title: Teenagers--we thought we knew--we didn't--lessons learned.
abstract: BACKGROUND
  Motor vehicle crashes are the leading cause of death and disability to teenagers in the United States. The development of resources to assist physicians and high school teachers in anticipatory guidance of adolescent drivers and their parents provides a way to disseminate important information. As adults with years of experience working with teens in a variety of settings, we hypothesized we would have similar responses to a standardized message as teenagers themselves.
  
  
  METHODS
  Convenience-based focus groups of teens and adults evaluated the resource materials and their responses were collected. The adult group was made up of trauma, injury prevention and school staff, the teen group was made of students in random familiar settings (school programs, sports events, and mall). Each group was asked to evaluate three posters and select the one most likely to attract the attention of a teen and be most effective at supporting positive driving behavior. Seat belt usage was the primary message of all three posters.
  
  
  RESULTS
  Teens and adults have dramatically different responses to the posters. The primary choice of the adults was never selected by the teens and the primary choice of the adolescents was never the choice of the adults. Interestingly, both groups agreed that one of the posters was ineffective.
  
  
  CONCLUSIONS
  Experience with adolescents does not necessarily result in successful prediction of teen choices. The focus group experience gives the teen a voice in the process and ensures the message being sent is the one being received. Involving teens in development of educational materials targeted at this population is critical for successful implementation.
authors: Trauma and Injury Prevention, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania 15201, USA. barbara.gaines@chp.edu
authors: Barbara A
authors: BA
authors: Gaines
authors: Christine A
authors: CA
authors: Vitale
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control*; D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D000368:Aged; D003256:Community Participation; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods