Investigating driving behaviour of older drivers with mild cognitive impairment using a portable driving simulator

Devlin, Anna; McGillivray, Jane; Charlton, Judith Lynne; Lowndes, Georgina Johanna; Etienne, Virginie

doi:10.1016/j.aap.2012.02.022

“…There is evidence of difficulty in responding to situations involving higher cognitive demands: at road crossings and intersections with complex traffic and in scenarios that require assimilating information related to distance perception, speed, other users on the road (for example, pedestrians) and environmental stimuli (such as traffic signs). Other difficulties were also noted, such as proper positioning on the road and lanes, maintainance of appropriate direction and speed, and reacting to other road users [51,56,[74][75]. Given that drivers with MCI are more prone to develop dementia, they represent a group of drivers that is important to monitor to assure safe driving conditions [76].…”

Section: Cognitive Ageing Aspects: Experience and Car Drivingmentioning

confidence: 99%

“…Advancing age also negatively affects executive function. This function refers to the metacognitive ability of individuals to effectively plan, organize, strategize, evaluate and self-regulate, which results in the most unsafe driving and increases the risk of accidents [51,[55][56].…”

Section: Cognitive Ageing Aspects: Experience and Car Drivingmentioning

confidence: 99%

Psychological and Cognitive Aspects of Ageing: The Importance of Driving on Senior Living

Fernandes¹,

Esteves²,

Simões³

2018

JHS

0

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Abstract:This research aims to understand the psychological, the social and cognitive aspects of ageing and assess the relevance of driving a personal automobile to seniors. We know that biological ageing is an inescapable fact, but is there also a psychological and a cognitive ageing? If so, is it related to getting older or to other factors? How relevant is continuing to drive to seniors, and how can the activity influence psychological and cognitive types of their ageing and self well-being? To answer these questions, we study several authors and concepts about mental health, development of ageing and their relationship to driving. We also explore psychological and cognitive changes associated with ageing, the principal behavioural changes of healthy senior people (with normal cognitive function) and MCI (mild cognitive impairment), as well as how driving inhibition can induce and affect psychological and cognitive characteristics. We conclude that low mental functioning is caused by a set of biological, psychological and social factors, connected in turn to environmental factors. The slowdown of cognitive activities and performances in seniors is not inevitably accompanied by a decrease in intellectual capacity, low sensory acuity, or slowing psychomotor skills. Other factors should be considered-such as health status, limitations, anxiety, lack of interest, motivation and attitudes. The loss of cognitive abilities and the prevalence of mild cognitive impairment increase with age and are a growing concern, especially among seniors who drive cars. However, we still lack specific evidence based on tests and criteria-in particular, on psychological and cognitive domains-to assess senior drivers actually at risk. It is important to establish a base of evidence to allow objective risk determination. The safest senior drivers should continue driving for as long as possible, thereby contributing to their mental health, independence and quality of life.

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“…These are skills that allow drivers to get important information about the driving environment and take operational decisions and necessary strategic tactics [51].…”

Section: Cognitive Ageing Aspects: Experience and Car Drivingmentioning

confidence: 99%

“…Although a large number of studies suggest that individuals with moderate to severe dementia are unable to drive, there is no clear definition regarding the onset of dementia [62][63][64], relatively little is known about the driving performance of senior drivers with MCI [51,65], few studies demonstrate the relationship between MCI and driving performance [65][66][67][68][69][70][71][72][73], and there is no full consensus on the measurement of impairment in driving in seniors with MCI or whether they consequently have a higher risk of accidents compared to healthy people of the same age [51,64]. The available research from driving simulators and road studies suggests that drivers with MCI have prominent difficulties with navigation and decisions.…”

Section: Cognitive Ageing Aspects: Experience and Car Drivingmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

2017

JHS

0

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Abstract:This research aims to understand the psychological, the social and cognitive aspects of ageing and assess the relevance of driving a personal automobile to seniors. We know that biological ageing is an inescapable fact, but is there also a psychological and a cognitive ageing? If so, is it related to getting older or to other factors? How relevant is continuing to drive to seniors, and how can the activity influence psychological and cognitive types of their ageing and self well-being? To answer these questions, we study several authors and concepts about mental health, development of ageing and their relationship to driving. We also explore psychological and cognitive changes associated with ageing, the principal behavioural changes of healthy senior people (with normal cognitive function) and MCI (mild cognitive impairment), as well as how driving inhibition can induce and affect psychological and cognitive characteristics. We conclude that low mental functioning is caused by a set of biological, psychological and social factors, connected in turn to environmental factors. The slowdown of cognitive activities and performances in seniors is not inevitably accompanied by a decrease in intellectual capacity, low sensory acuity, or slowing psychomotor skills. Other factors should be considered-such as health status, limitations, anxiety, lack of interest, motivation and attitudes. The loss of cognitive abilities and the prevalence of mild cognitive impairment increase with age and are a growing concern, especially among seniors who drive cars. However, we still lack specific evidence based on tests and criteria-in particular, on psychological and cognitive domains-to assess senior drivers actually at risk. It is important to establish a base of evidence to allow objective risk determination. The safest senior drivers should continue driving for as long as possible, thereby contributing to their mental health, independence and quality of life.

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