky Driving 2 days Before & After each

CNC

AFTER BEFORE

0

0.2

0.4

0.6

0.8

Stats

Mean 0.079479

Min 0

Max 0.322834

0.133881

0

0.656195

Mean

Median