Driving avoidance and functional impairment in older drivers

Ball, Karlene; Owsley, Cynthia; Stalvey, Beth T.; Roenker, Daniel L.; Sloane, Michael E.; Graves, Mark

doi:10.1016/s0001-4575(97)00102-4

Cited by 438 publications

(306 citation statements)

References 14 publications

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“…There was low confidence and high avoidance for parallel parking and driving at night in the rain, and there was high confidence and low avoidance reported for driving alone. The finding that driving alone was the least avoided situation and was not viewed as very difficult (high level of confidence) is consistent with previous studies examining this set of driving situations (Ball et al, 1998;Owsley et al, 1999;Stalvey & Owsley, 2000).…”

Section: Resultssupporting

confidence: 90%

Self-regulation of driving and its relationship to driving ability among older adults

Baldock

Mathias

McLean

et al. 2006

Accident Analysis & Prevention

287

166

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Although it is known that older drivers limit their driving, it is not known whether this self-regulation is related to actual driving ability. A sample of 104 older drivers, aged between 60 and 92, completed a questionnaire about driving habits and attitudes. Ninety of these drivers also completed a structured on-road driving test.A measure of self-regulation was derived from drivers' self-reported avoidance of difficult driving situations. The on-road driving test involved a standard assessment used to determine fitness to drive. Of the 90 participants who completed the driving assessment, 68 passed the test, eight passed but were recommended to have driving lessons and 14 failed. Driving test scores for the study were based on the number of errors committed in the driving tests, with weightings given according to the seriousness of the errors.The most commonly avoided difficult driving situations were parallel parking and driving at night in the rain, while the least avoided situation was driving alone. Poorer performance on the driving test was not strongly related to overall avoidance of difficult driving situations. Stronger relationships were found between driving ability and avoidance of specific difficult driving situations. These specific driving situations were the ones in which the drivers had low confidence and that the drivers were most able to avoid if they wished to. These results may reflect a tendency for those with poorer driving ability to lose confidence in their driving, and begin to avoid difficult driving situations. However, there are a number of situations that drivers find difficult to avoid.

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Section: Resultssupporting

confidence: 90%

Self-regulation of driving and its relationship to driving ability among older adults

Baldock

Mathias

McLean

et al. 2006

Accident Analysis & Prevention

287

166

View full text Add to dashboard Cite

show abstract

“…Given that there is a demonstrated association between the presence of multiple conditions and increased collision rates and reduced ability to drive (Ahlgren et al, 2003;Ball et al, 1998;Charlton et al, 2004;Dischinger et al, 2000;Koepsell et al, 1994;Marshall and Man-Son-Hing, 2011;Vernon et al, 2002), increasing prevalence rates of chronic conditions could affect driving ability and should be documented accordingly.…”

Section: Appropriateness Of Assessmentsmentioning

confidence: 99%

The Canadian Safe Driving Study—Phase I pilot: Examining potential logistical barriers to the full cohort study

Wilson

Man-Son-Hing

Stiell

et al. 2013

Accident Analysis & Prevention

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“…This driving cessation could have negative consequences, such as social isolation or increased risk of depression [7][8][9][10]. However, older drivers can adapt their driving behavior to the age-related functional and cognitive decline by avoiding these difficult driving situations [11][12][13][14], or by developing compensatory strategies (e.g. by increasing safety distances, reducing speed or reducing distances traveled) [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

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.

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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.

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Driving avoidance and functional impairment in older drivers

Cited by 438 publications

References 14 publications

Self-regulation of driving and its relationship to driving ability among older adults

Self-regulation of driving and its relationship to driving ability among older adults

The Canadian Safe Driving Study—Phase I pilot: Examining potential logistical barriers to the full cohort study

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

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