Safety belt nonuse by internal medicine patients: A missed opportunity in clinical preventive medicine

Hunt, Debra K.; Lowenstein, Steven R.; Badgett, Robert G.; Steiner, John F.

doi:10.1016/s0002-9343(99)80312-x

Cited by 15 publications

(10 citation statements)

References 25 publications

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“…Physicians often have opportunities to encourage patients' safe behaviors. 20 Data suggest that physicians should consider discussing with their ADHD patients the increased risk of driving mishaps associated with ADHD, the potential benefits of MPH, and the need to have MPH pharmacologically active at the time of driving.…”

Section: Discussionmentioning

confidence: 99%

Controlled-Release Methylphenidate Improves Attention During On-Road Driving by Adolescents with Attention-Deficit/Hyperactivity Disorder

Cox

Humphrey²,

Merkel³

et al. 2004

The Journal of the American Board of Family Medicine

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Background: Attention-deficit/hyperactivity disorder (ADHD) is associated with a 3-to 4-fold increase in both driving-related accidents and associated injuries. Methylphenidate (MPH) is the most commonly prescribed psychostimulant medication for ADHD. It has been demonstrated to improve performance on a driving simulator. This study investigated whether a once-daily, long-acting, osmotic, controlledrelease MPH formulation improves the driving performance of ADHD adolescents while driving their own car on an actual road segment.Methods: Twelve ADHD-diagnosed male adolescent drivers (mean age, 17.8 years) prescribed a standard dose of 1.0 mg/kg (if they were not already taking methylphenidate) of controlled-release MPH participated in this repeated-measures crossover study. On 2 separate occasions (off/on medication randomized), participants drove a standard 16-mile road course incorporating rural, highway, and urban streets. A rater, blind to medication conditions, sat in the back seat and rated impulsive (eg, "cutting off" another driver) and inattentive (eg, drove past designated turn) driving errors.Results: Impulsive driving errors were observed to occur rarely under both medication and no medication conditions. Inattentive driving errors were more common and were significantly reduced while the subject was on medication (4.6 versus 7.8; P < .01). The improvement in driving performance (change in number of errors recorded) from first to second testing was positively correlated with medication dosage (r ‫؍‬ 0.60; P < .01). Conclusions

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Section: Discussionmentioning

confidence: 99%

Controlled-Release Methylphenidate Improves Attention During On-Road Driving by Adolescents with Attention-Deficit/Hyperactivity Disorder

Cox

Humphrey²,

Merkel³

et al. 2004

The Journal of the American Board of Family Medicine

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“…Specifically, EMS professionals were asked, "When was the last time you did not wear your seat belt when you were driving or you were a front seat passenger as part of your EMS duties?" After conducting a review of the literature, respondents were placed in the "high usage" category if they had last not worn their seat belt more than a year ago or responded that they always wear their seat belt (Hunt et al, 1995;McGwin et al, 2004;Steptoe et al, 2002). This definition is consistent with studies that examined seat belt use in pregnant women (McGwin et al, 2004) and internal medicine patients (Hunt et al, 1995).…”

Section: Preliminary Data Analysismentioning

confidence: 99%

“…After conducting a review of the literature, respondents were placed in the "high usage" category if they had last not worn their seat belt more than a year ago or responded that they always wear their seat belt (Hunt et al, 1995;McGwin et al, 2004;Steptoe et al, 2002). This definition is consistent with studies that examined seat belt use in pregnant women (McGwin et al, 2004) and internal medicine patients (Hunt et al, 1995). Additionally, in an analysis of international seat belt use, Steptoe reports the prevalence of seat belt use using the self reported category of "always" when participants were asked "When driving or riding in the front seat of a car, do you wear a seat belt?"…”

Section: Preliminary Data Analysismentioning

confidence: 99%

“…Admittedly the outcome variable in this study was crude but we are able to place the dichotomization of this variable within the context of the current literature (Hunt et al, 1995;McGwin et al, 2004;Steptoe et al, 2002). The questionnaire used did not collect demographic factors such as age, race, or gender, thereby limiting the number of factors that could be modeled in the logistic regression analysis.…”

Section: Limitationsmentioning

confidence: 99%

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Organizational policy and other factors associated with emergency medical technician seat belt use

Studnek

Ferketich

2007

Journal of Safety Research

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“…1,2 Emergency departments have proved to be effective settings for disease surveillance and for a variety of screening and intervention programs for conditions such as HIV, falls, suicide, intimate partner violence, tobacco addiction, alcohol and drug abuse, chronic disease and injury [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . These public health-relevant activities, surveillance, screening, and intervention, were the subject of a 2009 conference convened by emergency physicians for emergency physicians, policymakers, and educators.…”

Section: Introductionmentioning

confidence: 99%

Public Health Education for Emergency Medicine Residents

Betz¹,

Bernstein²,

Gutman³

et al. 2011

American Journal of Preventive Medicine

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Emergency medicine (EM) has an important role in public health, but the ideal approach for teaching public health to EM residents is unclear. As part of the national regional public healthmedicine education centers-graduate medical education (RPHMEC-GM) initiative from the CDC and the American Association of Medical Colleges, three EM programs received funding to create public health curricula for EM residents. Curricula approaches varied by residency. One program used a modular, integrative approach to combine public health and EM clinical topics during usual residency didactics, one partnered with local public health organizations to provide real-world experiences for residents, and one drew on existing national as well as departmental resources to seamlessly integrate more public health-oriented educational activities within the existing residency curriculum. The modular and integrative approaches appeared to have a positive impact on resident attitudes toward public health, and a majority of EM residents at that program believed public health training is important. Reliance on pre-existing community partnerships facilitated development of public health rotations for residents. External funding for these efforts was critical to their success, given the time and financial restraints on residency programs. The optimal approach for public health education for EM residents has not been defined.

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Safety belt nonuse by internal medicine patients: A missed opportunity in clinical preventive medicine

Cited by 15 publications

References 25 publications

Controlled-Release Methylphenidate Improves Attention During On-Road Driving by Adolescents with Attention-Deficit/Hyperactivity Disorder

Controlled-Release Methylphenidate Improves Attention During On-Road Driving by Adolescents with Attention-Deficit/Hyperactivity Disorder

Organizational policy and other factors associated with emergency medical technician seat belt use

Public Health Education for Emergency Medicine Residents

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