Predicting Components of Closed Road Driving Performance From Vision Tests

Higgins, Kent E.; Wood, Joanne M.

doi:10.1097/01.opx.0000174725.32907.86

Cited by 59 publications

(55 citation statements)

References 20 publications

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“…Results suggested that road sign recognition and road hazard avoidance were impaired but the ability to navigate the vehicle through a road course was not. Further research confirmed these findings (Higgins & Wood, 2005). In addition to simulated visual acuity impairment, studies have also evaluated the driving performance of those with acuity-impairing conditions such as age-related macular degeneration (AMD).…”

Section: Visual Function and Drivingmentioning

confidence: 54%

Vision and driving

2010

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Driving is the primary means of personal travel in many countries and is relies heavily on vision for its successful execution. Research over the past few decades has addressed the role of vision in driver safety (motor vehicle collision involvement) and in driver performance (both on-road and using interactive simulators in the laboratory). Here we critically review what is currently known about the role of various aspects of visual function in driving. We also discuss translational research issues on vision screening for licensure and re-licensure and rehabilitation of visually impaired persons who want to drive.

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Section: Visual Function and Drivingmentioning

confidence: 54%

Vision and driving

2010

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“…Near-crash events (e.g., an aggressive left turn leading to oversteering and causing conflict with oncoming vehicles) may be more reflective of on-road driver performance than driver safety per se. 46,47 …”

Section: Discussionmentioning

confidence: 99%

Visual Sensory and Visual-Cognitive Function and Rate of Crash and Near-Crash Involvement Among Older Drivers Using Naturalistic Driving Data

Huisingh

Levitan

Irvin

et al. 2017

Invest. Ophthalmol. Vis. Sci.

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PurposeAn innovative methodology using naturalistic driving data was used to examine the association between visual sensory and visual-cognitive function and rates of future crash or near-crash involvement among older drivers.MethodsThe Strategic Highway Research Program (SHRP2) Naturalistic Driving Study was used for this prospective analysis. The sample consisted of N = 659 drivers aged ≥70 years and study participation lasted 1 or 2 years for most participants. Distance and near visual acuity, contrast sensitivity, peripheral vision, visual processing speed, and visuospatial skills were assessed at baseline. Crash and near-crash involvement were based on video recordings and vehicle sensors. Poisson regression models were used to generate crude and adjusted rate ratios (RRs) and 95% confidence intervals, while accounting for person-miles of travel.ResultsAfter adjustment, severe impairment of the useful field of view (RR = 1.33) was associated with an increased rate of near-crash involvement. Crash, severe crash, and at-fault crash involvement were associated with impaired contrast sensitivity in the worse eye (RRs = 1.38, 1.54, and 1.44, respectively) and far peripheral field loss in both eyes (RRs = 1.74, 2.32, and 1.73, respectively).ConclusionsNaturalistic driving data suggest that contrast sensitivity in the worse eye and far peripheral field loss in both eyes elevate the rates of crash involvement, and impaired visual processing speed elevates rates of near-crash involvement among older drivers. Naturalistic driving data may ultimately be critical for understanding the relationship between vision and driving safety.

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“…Closed-road studies take place on a series of roads or circuits created especially for research investigations that are closed to public access; any obstacles or events along the closed route (e.g., vehicles, pedestrians, road signs) are “staged” by the investigator (for example 54, 143, 148, 150, 153 ). The main advantage of an open-road design is that driving takes place amidst a natural traffic environment where vehicles, pedestrians, and other types of obstacles and events unfold during the course of everyday driving.…”

Section: Performancementioning

confidence: 99%

A roadmap for interpreting the literature on vision and driving

Owsley

Wood

McGwin

2015

Survey of Ophthalmology

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Over the past several decades there has been a sharp increase in the number of studies focused on the relationship between vision and driving. The intensified scientific attention to this topic has most likely been stimulated by the lack of an evidence-basis for determining vision standards for driving licensure and a poor understanding about how vision impairment impacts driver safety and performance. Clinicians depend on the scientific literature on vision and driving as a resource to appropriately advise visually impaired patients about driving fitness. Policy makers also depend on the scientific literature in order to develop guidelines that are evidence-based and are thus fair to persons who are visually impaired. Thus it is important for clinicians and policy makers alike to understand how various study designs and measurement methods should be appropriately interpreted so that the conclusions and recommendations they make based on this literature are not overly broad, too narrowly constrained, or even misguided. In this overview, based on our 25 years of experience in this field, we offer a methodological framework to guide interpretations of studies on vision and driving, which can also serve as a heuristic for researchers in the area. Here we discuss research designs and general measurement methods for the study of vision as they relate to driver safety, driver performance, and driver-centered (self-reported) outcomes.

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Predicting Components of Closed Road Driving Performance From Vision Tests

Abstract: Static acuity can only predict variations in closed road driving performance measured under degraded conditions that include simulated mild cataracts when it is combined with supplementary vision tests.

Cited by 59 publications

References 20 publications

Vision and driving

Vision and driving

Visual Sensory and Visual-Cognitive Function and Rate of Crash and Near-Crash Involvement Among Older Drivers Using Naturalistic Driving Data

A roadmap for interpreting the literature on vision and driving

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