Andrew Hellinger

Publications and Writing

01: Evaluating a smartphone application to increase the quantity and improve the quality of supervised practice driving

Published in Injury Prevention on August 19, 2021

The learner stage of graduated driver licensing, when teenagers are supervised by an adult driver, represents an opportunity to develop skills that could confer a safety benefit during their years of independent driving. This paper describes the design of a teenage driving study which aims to evaluate the impact of a smartphone application, the ‘DrivingApp,’ to increase the quantity and improve the quality of supervised practice driving.

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02: State and city laws governing the use of child restraint systems in rideshare vehicles and taxicabs: requirements and responsibility

Published in Injury Prevention on March 16, 2022

The purpose of this article is to identify, describe, and critique state and local policies related to child passenger safety in for-hire motor vehicles including ridesharing and taxis. We used standard legal research methods to collect policies governing the use of child restraint systems (CRS) in rideshare and taxi vehicles for all 50 states and the 50 largest cities in the U.S. We abstracted the collected policies to determine whether the policy applies to specific vehicles, requires specific safety restraints in those vehicles, lists specific requirements for use of those safety restraints, seeks to enhance compliance, and punishes noncompliance.

All 50 states have policies that require the use of CRS for children under a certain age, weight, or height. Seven states exempt rideshare vehicles and 29 states exempt taxis from their CRS requirements. Twelve cities have relevant policies with eight requiring CRS in rideshare vehicles, but not taxis, and two cities requiring CRS use in both rideshare vehicles and taxis. Most states require CRS use in rideshare vehicles, but not as many require CRS use in taxis. Though states describe penalties for drivers who fail to comply with CRS requirements, these penalties do not actually facilitate the use of CRS in rideshare or taxis. Furthermore, there is ambiguity in the laws about who is responsible for the provision and installation of the restraints. To prevent serious or fatal injuries in children, policy makers should adopt policies that require, incentivize, and facilitate the use of CRS in rideshare vehicles and taxis.

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03: State Laws for Autonomous Vehicle Safety, Equity, and Insurance

Published in the Journal of Law, Medicine & Ethics on November 18, 2022

This article reviews existing state laws related to autonomous vehicle safety, equity, and automobile insurance. Thirty states were identified with relevant legislation. Of these, most states had one or two relevant laws in place. Many of these laws were related to safety and insurance requirements. Data are needed to evaluate the effectiveness of these laws in order to guide further policy development.

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04: Can a Smartphone Application Be Used to Measure Practice Driving Behavior During the Learner Permit Period? A Step Toward Performance-Based Licensing

Published in AJPM Focus on December 22, 2022

Supervised practice during the learner stage of graduated driver licensing is required in all U.S. states and some international jurisdictions. Several U.S. states require driving hours to be recorded in a paper logbook, making it susceptible to errors or falsification. A smartphone app that operates as an electronic logbook could serve as an alternative. The purpose of this study was to measure the impact of the logbook format (i.e., paper versus electronic) on self-reported driving behavior.

There were no statistically significant differences in any measures of self-reported practice driving by logbook type (electronic versus paper). Agreement between self-reported and electronic logbook‒recorded trips ranged between 68.6% and 79.0% (allowing a difference of 2 trips per week). User satisfaction with the electronic logbook was high, with 93.0% of teenagers and 91.9% of parents stating that they would recommend the app to a friend. An electronic logbook is a viable approach to measuring practice driving. Eventually, it could become part of a system where practice requirements are verified, allowing states to move toward performance-based graduated driver licensing.

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05: Identifying and Prioritizing Behavioral Interventions to Improve Child Passenger Safety in For-Hire Vehicles: Guide and Conduct of Research

Published by the National Academies of Sciences, Engineering, and Medicine on June 2, 2023

Child restraint systems (CRS) requirements for children in rideshare vehicles vary by state and city. In 43 states, child passengers in rideshare vehicles are required to be secured in appropriate CRS. However, 28 states exempt taxis from the CRS requirement. Of the 12 cities with relevant policies, eight (67%) require CRS in rideshare vehicles, but not taxis; two cities (17%) require CRS use in both rideshare vehicles and taxis.

BTSCRP Research Report 6: Identifying and Prioritizing Behavioral Interventions to Improve Child Passenger Safety in For-Hire Vehicles, from TRB's Behavioral Traffic Safety Cooperative Research Program, provides, in Part I, guidelines for improving child passenger safety in rideshare and taxi vehicles. The guide covers steps to ensure CRS requirements are complete and consistent, strategies for communicating with for-hire companies, and suggestions for legislative provisions. Part II discusses the goals and methods employed for this project's research.

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06: Cognitive Biases, Attitudes, and Beliefs of Teenagers and Parents Toward Practice Driving, Vehicle Choice, and Safety Technology

Published in Transportation Research Record on August 12, 2023

Teenagers in the United States are at the highest risk of crash during the first year of independent driving. Graduated driver licensing (GDL) policies, vehicle choice, and safety technologies all have an impact on teenager safety, yet more needs to be understood about parent and teenager attitudes and beliefs that affect the choices and decisions surrounding these issues. We conducted six focus groups with teenagers enrolled in a driver education program and their parents. A qualitative thematic analysis was undertaken of the responses of these individuals directly experiencing GDL policies and selecting vehicles for the teenagers to drive. We found parents believed there was a high likelihood teenage drivers would crash and were concerned about the associated financial costs. Parents preferred visual cues for determining vehicle safety and had concerns for the impact of safety technologies on teenager driving skills.

Teenagers and parents felt that logging 60 hours was a measure of the character of a driver rather than an opportunity for mastering driving skills. There was a debate balancing the intrusiveness with the convenience of recording driving through smartphone applications. Teenagers wanted to learn to drive for independence, but parents did not observe actions related to these desires. Attitudes and beliefs about which vehicles were safest were heavily influenced by personal experiences and perceptions, rather than quantitative evidence, with examples of availability-, substitution-, and outcome cognitive biases. By understanding the influence of cognitive biases on driving safety decisions, community-based educational outreach programs could more effectively improve teenager driver safety.

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07: Work-Related Crashes in Rideshare Drivers in the United States

Published in the Journal of Safety Research on February 29, 2024

Motor vehicle crashes (MVCs) are the leading cause of work-related deaths in the United States. The increasing popularity of the competitive rideshare market and the lack of oversight over workforce health and safety limits understanding of the current occupational hazards and associated risk factors faced by this precarious workforce. The objective of this analysis was to determine what the personal, social and occupational risk factors for work-related crashes in rideshare drivers are in the United States and suggest further research required to understand occupational health risks and opportunities for interventions.

We conducted a survey of a convenience sample of rideshare and taxi drivers using an online questionnaire. We examined the general characteristics of rideshare drivers by history of work-related MVCs and logistic regression models were used to determine major predictors of MVCs. Of 276 rideshare drivers that reported their crash history, one-third (n = 91, 33%) reported being involved in a work-related crash. Results from a multivariable logistic regression model showed rideshare MVCs were more likely in older drivers if drivers undertook 10 or more rideshare trips per day, frequently or very frequently were driving on unfamiliar roads, and driving whilst tired. Precarious workers and health and safety is emerging as a major area of research focus. There is a unique opportunity to explore the occupational health risks in rideshare drivers to provide interventions that encourage growth of a healthy and fit rideshare workforce and promote work practices and future regulations aimed at improving safe work practices. This analysis paints a complex picture of personal and occupational factors that are associated with MVCs in rideshare drivers suggesting that additional policy development related to occupational health and safety of rideshare drivers could be constructive.

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08: Electric Scooters: A Crisis and Opportunity

Published in Trauma Surgery & Acute Care Open on March 18, 2024

E-scooters represent a new source of injury but also an opportunity for new types of interventions. Rider education, training, and laws are necessary but not sufficient to address the injury risks that are associated with e-scooter use. An emerging approach to road safety, known as safe systems, aims to eliminate road injuries through better design of the road system itself, creating roadways and vehicles that are inherently safe instead of relying on road users to promote safety. For e-scooters, a safe systems approach would modify the roadway environment to include dedicated, protected lanes for e-scooter riders. Cities regulating the use of e-scooters could use GPS monitoring systems to limit the speed a scooter can travel in high-risk areas. Recognizing that access to transportation is a social determinant of health, policymakers can also address gaps in mobility through regulations that require shared e-scooters to be distributed in a way that increases e-scooter access in underserved neighborhoods.

E-scooters are here to stay. Ongoing demand for their use indicates that these vehicles are addressing unmet mobility needs, particularly for young people. Through a safe systems approach, policy makers and injury prevention practitioners can balance the goals of maximizing mobility while optimizing safety.

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09: Development of an algorithm for analysis of routes: Case studies using novice and older drivers

Published in the Journal of Safety Research on July 29, 2024

This study addresses the lack of methods to quantify driver familiarity with roadways, which poses a higher risk of crashes. We present a new approach to assessing driving route diversity and familiarity using data from the DrivingApp, a smartphone-based research tool that collects trip-level information, including driving exposure and global positioning system (GPS) data, from young novice drivers (15–19 years old) to older drivers (67–78 years old).

Using these data, we developed a GPS data-based algorithm to analyze the uniqueness of driving routes. The algorithm creates same route trip (SRT) arrays by comparing each trip of an identified user, employing statistically determined thresholds for GPS coordinate proximity and trip overlap. The optimal thresholds were established using a General Linear Model (GLM) to examine distance, and repeated observations. The Adjusted Breadth-First Search method is applied to the SRT arrays to prevent double counting or trip omission. The resulting list is classified as geographically distinct routes, or unique routes (URs).

Manual comparison of algorithm output with geographical maps yielded an overall precision of 0.93 and accuracy of 0.91. The algorithm produces two main outputs: a measure of driving diversity (number of URs) and a measure of route-based familiarity derived from the Rescorla–Wagner model. To evaluate the utility of these measures, a Gaussian mixture model clustering algorithm was used on the young novice driver dataset, revealing two distinct groups: the low-frequency driving group with lower route familiarity when having higher route diversity, whereas the high-frequency driving group with the opposite pattern. In the older driver group, there was a significant correlation found between the number of URs and Geriatric Depression Score, or walking gait speed. These findings suggest that route diversity and familiarity could complement existing measures to understand driving safety and how driving behavior is related to physical and psychological outcomes.

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10: Public support for logbooks during the supervised practice driving phase of graduated driver licensing: a national survey of teens and parents in the USA

Published in Injury Prevention on August 7, 2024

Verification of the completion of supervised practice driving hours for teenagers is challenging. Electronic logbooks could provide an objective alternative to paper logbooks. Factors influencing the adoption of electronic logbooks are poorly understood. We conducted a survey of a nationally representative sample of teenagers and parents in the USA to address these gaps in understanding.

The survey was fielded to teenagers who were currently learning to drive or had a full driver’s licence, and parents of teenager with a learner’s permit or a driver’s licence. We measured (1) support for supervised practice driving requirements and logbook requirements, (2) preferences between paper and electronic logbooks and (3) features that would make an electronic logbook useful.

Most parents and teenagers supported both supervised practice driving and logbook requirements. The overwhelming majority of teenagers and parents preferred an electronic logbook over paper. Electronic logbooks that provide (1) summary information about completed drives, (2) parent certification of drives and (3) automatic trip detection were features that were rated most useful by respondents.

This is the first study to measure teen and parent support for the logbook format to track supervised practice driving. Public support for electronic logbooks is high, suggesting that policy makers could consider adding an electronic logbook requirement to graduated driver licensing systems to objectively measure completed practice driving hours. Driver educators could also promote the use electronic logbooks to track practice and calibrate behind-the-wheel lessons to the amount of practice driving that has been completed.

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11: Mindfulness, crashes, and risky driving behaviors among adolescents and young adults in the United States

Published in Transportation Research Interdisciplinary Perspectives on October 19, 2024

The purpose of this study was to examine the association between individual-level mindfulness and a range of risky driving behaviors among U.S. adolescents. We conducted a survey of a nationally representative sample of 16–19-year-olds, recruited from the National Opinion Research Center AmeriSpeak panel, a probability-based sample. Participants completed the Mindful Attention Awareness Scale. Risky driving measures were adapted from the Youth Risk Behavior Survey. Spline regression analysis was performed to identify the threshold where mindfulness scores significantly changed driving behaviors.

After adjusting for age, gender, and race, adolescents reporting higher mindfulness scores were significantly less likely to engage on all risky driving behaviors and significantly less likely to have been involved in a crash. Spline regression analysis indicated that a mindfulness score of 75 corresponded to the minimum marginal probability change averaged across the outcomes of interest.

This paper describes a previously unknown association between mindfulness and risky driving in a vulnerable population which is at higher risk of injury and death from motor vehicle crashes. The strength of the associations across a range of behaviors suggests mindfulness could be a general protective factor for adolescents’ driving behaviors and suggests that mindfulness training may be a promising safety intervention for adolescents. A mindfulness score of 75 could be a potential target for mindfulness training interventions aiming to reduce risky driving behaviors and crashes among teenage drivers.

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