Abstract

BackgroundYoung individuals are the age group with the highest risk of car accidents. One of main explanations relies on the use of psychoactive substances (alcohol, illegal and medicinal drugs), which are known to be major risk factors of road accidents, and whose consumption is almost universally more common among younger drivers. Although the correlation between psychoactive substances use and decrease in driving performance has been established in controlled experimental or laboratory settings, few studies were conducted in naturalistic circumstances. The TEND by Night project has been designed to evaluate the relationship between driving performance and psychoactive substances assumption in young drivers enrolled at typical places of consumption.Methods/DesignThe TEND by Night project, endorsed by the European Commission, is a multidisciplinary, multi-centric, cross-sectional study conducted in six European countries (Italy, Belgium/Netherlands, Bulgaria, Spain, Poland and Latvia). The study population consists of 5000 young drivers aged 16-34 years, attending recreational sites during weekend nights. The intervention is based on the portal survey technique and includes several steps at the entrance and exit of selected sites, including the administration of semi-structured questionnaires, breath alcohol test, several drug assumption test, and measurement of the reaction time using a driving simulator. The main outcome is the difference in reaction time between the entrance and exit of the recreation site, and its correlation with psychoactive substances use. As a secondary outcome it will be explored the relationship between reaction time difference and the amount of consumption of each substance. All analyses will be multivariate.DiscussionThe project methodology should provide some relevant advantages over traditional survey systems. The main strengths of the study include the large and multicentric sample, the objective measurement of substance assumption (which is typically self-reported), the application of a portal survey technique and the simultaneous evaluation of several psychoactive substances.

Highlights

  • Young individuals are the age group with the highest risk of car accidents, as documented by crash and injury statistics in all high-income countries [1,2,3], in which motor vehicle-related injuries represent the leading cause of death in people aged less than 30 years [4,5]

  • One of main explanations relies on the use of psychoactive substances, which are known to be major risk factors of road acci

  • We designed an international multicentric cross-sectional survey - the TEND (Dark, Dance, Disco, Dose, Drugs, Drive, Danger, Damage, Disability, Death) by Night project - in order to evaluate the relationship between driving performance and alcohol or other psychoactive substances assumption in young drivers enrolled at typical places of consumption

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Summary

Introduction

One of main explanations relies on the use of psychoactive substances (alcohol, illegal and medicinal drugs), which are known to be major risk factors of road accidents, and whose consumption is almost universally more common among younger drivers. The TEND by Night project has been designed to evaluate the relationship between driving performance and psychoactive substances assumption in young drivers enrolled at typical places of consumption. We designed an international multicentric cross-sectional survey - the TEND (Dark, Dance, Disco, Dose, Drugs, Drive, Danger, Damage, Disability, Death) by Night project - in order to evaluate the relationship between driving performance and alcohol or other psychoactive substances (cocaine, methamphetamine/ MDMA, THC, amphetamine, opiates, benzodiazepines) assumption in young drivers enrolled at typical places of consumption. The secondary aim of the project is to contribute at increasing young peoples' awareness on the potential influence of alcohol and psychoactive substances on their driving capacity through the dissemination of correct and effective information

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