In-vehicle technologies may decrease crash risk in drivers with age-related declines. Researchers determined the impact of in-vehicle information systems (IVIS) or advanced driving assistance systems (ADAS) on driving. Through a scoping review, the effect of IVIS or ADAS on older drivers' convenience (i.e., meets one's needs), comfort (i.e., physical or psychological ease), or safety (i.e., absence of errors or crashes) was examined. Researchers synopsized findings from 28 studies, including driving simulators and on-road environments. Findings indicated that IVIS or ADAS enhanced safety and mitigated age-related declines. Notably, IVIS may reduce cognitive workload, but may jeopardize safety if the systems are overly complicated. The ADAS enhanced safety and comfort by increasing speed control, lane maintenance, and braking responses. However, no studies addressed convenience. In-vehicle technologies may enhance safety and comfort while driving, if one's cognitive workload is not compromised. Naturalistic studies are needed to elucidate the risks and benefits of IVIS and ADAS for older drivers.
Combat Veterans (CVs) deployed to Iraq or Afghanistan experience driving difficulty, based on medical conditions and/or deployment exposures, elevating their risk of motor vehicle crash-related injury or death. To address grounded theory rigor and incorporate constructs such as the Person Environment Occupation Performance model, we revised the Hannold et al. (2013) conceptual framework. We conducted two focus groups with seven CVs. Conceptual framework revisions were based on an iterative process and thematic analysis. We elicited CVs’ perspectives on deployment training, driving pre- and postdeployment, strategies, and intervention preferences. Personal, environmental, and task factors underpinned CVs’ driving. Participants described triggers (e.g., stressful stimuli), use of environmental (e.g., car controls) or personal (e.g., avoiding traffic) strategies, and outcomes of appropriate or risky driving. Findings illustrated CVs’ driving difficulty and informed development of a Veteran-centric driving intervention. Improving driving fitness has implications for Veterans’ participation and community integration.
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