Roadwise review has limited congruence with actual driving performance of aging drivers

Bédard, Michel; Riendeau, Julie; Weaver, Bruce; Clarkson, Ashley

doi:10.1016/j.aap.2011.05.025

Cited by 19 publications

(12 citation statements)

References 16 publications

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“…However, there are potentially many distractions present during driving (Editorial, 2001), including conversations with passengers, or unpredictable events that increase the risk of crashes. The current findings may be applied to future research on clinical populations with various brain disorders (e.g., Ott et al, 2000; Bedard et al, 2011) to determine how brain damage affects the ability to adapt to daily driving tasks. The shift in brain activation indicates that the assessment of fitness to drive should consider different levels of driving demands and more selective evaluations of driving ability (e.g., in different traffic conditions, or driving while conversing with the examiner).…”

Section: Discussionmentioning

confidence: 97%

Brain activity during driving with distraction: an immersive fMRI study

Schweizer¹,

Kan²,

Hung³

et al. 2013

Front. Hum. Neurosci.

124

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Introduction: Non-invasive measurements of brain activity have an important role to play in understanding driving ability. The current study aimed to identify the neural underpinnings of human driving behavior by visualizing the areas of the brain involved in driving under different levels of demand, such as driving while distracted or making left turns at busy intersections.Materials and Methods: To capture brain activity during driving, we placed a driving simulator with a fully functional steering wheel and pedals in a 3.0 Tesla functional magnetic resonance imaging (fMRI) system. To identify the brain areas involved while performing different real-world driving maneuvers, participants completed tasks ranging from simple (right turns) to more complex (left turns at busy intersections). To assess the effects of driving while distracted, participants were asked to perform an auditory task while driving analogous to speaking on a hands-free device and driving.Results: A widely distributed brain network was identified, especially when making left turns at busy intersections compared to more simple driving tasks. During distracted driving, brain activation shifted dramatically from the posterior, visual and spatial areas to the prefrontal cortex.Conclusions: Our findings suggest that the distracted brain sacrificed areas in the posterior brain important for visual attention and alertness to recruit enough brain resources to perform a secondary, cognitive task. The present findings offer important new insights into the scientific understanding of the neuro-cognitive mechanisms of driving behavior and lay down an important foundation for future clinical research.

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Section: Discussionmentioning

confidence: 97%

Brain activity during driving with distraction: an immersive fMRI study

Schweizer¹,

Kan²,

Hung³

et al. 2013

Front. Hum. Neurosci.

124

View full text Add to dashboard Cite

show abstract

“…Among programs with practical training, most have been found to be effective in improving driving performance overall (Bédard et al 2008;Lavallière et al 2009;Marottoli, van Ness, et al 2007;Marottoli, Allore, et al 2007), at intersections (Romoser and Fisher 2009), or for hazard recognition (Horswill et al 2010). However, some studies demonstrated an association between self-reported abilities and driving performance Molnar et al 2010), whereas others did not (Bédard et al 2011;Scialfa et al 2010); evaluations of such programs are complex. Knowing more about psychosocial factors related to driving such as driver perceptions, beliefs, and openness to change would help to maximize the fit between education program content and outcomes (Tuokko et al 2007) and further improve older drivers' skills.…”

Section: Introductionmentioning

confidence: 93%

Awareness Tool for Safe and Responsible Driving (OSCAR): A Potential Educational Intervention for Increasing Interest, Openness and Knowledge About the Abilities Required and Compensatory Strategies Among Older Drivers

Levasseur

Audet

Gélinas

et al. 2015

Traffic Injury Prevention

Self Cite

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In summary, in addition to increasing older adults' interest, openness, and knowledge to discussion about driving, OSCAR also improved awareness of the changes that could negatively impact safe driving and enhanced utilization of compensatory strategies. While promoting safe driving and the prevention of crashes and injuries, this intervention could ultimately help older adults maintain or increase their transportation mobility. More studies are needed to further evaluate OSCAR and identify ways to improve its effectiveness.

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“…After a thorough review of these issues, the expert panel affirmed the following statements at the highest level of evidence (i.e., evidence is strong and allows for an evidence-based consensus statement-Level 1): Ultimately, it is important that occupational therapists continue to apply an evidence-based framework to the determination of fitness-to-drive for seniors. An evidence-based framework implies that the proper research activities, from the individual studies to the development of the tool, have taken place (Bédard et al, 2011). The tools currently used by driver rehabilitation specialists to determine fitness-to-drive vary greatly (Dickerson, 2013) and not all tools were developed with the same amount of rigor.…”

Section: Statement 1: a Decision About Continued Restricted Or Cessmentioning

confidence: 99%

Consensus Statements for Screening and Assessment Tools

Bédard¹,

Dickerson

2014

Occupational Therapy In Health Care

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Occupational therapists, both generalists and specialists, have a critical role in providing services to senior drivers. These services include evaluating fitness-to-drive, developing interventions to support community mobility, and facilitating the transition from driving to non-driving when necessary for personal and community safety. The evaluation component and decision-making process about fitness-to-drive are highly dependent on the use of screening and assessment tools. The purpose of this paper is to briefly present the rationale and context for 12 consensus statements about the usefulness and appropriateness of screening and assessment tools to determine fitness-to-drive, within the occupational therapy clinical setting, and their implications on community mobility.

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Roadwise review has limited congruence with actual driving performance of aging drivers

Cited by 19 publications

References 16 publications

Brain activity during driving with distraction: an immersive fMRI study

Brain activity during driving with distraction: an immersive fMRI study

Awareness Tool for Safe and Responsible Driving (OSCAR): A Potential Educational Intervention for Increasing Interest, Openness and Knowledge About the Abilities Required and Compensatory Strategies Among Older Drivers

Consensus Statements for Screening and Assessment Tools

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