Evidence map›Paper›PMID 42281262›Full record

ArticleAlcohol, clinical & experimental research2026

Within-Person and Between-Person Risk Perceptions Predict Driving After Drinking: An Ecological Momentary Assessment Study.

Charles A Darmour, Maria Costanza Benvenuti, Jacob G Stork, Tionna M Hough, Denis M McCarthy

Registry-linked trialAbstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03846050 (Risk for Alcohol Impaired Driving), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03846050 nacompletednot on this map

Risk for Alcohol Impaired Driving: From the Laboratory to the Natural Environment

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2018 to 2024Enrolled230ConditionsDrinking and DrivingArmsBAC feedback/warning, No BAC feedback/warning
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Charles A DarmourDepartment of Psychological Sciences, University of Missouri, Columbia, Missouri, USA.
Maria Costanza BenvenutiDepartment of Psychological Sciences, University of Missouri, Columbia, Missouri, USA.
Jacob G StorkDepartment of Psychology, The Ohio State University, Columbus, Ohio, USA.
Tionna M HoughDepartment of Psychological Sciences, University of Missouri, Columbia, Missouri, USA.
Denis M McCarthyDepartment of Psychological Sciences, University of Missouri, Columbia, Missouri, USA.ORCID https://orcid.org/0000-0002-5799-8057

Funding

Psychology of Alcohol Use and Dependence TrainingT32AA013526 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI DENIS M MCCARTHY, KENNETH JAMES SHER · 2002 to 2026
$9.0M
Risk for Alcohol Impaired Driving: From the Laboratory to the Natural EnvironmentR01AA019546 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI MCCARTHY, DENIS M · 2010 to 2021
$4.3M
NIAAA NIH HHS R01 AA019546NIAAA NIH HHS T32 AA013526
6 · The paper itself

Abstract

backgroundAlcohol-impaired driving (AID) remains a significant public health concern, accounting for approximately 30% of vehicle fatalities annually in the United States. Despite widely negative attitudes toward AID, many adults report driving after drinking. Day-to-day changes in how people think about AID may explain this inconsistency. This study used ecological momentary assessment (EMA) to examine how both stable patterns and day-to-day changes in perceived danger of driving, willingness to drive, and subjective intoxication predict real-world driving after drinking.

methodsParticipants (N = 113) from a Midwestern community completed six weeks of EMA data collection. Daily morning surveys assessed the previous night's drinking and transportation decisions, while repeated evening surveys measured perceived danger of driving, willingness to drive, subjective intoxication, and breath alcohol concentration (BrAC) using portable breathalyzer devices. Mixed-effects models examined day- and person-level cognitions as predictors of driving behavior while accounting for alcohol consumption via BrAC.

resultsParticipants reported driving on nearly half of drinking days. On days when people perceived driving as more dangerous and felt more intoxicated than usual, they were less likely to drive. Moreover, on days when people were more willing to drive than usual, they were more likely to drive. These patterns held after accounting for BrAC. Additionally, people who typically experience stronger subjective effects of alcohol were less likely to drive on days when their breathalyzer readings were high (BrAC ≥ 0.05%).

conclusionsDay-to-day changes in how people perceive the dangers of driving and how intoxicated they feel predict whether they drive after drinking, even at high BrAC. People who typically experience strong subjective effects from alcohol appear especially responsive to objective indicators of high intoxication levels. Findings support developing real-time interventions that combine subjective feelings of intoxication with objective measures such as breathalyzers to promote safer transportation choices.

trial registrationClinicalTrials.gov: NCT03846050.

Indexed as

Alcohol DrinkingAlcoholic IntoxicationAutomobile DrivingDriving Under the InfluenceEcological Momentary AssessmentPerceptionRisk-TakingAdultBreath TestsFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicYoung Adultalcohol consequencesalcohol‐impaired drivingdrinking and drivingecological momentary assessmentsubjective intoxication

Identifiers

PMID42281262
PMCPMC13329944

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.