Importance
This study extends the literature regarding Attention-Deficit/Hyperactivity Disorder (ADHD) related driving impairments to a newly-licensed, adolescent population.
Objective
To investigate the combined risks of adolescence, ADHD, and distracted driving (cell phone conversation and text messaging) on driving performance.
Design
Adolescents with and without ADHD engaged in a simulated drive under three conditions (no distraction, cell phone conversation, texting). During each condition, one unexpected event (e.g., car suddenly merging into driver's lane) was introduced.
Setting
Driving simulator.
Participants
Adolescents aged 16–17 with ADHD (n=28) and controls (n=33).
Interventions/Main Exposures
Cell phone conversation, texting, and no distraction while driving.
Outcome Measures
Self-report of driving history; Average speed, standard deviation of speed, standard deviation of lateral position, braking reaction time during driving simulation.
Results
Adolescents with ADHD reported fewer months of driving experience and a higher proportion of driving violations than controls. After controlling for months of driving history, adolescents with ADHD demonstrated more variability in speed and lane position than controls. There were no group differences for braking reaction time. Further, texting negatively impacted the driving performance of all participants as evidenced by increased variability in speed and lane position.
Conclusions
This study, one of the first to investigate distracted driving in adolescents with ADHD, adds to a growing body of literature documenting that individuals with ADHD are at increased risk for negative driving outcomes. Furthermore, texting significantly impairs the driving performance of all adolescents and increases existing driving-related impairment in adolescents with ADHD, highlighting the need for education and enforcement of regulations against texting for this age group.