With the increasing aging of the population, the number of older drivers is rising. Driving is a significant factor for quality of life and independence concerning social and working life. On the other hand, driving is a complex task involving visual, motor, and cognitive skills that experience age-related changes even in healthy aging. In this review we summarize different age-related functional changes with relevance for driving concerning sensory, motor, and cognitive functions. Since these functions have great interindividual variability, it is necessary to apply methods that help to identify older drivers with impaired driving abilities in order to take appropriate measures. We discuss three different methods to assess driving ability, namely the assessment of (i) functions relevant for driving; (ii) driving behavior in real traffic; and (iii) behavior in a driving simulator. We present different measures to improve mobility in older drivers, including information campaigns, design of traffic and car environment, instructions, functional training, and driving training in real traffic and in a driving simulator. Finally, we give some recommendations for assessing and improving the driving abilities of older drivers with multi-modal approaches being most promising for enhancing individual and public safety.

Film based round the ear electrodes (cEEGrids) provide both, the accessibility of unobtrusive mobile EEG as well as a rapid EEG application in stationary settings when extended measurements are not possible. In a large-scale evaluation of driving abilities of older adults (N > 350) in a realistic driving simulation, we evaluated to what extent mental demands can be measured using cEEGrids in a completely unrestricted environment. For a first frequency-based analysis, the driving scenario was subdivided into different street segments with respect to their task loads (low, medium, high) that was a priori rated by an expert. Theta activity increased with task load but no change in Alpha power was found. Effects gained clarity after removing pink noise effects, that were potentially high in this data set due to motion artifacts. Theta fraction increased with task load and Alpha fraction decreased. We mapped this effect to specific street segments by applying a track-frequency analysis. Whilst participants drove with constant speed and without high steering wheel activity, Alpha was high and theta low. The reverse was the case in sections that required either high activity or increased attentional allocation to the driving context. When calculating mental demands for different street segments based on EEG, this measure is highly significant correlated with the experts’ rating of task load. Deviances can be explained by specific features within the segments. Thus, modulations in spectral power of the EEG were validly reflected in the cEEGrids data. All findings were in line with the prominent literature in the field. The results clearly demonstrate the usability of this low-density EEG method for application in real-world settings where an increase in ecological validity might outweigh the loss of certain aspects of internal validity.

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Driving safety depends on the drivers’ attentional focus on the driving task. Especially in complex situations, distraction due to secondary stimuli can impair driving performance. The inhibition of distractors or inadequate prepotent responses to irrelevant stimuli requires cognitive control, which is assumed to be reduced with increasing age. The present EEG study investigated the effects of secondary acoustic and visual stimuli on driving performance of younger and older car drivers in a driving simulator task. The participants had to respond to brake lights of a preceding car under different distraction conditions and with varying task difficulties. Overall, the anticipation of high demanding tasks affected braking response behavior in young and especially in older adults, who showed reduced cognitive control to task-relevant braking stimuli, as reflected by a smaller P3b. In a more easy (perception only) task, simultaneously presented acoustic stimuli accelerated braking response times (RTs) in young and older adults, which was associated with a pronounced P2. In contrast, secondary visual stimuli increased braking RTs in older adults, associated with a reduced P3b. In a more difficult (discrimination) task, braking response behavior was impaired by the presence of secondary acoustic and visual stimuli in young and older drivers. Braking RT increased (and the P3b decreased), especially when the responses to the secondary stimuli had to be suppressed. This negative effect was more pronounced with visual secondary stimuli, and especially so in the older group. In sum, the results suggest an impaired resistance to distractor interference and a reduced inhibition of prepotent responses in older drivers. This was most pronounced when the processing of task-relevant and irrelevant stimuli engage the same mental resources, for example, by sharing the same stimulus modality.