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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].

Graduated driver licensing: review of evaluation results since 2002

JT Shope.

Review published: 2007.

CRD summary

This review concluded that graduated driver licensing resulted in a reduction in accidents involving young novice drivers. The review had methodological and reporting limitations, but the conclusions reflect the evidence presented and appear reliable. All the included studies came from the USA and Canada and the results may not be generalisable to countries with a higher minimum driving age.

Authors' objectives

To evaluate recent evidence on the effectiveness of graduated driver licensing for novice drivers.

Searching

PubMed, ProQuest, Google Scholar, PsycINFO, the Cochrane Library, ERIC, Web of Science and the library collection of the University of Michigan Transportation Research Institute were searched. Search terms were reported. Additional studies were obtained from published updates of graduated driver licensing evaluation activity and by contact with experts in the field.

Study selection

Studies were eligible for the review if they evaluated graduated driver licensing and contained post-graduated driver licensing driving outcome or impact data. Participants in included studies were novice drivers aged between 14 and 20. Most studies reported on changes in frequency of crashes (normally including fatal and/or severe crashes) involving this group, using a time series or pre/post design. Some studies used data for older drivers as a control.

All the studies evaluated graduated driver licensing systems in the USA (individual states or the country as a whole) or Canada. Details of graduated driver licensing interventions varied between states. Time periods for pre/post comparisons ranged from one to seven years after introduction of graduated driver licensing. All the studies of the USA as a whole used the FARS (Fatality Analysis Reporting System) database with or without other data sources.

The author did not state how the studies were selected for the review, or how many reviewers performed the selection.

Assessment of study quality

The author did not state that validity was assessed.

Data extraction

The author did not state how data were extracted for the review, or how many reviewers performed the data extraction.

Methods of synthesis

Studies were combined in a narrative synthesis, studies of individual states being treated separately from those of the USA as a whole. Differences between studies were discussed in the text and others were evident from tables.

Results of the review

Twenty-one studies of graduated driver licensing in individual states (including five in California) and six nationwide studies of the USA were included.

Most studies in individual states reported that introduction of graduated driver licensing was associated with reductions in crashes of between 19% and 39%. Reported reductions for 16-year-olds ranged from 5% to 73%.

All of the nationwide studies reported that graduated driver licensing was associated with at least some significant reductions in fatalities or crashes.

Results for other outcomes were reported in the paper.

Authors' conclusions

Graduated driver licensing resulted in reductions in accidents involving young novice drivers.

CRD commentary

The inclusion criteria were generally clear, although no specific criteria were stated for study designs. The search covered a range of sources; it was unclear whether language restrictions were imposed or unpublished studies sought, so the risk of missing relevant studies was uncertain. Validity of included studies was not assessed, which meant that the reliability of the included studies and the synthesis derived from them was uncertain. Methods used for study selection and data extraction were not reported, so the review could be at risk of reviewer errors or bias. Relevant details of included studies were presented. A narrative synthesis was appropriate in view of the heterogeneity of the included studies. Despite the methodological and reporting limitations of the review and its reliance on observational evidence, the substantial effects reported in most of the included studies suggest that the conclusions are likely to be reliable. Many of the included studies involved drivers aged 16 or younger, and the results may not be fully generalisable to countries such as the UK, where the minimum age for driving is higher than in the USA and Canada. The review did not examine the effectiveness of different components of graduated driver licensing systems.

Implications of the review for practice and research

Practice: The author stated that policy-makers and others involved in the motor industry could co-ordinate and increase their efforts on improving the driving safety of teenagers.

Research: The author stated that longer follow-up studies are required, as are studies of older teenagers and studies of young drivers at each level of graduated driver licensing.

Funding

National Highway Traffic Safety Administration; Center for Injury Prevention and Control; National Safety Council.

Bibliographic details

Shope J T. Graduated driver licensing: review of evaluation results since 2002. Journal of Safety Research 2007; 38(2): 165-175. [PubMed: 17478187]

PubMedID

17478187

Indexing Status

Subject indexing assigned by NLM

MeSH

Accidents, Traffic /mortality /prevention & control /statistics & numerical data; Adolescent; Adolescent Behavior; Age Factors; Automobile Driving /education /legislation & jurisprudence; Canada /epidemiology; Humans; Licensure /legislation & jurisprudence /trends; Public Policy; Safety /legislation & jurisprudence; Time Factors; United States /epidemiology

AccessionNumber

12008104453

Date bibliographic record published

02/03/2009

Date abstract record published

21/10/2009

Record Status

This is a critical abstract of a systematic review that meets the criteria for inclusion on DARE. Each critical abstract contains a brief summary of the review methods, results and conclusions followed by a detailed critical assessment on the reliability of the review and the conclusions drawn.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2014 University of York.

PMID: 17478187

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