Can strategic and tactical compensation reduce crash risk in older drivers?

Raedt, Rudi De

doi:10.1093/ageing/29.6.517

Cited by 92 publications

(48 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may be due to the adoption of compensatory strategies similar to those used by elderly drivers, although there is no direct evidence of this in stroke patients (De Raedt & Ponjaert-Kristoffersen, 2000;Fisk et al, 1997;George, Clark & Crotty, 2006;Unsworth, Wells, Browning, Thomas & Kendig, 2008). Older drivers who learn and use compensatory strategies such as avoiding peak hour traffic, driving in daylight and driving only in familiar areas, can reduce their accident level to that of, or lower than, technically better drivers (De Raedt & Ponjaert-Kristoffersen, 2000).…”

Section: Introductionmentioning

confidence: 99%

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Pearce

Smead

Cameron

2011

Aus Occup Therapy J

View full text Add to dashboard Cite

Background: The occupational role of 'driver' is highly valued. Stroke can have a significant impact on an individual's ability to drive safely. Multi-disciplinary driver assessments are conducted to assess the safety of poststroke individuals returning to driving, however, little follow-up of drivers following successful assessment has been performed. Aim: The objective of this study was to investigate whether passing a multi-disciplinary driving assessment following stroke predicted medium-to long-term safe and confident driving. Methods: A retrospective cohort study with primary data collection through structured telephone interviews was undertaken. Respondents were individuals post-stroke aged 18-74 years who had successfully passed a multi-disciplinary driver assessment. Results: Forty-five respondents were interviewed an average of 20 months following the assessment. Forty individuals were still driving. Twenty-five driving respondents reported driving in conditions that indicated confident driving. Confident driving was measured by driving frequency and distance, night driving, freeway driving and driving alone. The frequency of accidents and incidents suggests that 95% (n = 38) of drivers are 'safe'. Eight respondents reported accidents, one of which was major. In two accidents the respondent was 'at fault'. A crash rate of 222 per 100,000 drivers is within the confidence interval for similar accidents in New South Wales. Conclusions:The results of this small cohort study suggest that a multi-disciplinary driver assessment may be effective in identifying people following stroke with the ability to drive safely and confidently.

show abstract

Section: Introductionmentioning

confidence: 99%

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Pearce

Smead

Cameron

2011

Aus Occup Therapy J

View full text Add to dashboard Cite

show abstract

“…The first grid is an adapted French version of Test Ride for Investigating Practical fitness to drive (TRIP) [60,61]. This grid assessed eleven dimensions of driving: vehicle position on the road, vehicle tracking, speed, visual behavior, road signs, overtaking, anticipatory reactions, communication with other road users, exposure to specific situations (such as left-turn or dual carriageway), vehicle handling, general impressions of the instructor.…”

Section: Test Ride For Investigating Practical Fitness To Drive (Trip)mentioning

confidence: 99%

“…Each of these dimensions was evaluated as: insufficient, doubtful, sufficient, good or not applicable. The driving instructor completed this grid at the end of the course, which led to an overall score out of 100 points, and to three sub-scores: the tactical sub-score, out of 46 points, which takes into account speed and safety distance choices made by the driver; the tactical compensation sub-score, out of 20 points, which reflects the behavioral adaptation of the driver depending on the traffic situation and road design, and finally, the operational sub-score, out of 39 points, which considers vehicle handling and mechanical operations by the driver [61].…”

Section: Test Ride For Investigating Practical Fitness To Drive (Trip)mentioning

confidence: 99%

Effectiveness of two cognitive training programs on the performance of older drivers with a cognitive self-assessment bias

Hay

Adam

Bocca

et al. 2016

Eur. Transp. Res. Rev.

View full text Add to dashboard Cite

Purpose Depending on the calibration of their cognitive abilities, some older drivers (ODs) might stop driving prematurely (under-estimators, UEs) and others could expose themselves to risky situations (over-estimators, OEs). The aim of the study was to compare the effectiveness of two cognitive training (CT) programs intended for ODs presenting a cognitive calibration bias. We hypothesized that CT with feedback on performance can help ODs to correctly calibrate their abilities and consequently adapt their driving behavior. Method One hundred and six ODs (≥70 years) were assigned to two CT groups (with or without a driving simulator experience, DS). These interventions lasted about 36 h and were distributed over a 3-month period. ODs completed objective and subjective cognitive evaluations and an on-road driving evaluation before and after training. Results The first results on 67 participants (40 from the CT group, and 27 from the CT + DS group) showed an improvement of their visual processing speed, their divided attention and their selective attention after training. Participants from both groups also had an improved TRIP tactical sub-score (Test Ride for Investigating Practical fitness to drive), indicating a better driving behavioral adaptation. Finally, although both training programs seemed to be equally effective in correcting cognitive calibration bias, the results indicated that 21 UEs and 10 OEs were well calibrated and thus correctly self-assessed their cognitive abilities after training. Conclusion Both CT programs (with or without DS experience) seem to improve the visual attention of ODs. UEs appeared to be more susceptible than OEs to this training and were better calibrated after it.

show abstract

“…Specifically, numerous researchers have shown that visual motion processing relates to accident risk and/or driving performance (Conlon and Herkes, 2008;De Raedt and Ponjaert-Kristoffersen, 2000;Raghuram and Lakshminarayanan, 2006;Wood et al, 2008). As well, numerous visual perception investigators have demonstrated age-related deficits in contrast sensitivity for stationary low spatial frequency sine wave gratings in peripheral vision (Schefrin, Tregear, Harvey and Werner, 1999), drifting or counter-phase flickering low spatial frequency gratings in central vision (Owsley, Sekuler and Siemsen, 1983;Sekuler and Hutman, 1980;Sekular, Hutman and Owsley, 1980), and coherence thresholds for random dot stimuli drifting in peripheral and central vision at a retinal velocity similar to that of the driving environment (Atchley and Anderson, 1998).…”

Section: Introductionmentioning

confidence: 99%

Two-Minute Peripheral Motion Contrast Threshold Test Predicts Older Drivers’ Collisions and Hazardous Driving in Simulator

Henderson

Collin

Gagnon

et al. 2013

Proceedings of the 7th International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design : Dr

View full text Add to dashboard Cite

Summary:Older drivers' contrast thresholds for low spatial frequency drifting Gabor stimuli at 15 degrees eccentricity were measured with a previously validated 10-minute forced-choice test and a 2-minute increasing contrast detection test (implemented on an iMac and a PC). Older drivers' contrast thresholds significantly predict collisions, near collisions, hazardous lane excursions, and speeding, during a simulated drive with surprising hazard encounters and highway merging tasks. The 2-minute tests also correlate with each other and with the 10-minute test. The 2-minute tests are potentially suitable for use in an operational driver assessment setting.

show abstract

Can strategic and tactical compensation reduce crash risk in older drivers?

Abstract: fitness-to-drive screening procedures need a broader perspective to prevent an over-emphasis on procedures which focus more on deficit than on capacities.

Cited by 92 publications

References 0 publications

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Effectiveness of two cognitive training programs on the performance of older drivers with a cognitive self-assessment bias

Two-Minute Peripheral Motion Contrast Threshold Test Predicts Older Drivers’ Collisions and Hazardous Driving in Simulator

Contact Info

Product

Resources

About