Risk Reduction BehaviorDRIVERNCT06413927
Driver Education Research Study
A study testing Online Driver Skills Training and Behind-the-Wheel Driver Training in people with Risk Reduction Behavior and Injuries, run by Children's Hospital of Philadelphia at 1 site in United States.
Trial summary
This study will test the effectiveness of different types of driver training interventions for reducing young new driver crash risk early after licensure. Read more about this study
- Who is it for?
- Ages 16 to 17 yearsHealthy volunteers can take part
- Conditions the study is for
- Risk Reduction Behavior, Injuries, Accident, Traffic
- What is being tested?
- Online Driver Skills Training and Behind-the-Wheel Driver Training
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,300 participants
- Where
- 1 siteUnited States
- Study dates
- 8 Aug 2024to Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 17 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Adolescents ages 16-17 years old who reside in Pennsylvania
- Have an active Pennsylvania learner's permit
- Have <30 hours of driving practice during permit phase
- Have never taken an on-road licensing exam, in any state
- Plan to get a license within the next 12 months in Pennsylvania
- Plan to have access to a vehicle to drive after licensure
Show all 11Show fewer
- Have a personal cell phone and access to a smartphone/tablet/computer with internet access
- Download and use the RoadReady app (only required for participants randomized to the behind-the-wheel training arm; optional for participants randomized to the online vehicle and driver safety and online driver skills training arms)
- Are able to read/write in English
- Provide informed consent/assent
- Are not also taking part in another learner driver study
Who cannot join
- Non-Pennsylvania resident
- Participants who do not pass the license exam will not be able to complete the post-license monitoring until the license is obtained
- Enrolled in another learner driver study
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19146
Elizabeth A Walshe, PhD, 267-425-1583, walshee@chop.edu
Jamillah T Millner, MPH, 267-425-0375, millnerj@chop.edu
About this study
Official title: A Contemporary Look at Driver Training and Its Role in Reducing Crash Risk in Novice Adolescent Drivers
This study will test the effectiveness of different types of driver training interventions for reducing young new driver crash risk early after licensure.
Read the detailed description
Motor vehicle crashes remain high in young drivers, despite graduated driver licensing laws that put restrictions on driving and delay licensure. Typically, data trends show that crash risk is highest right after licensure, in the early months of independent driving. Additional studies of different driver training interventions have shown some evidence that it is possible to improve skills and reduce crashes early in licensure for young drivers. However, Pennsylvania and many other states have no professional training requirements for young drivers.
This study will test the effectiveness of different types of driver training programs for reducing young new driver crash risk early after licensure.
Up to 1,200 adolescent learner drivers in Pennsylvania will be recruited for this trial (to get up to 1,000 evaluable participants). Participants will be recruited through Primary Care Clinics at Children's Hospital of Philadelphia and from the surrounding community to take part in a study that will continue through the learner phase and for 6 months after licensure. Participants will give informed consent and be asked to complete some baseline surveys and cognitive tasks, and a virtual driving assessment in-person during a clinical or other visit. All will receive care-as-usual.
Participants will also be followed through the learner phase with a smartphone app that monitors driving trips and monthly surveys that can be completed at home. In the learner phase, participants will randomly receive one of three interventions. One group of participants will receive professional behind-the-wheel training with a local driving school instructor. Another group will receive a modern online driver training course. Another group will receive an online vehicle and driver safety education. Participants randomly assigned to the behind-the-wheel training group will be required to download and use an app to log and track their driving practice hours. Use of this app will be optional for participants randomly assigned to the other groups.
After the learner phase, participants will be given an online hazard skills test, online surveys, and second virtual driving assessment, and state license examination and will be followed for 6 months after licensure, with online surveys at 2, 4, and 6 months after licensure, and with continued driver trip monitoring through the smartphone app.
- Being tested
- Online Vehicle and Driver Safety Education, Online Driver Skills Training, Behind-the-Wheel Driver Training
- Keywords
- Injury prevention, Adolescent development, Learner drivers, Crash risk reduction, Novice drivers, Risky Driving, Teens
- Medical subject headings
- Risk Reduction Behavior, Wounds and Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online Vehicle and Driver Safety EducationBehavioural
This online video education program provides education in vehicle and driver safety (e.g. vehicle maintenance, adjusting car seats and seatbelts). This online training will take up to 2 hours to complete and will have a short quiz at the end to determine compliance with this online training.
Online Driver Skills TrainingBehavioural
The online driver training is the Accelerated Curriculum to Create Effective Learning (ACCEL) is designed to enhance the ability to anticipate, recognize and respond to hazards and to maintain attention to the road. The training is delivered online via a computer and can be done from home or at a school or other site that has a computer with internet access. It requires up to two hours to complete, and will be hosted on a platform that will track progress and completion through the training (such as accuracy, duration in modules, time to complete) and a short quiz will be provided at the end to assess learning.
Behind-the-Wheel Driver TrainingBehavioural
The professional behind-the-wheel training course will be conducted in-person, delivered by local driving school partner Coastline Academy or licensed driver training schools subcontracted by Coastline Academy. The curriculum consists of 6 hours of training with assigned practice between lessons, and meets Pennsylvania and national standards. Post-lesson forms completed by the instructors will record adherence and consistency (intervention fidelity).
| Study group | Role | What they receive |
|---|---|---|
| Active Control: Online Vehicle and Driver Safety Education | Active comparator | Participants in this arm will receive care as usual, and also complete an online video training module on vehicle and driver safety, with a short quiz at the end to determine compliance. The training content will not teach driving skills, as in the other online driver training arm. It requires up to two hours to complete and can be done from any internet-connected computer (at home, at school, etc.). Receives: Behavioral: Online Vehicle and Driver Safety Education |
| Online Driver Skills Training | Experimental | Participants in the Online Driver Skills Training arm will complete an online driver skill training program known as Accelerated Curriculum to Create Effective Learning (ACCEL) for novice drivers. It requires up to two hours to complete and can be done from any internet-connected computer (at home, at school, etc.). Receives: Behavioral: Online Driver Skills Training |
| Behind-the-Wheel Driver Training | Experimental | Participants in the Behind-the-Wheel training arm will receive professional behind-the-wheel training course delivered in-person on the road by a local driving school instructor through our partnership with a local driving school Coastline Academy or licensed driver training schools subcontracted by Coastline Academy. Receives: Behavioral: Behind-the-Wheel Driver Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hard Braking Events
For Aim 1 and 3, the primary outcome is the number of hard braking events per 100 miles driven during the first 2 months post-licensure, as measured via the Way-to-Drive App.
Measured: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure, with primary outcome at 2 months post-licensure.
Pass rate on the licensure exam
The primary outcome in Aim 2 and 3 will be the pass rate on the first licensure exam attempt.
Measured: Measured at the time of the license examination, post-intervention (in about month 8-18).
Secondary outcomes (7)
Phone Use While Driving
For Aim 1 and 3: minutes of handheld phone use per hour of driving, as measured via the Way-to-Drive App.
Measured: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure.
Speeding
For Aim 1 and 3: Proportion of drive time >10 miles over the posted speed limit, as measured via the Way-to-Drive App.
Measured: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure.
Crash Involvement
For Aim 1 and 3: Self-reported involvement in crashes as a driver (binary yes/no) as captured by a question in our follow-up driver experience questionnaire: response options are 1) none; 2) one; 3) two; 4) more than 2. This item has been used in previous studies as part of the modified Driver Behavior Questionnaire (mDBQ).
Measured: Measured at 2-, 4- and 6-month follow-up post-licensure (about month 18-24).
Risky driving behavior
For Aim 1 and 3: Risky Driving factor score as captured through self-reported responses on the modified driver behavior questionnaire, in which participants rate how often they engage in 11 different risk-taking behaviors while driving on a 6-point scale from "Never" to "Nearly all the time."
Measured: Measured at 2-, 4- and 6-month follow-up post-licensure (within about month 18-24).
Virtual Driving Assessment performance
For Aim 2 and 3: the class of driving behavior assessed via performance on a virtual driving assessment.
Measured: Measured at the time of the license examination, post-intervention (in about month 8-18).
Change in Virtual Driving Assessment performance
For Aim 2 and 3: the change in virtual driving assessment performance class assessed via performance on a virtual driving assessment pre- and post-intervention.
Measured: Measured at the time of the license examination, post-intervention (in about month 8-18).
Number of license exam attempts
For Aim 2 and 3: the number of attempts taken to pass the licensure exam.
Measured: Measured at the time of the license examination, post-intervention (in about month 8-18).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 May 2024
- Study start8 Aug 2024
- Primary completionDec 2027 (estimated)
- Study completionDec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Risk Reduction BehaviorStudies of the same condition, open and under way.
- More trials run by Children's Hospital of PhiladelphiaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Care provider, Outcomes assessor
- Enrolment
- 1,300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Children's Hospital of Philadelphia
- Sponsor type
- University, hospital or other
- Collaborators
- National Institutes of Health (NIH), University of Pennsylvania, University of Michigan, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
- Responsible party
- Sponsor
- Investigators
- Thomas Seacrist, MBE, Principal investigator, Children's Hospital of PhiladelphiaFlaura Winston, MD, PhD, Principal investigator, Children's Hospital of PhiladelphiaDan Romer, PhD, Principal investigator, Children's Hospital of Philadelphia/University of Pennsylvania
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06413927
- Sponsor's protocol ID
- 21-019445
- Other IDs
- 1R01HD108249-01A1
- Acronym
- DRIVER
- Status last verified
- Mar 2026
- First submitted
- 24 Apr 2024
- Last updated
- 6 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Walshe EA, Romer D, Elliott MR, Baxelbaum KS, Delgado MK, Ebert JP, Winston FK. A contemporary examination of the effect of driver training for reducing crash risk in novice adolescent drivers: protocol for the DRIVER study, a random assignment trial. Inj Epidemiol. 2025 Dec 1;13(1):2. doi: 10.1186/s40621-025-00645-2.
PubMed 41327408
Study at a glance
From the registry record, last updated by the sponsor on 6 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Contemporary Look at Driver Training and Its Role in Reducing Crash Risk in Novice Adolescent Drivers
- ClinicalTrials.gov ID
- NCT06413927
- Acronym / sponsor ID
- DRIVER / 21-019445
- Keywords
- Injury prevention, Adolescent development, Learner drivers, Crash risk reduction, Novice drivers, Risky Driving, Teens
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,300 participants (estimated)
- Lead sponsor
- Children's Hospital of PhiladelphiaUniversity, hospital or other
- Collaborators
- National Institutes of Health (NIH), University of Pennsylvania, University of Michigan, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
- Study start
- 8 Aug 2024 (actual)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 14 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will test the effectiveness of different types of driver training interventions for reducing young new driver crash risk early after licensure.
Detailed description
Motor vehicle crashes remain high in young drivers, despite graduated driver licensing laws that put restrictions on driving and delay licensure. Typically, data trends show that crash risk is highest right after licensure, in the early months of independent driving. Additional studies of different driver training interventions have shown some evidence that it is possible to improve skills and reduce crashes early in licensure for young drivers. However, Pennsylvania and many other states have no professional training requirements for young drivers.
This study will test the effectiveness of different types of driver training programs for reducing young new driver crash risk early after licensure.
Up to 1,200 adolescent learner drivers in Pennsylvania will be recruited for this trial (to get up to 1,000 evaluable participants). Participants will be recruited through Primary Care Clinics at Children's Hospital of Philadelphia and from the surrounding community to take part in a study that will continue through the learner phase and for 6 months after licensure. Participants will give informed consent and be asked to complete some baseline surveys and cognitive tasks, and a virtual driving assessment in-person during a clinical or other visit. All will receive care-as-usual.
Participants will also be followed through the learner phase with a smartphone app that monitors driving trips and monthly surveys that can be completed at home. In the learner phase, participants will randomly receive one of three interventions. One group of participants will receive professional behind-the-wheel training with a local driving school instructor. Another group will receive a modern online driver training course. Another group will receive an online vehicle and driver safety education. Participants randomly assigned to the behind-the-wheel training group will be required to download and use an app to log and track their driving practice hours. Use of this app will be optional for participants randomly assigned to the other groups.
After the learner phase, participants will be given an online hazard skills test, online surveys, and second virtual driving assessment, and state license examination and will be followed for 6 months after licensure, with online surveys at 2, 4, and 6 months after licensure, and with continued driver trip monitoring through the smartphone app.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (care provider, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Active Control: Online Vehicle and Driver Safety Education | Active comparator | Behavioral: Online Vehicle and Driver Safety EducationParticipants in this arm will receive care as usual, and also complete an online video training module on vehicle and driver safety, with a short quiz at the end to determine compliance. The training content will not teach driving skills, as in the other online driver training arm. It requires up to two hours to complete and can be done from any internet-connected computer (at home, at school, etc.). |
| Online Driver Skills Training | Experimental | Behavioral: Online Driver Skills TrainingParticipants in the Online Driver Skills Training arm will complete an online driver skill training program known as Accelerated Curriculum to Create Effective Learning (ACCEL) for novice drivers. It requires up to two hours to complete and can be done from any internet-connected computer (at home, at school, etc.). |
| Behind-the-Wheel Driver Training | Experimental | Behavioral: Behind-the-Wheel Driver TrainingParticipants in the Behind-the-Wheel training arm will receive professional behind-the-wheel training course delivered in-person on the road by a local driving school instructor through our partnership with a local driving school Coastline Academy or licensed driver training schools subcontracted by Coastline Academy. |
Who may qualify
- Ages
- 16 to 17 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (11 listed)
- Adolescents ages 16-17 years old who reside in Pennsylvania
- Have an active Pennsylvania learner's permit
- Have <30 hours of driving practice during permit phase
- Have never taken an on-road licensing exam, in any state
- Plan to get a license within the next 12 months in Pennsylvania
Key exclusion criteria (3 listed)
- Non-Pennsylvania resident
- Participants who do not pass the license exam will not be able to complete the post-license monitoring until the license is obtained
- Enrolled in another learner driver study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Online Vehicle and Driver Safety EducationThis online video education program provides education in vehicle and driver safety (e.g. vehicle maintenance, adjusting car seats and seatbelts). This online training will take up to 2 hours to complete and will have a short quiz at the end to determine compliance with this online training. | Behavioural | Active Control: Online Vehicle and Driver Safety Education |
| Online Driver Skills TrainingThe online driver training is the Accelerated Curriculum to Create Effective Learning (ACCEL) is designed to enhance the ability to anticipate, recognize and respond to hazards and to maintain attention to the road. The training is delivered online via a computer and can be done from home or at a school or other site that has a computer with internet access. It requires up to two hours to complete, and will be hosted on a platform that will track progress and completion through the training (such as accuracy, duration in modules, time to complete) and a short quiz will be provided at the end to assess learning. | Behavioural | Online Driver Skills Training |
| Behind-the-Wheel Driver TrainingThe professional behind-the-wheel training course will be conducted in-person, delivered by local driving school partner Coastline Academy or licensed driver training schools subcontracted by Coastline Academy. The curriculum consists of 6 hours of training with assigned practice between lessons, and meets Pennsylvania and national standards. Post-lesson forms completed by the instructors will record adherence and consistency (intervention fidelity). | Behavioural | Behind-the-Wheel Driver Training |
Primary outcome
Hard Braking Events
Time frame: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure, with primary outcome at 2 months post-licensure.
For Aim 1 and 3, the primary outcome is the number of hard braking events per 100 miles driven during the first 2 months post-licensure, as measured via the Way-to-Drive App.
Pass rate on the licensure exam
Time frame: Measured at the time of the license examination, post-intervention (in about month 8-18).
The primary outcome in Aim 2 and 3 will be the pass rate on the first licensure exam attempt.
7 secondary outcomes
Phone Use While Driving
Time frame: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure.
Speeding
Time frame: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure.
Crash Involvement
Time frame: Measured at 2-, 4- and 6-month follow-up post-licensure (about month 18-24).
Risky driving behavior
Time frame: Measured at 2-, 4- and 6-month follow-up post-licensure (within about month 18-24).
Virtual Driving Assessment performance
Time frame: Measured at the time of the license examination, post-intervention (in about month 8-18).
Change in Virtual Driving Assessment performance
Time frame: Measured at the time of the license examination, post-intervention (in about month 8-18).
Number of license exam attempts
Time frame: Measured at the time of the license examination, post-intervention (in about month 8-18).
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Apr 2026.
- Derived from this study: PubMed 41327408Walshe EA, Romer D, Elliott MR, Baxelbaum KS, Delgado MK, Ebert JP, Winston FK. A contemporary examination of the effect of driver training for reducing crash risk in novice adolescent drivers: protocol for the DRIVER study, a random assignment trial. Inj Epidemiol. 2025 Dec 1;13(1):2. doi: 10.1186/s40621-025-00645-2.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Thomas Seacrist, MBE principal investigator
Children's Hospital of Philadelphia
Flaura Winston, MD, PhD principal investigator
Children's Hospital of Philadelphia
Dan Romer, PhD principal investigator
Children's Hospital of Philadelphia/University of Pennsylvania
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Online Driver Skills Training and Behind-the-Wheel Driver Training in people with Risk Reduction Behavior and Injuries, run by Children's Hospital of Philadelphia at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 6 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Thomas Seacrist, MBE (267-425-1547, seacrist@chop.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hard Braking Events (time frame: Measured over the 6 months post-licensure at the end of the study (about month 18-24), assessed at 2 and 6 months post-licensure, with primary outcome at 2 months post-licensure.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06413927, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2026.