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Hernández-Gamboa AE, Barceló-Prats J, Villamizar Osorio ML, Martorell-Poveda MA. Self-management of Risk for the Prevention of Traffic Accidents from a Health Perspective: A Qualitative Study. HISPANIC HEALTH CARE INTERNATIONAL 2024:15404153241235666. [PMID: 38454624 DOI: 10.1177/15404153241235666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Introduction: In the world, deaths and injuries caused by traffic collisions have been considered a public health problem. In Colombia, 7.238 fatalities were recorded in 2021, with motorcycle riders representing the largest group of victims at 59.7%. Methods: The aim of this qualitative phenomenological study is to describe the risky experiences and deliberate actions of diverse road users that influence the self-management of the risk of traffic collisions. Results: Data were obtained from 22 participants: motorists, pedestrians and drivers. The content analysis describes various human conditions that affect self-management of the risk of traffic accidents, such as unsafe behaviors, non-compliance with traffic regulations by the different road actors, competitive culture among drivers, eagerness, among others. Additionally, factors related to care were determined: healthy recreational activities, promoting the value of one's own life and that of others, adequate time management and preventive behaviors by some road users. Conclusion: This research provides information on social and cultural aspects, experiences and risky behaviors of different road actors that influence the incidence of traffic accidents in Colombia.
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Affiliation(s)
- Adriana Elena Hernández-Gamboa
- Departament d'infermeria, Universitat Rovira i Virgili, Tarragona, Spain
- Nursing Program, Universidad Cooperativa de Colombia, Bucaramanga, Colombia
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Chang JH, Bhatti D, Uc EY, Rizzo M, Merickel J. Digital driving data can track driving exposure and quality of life in Parkinson's disease. TRAFFIC INJURY PREVENTION 2023; 25:20-26. [PMID: 37722820 DOI: 10.1080/15389588.2023.2247110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 08/08/2023] [Indexed: 09/20/2023]
Abstract
OBJECTIVE Parkinson's disease (PD) impairs motor and non-motor functions. Driver strategies to compensate for impairments, like avoiding driving in risky environments, may reduce on-road risk at the cost of decreasing driver mobility, independence, and quality of life (QoL). It is unclear how PD symptoms link to driving risk exposure, strategies, and QoL. We assessed associations between PD symptoms and driving exposure (1) overall, (2) in risky driving environments, and (3) in relationship to QoL. METHODS Twenty-eight drivers with idiopathic PD were assessed using the Movement Disorders Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and RAND 36-Item Short Form Health Survey (SF-36). Real-world driving was monitored for 1 month. Overall driving exposure (miles driven) and risky driving exposure (miles driven in higher risk driving environments) were assessed across PD symptom severity. High traffic, night, and interstate roads were considered risky environments. RESULTS 18,642 miles (30,001 km) driven were collected. Drivers with PD with worse motor symptoms (MDS-UPDRS Part III) drove more overall (b = 0.17, P < .001) but less in risky environments (night: b = -0.35, P < .001; interstate roads: b = -0.23, P < .001; high traffic: b = -0.14, P < .001). Worse non-motor daily activities symptoms (MDS-UPDRS Part I) did not affect overall driving exposure (b = -0.05, P = .43) but did affect risky driving exposure. Worse non-motor daily activities increased risk exposure to interstate (b = 0.36, P < .001) and high traffic (b = 0.09, P = .03) roads while reducing nighttime risk exposure (b = -0.15, P = .01). Daily activity impacts from motor symptoms (MDS-UPDRS Part II) did not affect distance driven. Reduced driving exposure (number of drives per day) was associated with worse physical health-related QoL (b = 2.87, P = .04). CONCLUSIONS Results provide pilot data revealing specific PD symptom impacts on driving risk exposure and QoL. Drivers with worse non-motor impairments may have greater risk exposure. In contrast, drivers with worse motor impairments may have reduced driver risk exposure. Reduced driving exposure may worsen physical health-related QoL. Results show promise for using driving to inform clinical care.
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Affiliation(s)
- Jun Ha Chang
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska
| | - Danish Bhatti
- Internal Medicine, University of Central Florida, Orange County, Florida
| | - Ergun Y Uc
- Department of Neurology, University of Iowa, Iowa City, Iowa
- Neurology Service, Iowa City Virginia Medical Center, Iowa City, Iowa
| | - Matthew Rizzo
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska
| | - Jennifer Merickel
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska
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Sheppard CL, Myers AM, Hesjedahl S. Using Travel Diaries to Examine the Extent to Which Older Adult Centres Are a Focal Point for Recreation and Social Activities. Can J Aging 2023; 42:495-505. [PMID: 37439086 DOI: 10.1017/s0714980823000120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/14/2023] Open
Abstract
This study aimed to better understand the extent to which older adult centres are a focal point for recreation and social activities for their members. Travel diaries completed by 261 members of 12 older adult centres across Ontario provided comprehensive and real-time (24-hour) data over two consecutive weeks concerning time away from home, trip purposes, and modes of travel. The data showed that nearly one-third of their trips included a stop at their older adult centre. Three-quarters also went to other community venues over the study period, possibly to access amenities (e.g., pools) not available at their centre. Notwithstanding, their local older adult centre was still a focal point in out-of-home travel, particularly for potentially more vulnerable older adults, including those who were non-drivers, had less education, and felt lonelier. The diaries also substantiated the importance of time spent socializing with peers and staff at the centre, apart from formal program participation.
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Affiliation(s)
| | - Anita M Myers
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
| | - Sue Hesjedahl
- Older Adult Centres' Association of Ontario, Caledon, ON, Canada
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Seinsche J, Jansen CP, Roth S, Zijlstra W, Hinrichs T, Giannouli E. Multidimensional interventions to increase life-space mobility in older adults ranging from nursing home residents to community-dwelling: a systematic scoping review. BMC Geriatr 2023; 23:412. [PMID: 37415132 PMCID: PMC10327334 DOI: 10.1186/s12877-023-04118-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 06/19/2023] [Indexed: 07/08/2023] Open
Abstract
BACKGROUND Life-space mobility (LSM) is an important aspect of older adults' real-life mobility. Studies have shown that restricted LSM is a risk factor for many adverse outcomes such as low quality of life and mortality. Therefore, an increasing number of interventions aim to enhance LSM. However, the intervention approaches differ in terms of their type/content, duration, targeted populations, but also in terms of their outcome measures and assessment tools. Especially the latter impairs the comparability of studies with otherwise similar interventional approaches and thus also the interpretation of their results. Therefore, this systematic scoping review aims to provide an overview of the intervention components, assessment tools, and effectiveness of studies aiming to improve LSM in older adults. METHODS A systematic literature search was carried out in PubMed and Web of Science. We considered studies in older adults of any design that included an intervention approach and at least one outcome of LSM. RESULTS 27 studies were included in the review. These studies analyzed healthy community-dwelling as well as frail older adults in need of care or rehabilitation and nursing home residents with a mean age between 64 and 89. The percentage of female participants ranged from 3 to 100%. The types of interventions were of the following: physical, counseling, multidimensional, miscellaneous. Multidimensional interventions consisting of physical interventions plus any of the following or a combination of counseling/education/motivation/information appear to be most effective in increasing LSM. Older adults with mobility impairments were more responsive to these multidimensional interventions compared to healthy older adults. Most of the studies used the questionnaire-based Life-Space Assessment to quantify LSM. CONCLUSIONS This systematic scoping review provides a comprehensive overview of a heterogenous stock of literature investigating LSM-related interventions in older adults. Future meta-analyses are needed to provide a quantitative evaluation of the effectiveness of LSM interventions and recommendations.
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Affiliation(s)
- Julia Seinsche
- Department of Health Sciences & Technology, Institute of Human Movement Sciences & Sport, ETH Zurich, Zurich, Switzerland
| | | | - Sandro Roth
- Division of Sports and Exercise Medicine, Department of Sport, Exercise, and Health, University of Basel, Basel, Switzerland
| | - Wiebren Zijlstra
- Institute of Movement & Sport Gerontology, German Sport University Cologne, Cologne, Germany
| | - Timo Hinrichs
- Division of Sports and Exercise Medicine, Department of Sport, Exercise, and Health, University of Basel, Basel, Switzerland
| | - Eleftheria Giannouli
- Department of Health Sciences & Technology, Institute of Human Movement Sciences & Sport, ETH Zurich, Zurich, Switzerland
- Division of Sports and Exercise Medicine, Department of Sport, Exercise, and Health, University of Basel, Basel, Switzerland
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Hussain B, Miwa T, Sato H, Morikawa T. Subjective evaluations of self and others' driving behaviors: A comparative study involving data from drivers in Japan, China, and Vietnam. JOURNAL OF SAFETY RESEARCH 2023; 84:316-329. [PMID: 36868660 DOI: 10.1016/j.jsr.2022.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 09/19/2022] [Accepted: 11/10/2022] [Indexed: 06/18/2023]
Abstract
INTRODUCTION This study explored the influence of personal attributes on subjectively-reported aggressive driving behaviors, with an emphasis on the inter-influences between subjectively-reported aggressive driving behaviors between self and other individuals. To determine this, a survey was conducted comprising participants' socio-demographic data, information on their history with automotive accidents, and subjective scales to report on the driving behaviors between self and others. More specifically, a four-factor shortened version of the Manchester Driver Behavior Questionnaire was used to collect data on the aberrant driving behaviors of "self" and "others." METHOD Participants were recruited from three countries, namely, Japan (1,250 responses), China (1,250), and Vietnam (1,000). This study only considered the "aggressive violations' factor," which was referred to as self-aggressive driving behaviors (SADB) and others' aggressive driving behaviors (OADB). After collecting the data, univariate and bivariate multiple regression models were employed to better understand the response patterns from both scales. RESULTS This study found that accident experience had the strongest influence on the reporting of aggressive driving behaviors (followed by education level). However, variation in countries was also found between both the rate of engagement in aggressive driving behavior and its recognition. In this study, highly educated Japanese drivers tended to evaluate others as safe, whereas highly educated Chinese drivers tended to evaluate others as aggressive. This discrepancy can likely be attributed to cultural norms and values. Meanwhile, evaluations from Vietnamese drivers seemed to differ depending on whether they drove cars or bikes, with additional influences as a result of the driving frequency. Furthermore, this study found that it was most difficult to explain the driving behaviors on the "other" scale reported by Japanese drivers. PRACTICAL APPLICATIONS These findings can aid policymakers and planners to develop road safety measures that reflect the behaviors of drivers in their respective countries.
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Affiliation(s)
- Blawal Hussain
- Institute of Materials and Systems for Sustainability, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan.
| | - Tomio Miwa
- Institute of Materials and Systems for Sustainability, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan.
| | - Hitomi Sato
- Institutes of Innovation for Future Society, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan.
| | - Takayuki Morikawa
- Institutes of Innovation for Future Society, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan.
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Aschenbrenner AJ, Murphy SA, Doherty JM, Johnson AM, Bayat S, Walker A, Peña Y, Hassenstab J, Morris JC, Babulal GM. Neuropsychological Correlates of Changes in Driving Behavior Among Clinically Healthy Older Adults. J Gerontol B Psychol Sci Soc Sci 2022; 77:1769-1778. [PMID: 35869666 PMCID: PMC9535782 DOI: 10.1093/geronb/gbac101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES To determine the extent to which cognitive domain scores moderate change in driving behavior in cognitively healthy older adults using naturalistic (Global Positioning System-based) driving outcomes and to compare against self-reported outcomes using an established driving questionnaire. METHODS We analyzed longitudinal naturalistic driving behavior from a sample (N = 161, 45% female, mean age = 74.7 years, mean education = 16.5 years) of cognitively healthy, nondemented older adults. Composite driving variables were formed that indexed "driving space" and "driving performance." All participants completed a baseline comprehensive cognitive assessment that measured multiple domains as well as an annual self-reported driving outcomes questionnaire. RESULTS Across an average of 24 months of naturalistic driving, our results showed that attentional control, broadly defined as the ability to focus on relevant aspects of the environment and ignore distracting or competing information as measured behaviorally with tasks such as the Stroop color naming test, moderated change in driving space scores over time. Specifically, individuals with lower attentional control scores drove fewer trips per month, drove less at night, visited fewer unique locations, and drove in smaller spaces than those with higher attentional control scores. No cognitive domain predicted driving performance such as hard braking or sudden acceleration. DISCUSSION Attentional control is a key moderator of change over time in driving space but not driving performance in older adults. We speculate on mechanisms that may relate attentional control ability to modifications of driving behaviors.
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Affiliation(s)
| | - Samantha A Murphy
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Jason M Doherty
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Ann M Johnson
- Center for Clinical Studies, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Sayeh Bayat
- Department of Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada.,Department of Geomatics Engineering, University of Calgary, Calgary, Alberta, Canada.,Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
| | - Alexis Walker
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Yasmin Peña
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Jason Hassenstab
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA
| | - John C Morris
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Ganesh M Babulal
- Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.,Institute of Public Health, Washington University in St. Louis, St. Louis, Missouri,USA.,Department of Psychology, Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa.,Department of Clinical Research and Leadership, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA
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Useche SA, Faus M, Alonso F. Is safety in the eye of the beholder? Discrepancies between self-reported and proxied data on road safety behaviors—A systematic review. Front Psychol 2022; 13:964387. [PMID: 36118485 PMCID: PMC9479009 DOI: 10.3389/fpsyg.2022.964387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 08/04/2022] [Indexed: 11/13/2022] Open
Abstract
Recent studies have problematized on the lack of agreement between self-reported and proxied data in the field of road safety-related behaviors. Overall, and although these studies are still scarce, most of them suggest that the way we perceive our own road behavior is systematically different from the perspective from which we perceive others' behavior, and vice versa. The aim of this review paper was to target the number and type of studies that have researched the behavioral perceptions of different groups of road users, contrasting self-reported behavioral data with those reported by other users (proxied), and their outcomes. This systematic review followed the PRISMA methodology, which allows for the identification of relevant articles based on the research term. A total number of 222 indexed articles were filtered, and a final selection of 19 articles directly addressing the issue was obtained. Search strategies were developed and conducted in MEDLINE, WOS, Scopus and APA databases. It is remarkable how road users perceive themselves as behaviorally “safer” than the rest of road users in what concerns the knowledge of traffic norms and their on-road performance. In addition, and regardless of the type of user used as a source, self-reported data suggest their perceived likelihood to suffer a traffic crash is lesser if compared to any other user. On the other hand, proxied reports tend to undervalue third users' performance, and to perceive riskier behaviors and crash-related risks among them. The outputs of this systematic review support the idea that the perception of road users' behavior and its related risks substantially differ according to the source. It is also necessary to increase the number, coverage and rigor of studies on this matter, perhaps through complementary and mixed measures, in order to properly understand and face the bias on road users' risk-related behaviors.
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Affiliation(s)
- Sergio A. Useche
- ESIC Business & Marketing School, Valencia, Spain
- *Correspondence: Sergio A. Useche
| | - Mireia Faus
- DATS (Development and Advising in Traffic Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
| | - Francisco Alonso
- DATS (Development and Advising in Traffic Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
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Shichrur R, Ratzon NZ. Convergent validity of vision based technology (VBT) among professional bus drivers. JOURNAL OF SAFETY RESEARCH 2022; 82:402-408. [PMID: 36031270 DOI: 10.1016/j.jsr.2022.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 01/18/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Due to the relative rarity of crashes, researchers use traffic offenses, police records, public complaints, and In-Vehicle Data Recorder (IVDR) data as proxies for assessing crash risk. In this study, a unique IVDR system, called Vision-Based Technology [(VBT), (Mobileye Inc.)] was used to monitor perilous naturalistic driving events, such as insufficient distance from other vehicles and pedestrian or bicycle rider near-misses. The study aimed to test the convergent validity of VBT as an indicator of crash involvement risk. METHODS Data from 61 professional drivers working for a large bus company were analyzed (16 of 77 in the original data cohort were excluded for insufficient VBT data). Data included: recorded VBT data, objective data collected from official records (crash records provided by the bus company, and public complaints of reckless driving), self-report data regarding crash involvement, and police tickets. The correlation between VBT, objective and self-reported data was analyzed. Binary-logistic regression modeling (BLM) was used to calculate the odds ratio (OR) for participants involved in a car crash. RESULTS Correlations were found between the total VBT risk score and official crash records, public complaints, and self-reports of crash involvement. The BLM correctly classified 90% of those who were involved in a crash (sensitivity) and 60% of those who were "crash-free" (specificity). The VBT total risk score was the only significant contributing factor to crash risk, and for each point of increase, the odds of being involved in a crash increased by a factor of 1.55. CONCLUSIONS It is the first study to provide empirical evidence validating the VBT as an indicator of crash involvement and driver safety among professional bus drivers. PRACTICAL APPLICATIONS VBT technology can provide researchers and clinicians a better understanding of bus drivers' risky driving behaviors- a valuable contribution to road safety interventions for this target group.
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Affiliation(s)
- Rachel Shichrur
- Ariel University, School of Health Sciences, the Occupational Therapy Department, Ariel, Israel; Tel Aviv University, Sackler Faculty of Medicine, School of Health Professions, Department of Occupational Therapy, Tel Aviv, Israel.
| | - Navah Z Ratzon
- Tel Aviv University, Sackler Faculty of Medicine, School of Health Professions, Department of Occupational Therapy, Tel Aviv, Israel.
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Liang D, Lau N, Antin JF. Modeling of older adults' driving exposure and avoidance using objective driving data in a naturalistic driving study. ACCIDENT; ANALYSIS AND PREVENTION 2022; 174:106728. [PMID: 35689967 DOI: 10.1016/j.aap.2022.106728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Revised: 05/13/2022] [Accepted: 05/31/2022] [Indexed: 06/15/2023]
Abstract
Older adults in the United States rely heavily on driving their own vehicles to commute to work, shop for groceries, and access public services. To effectively help older adults maintain mobility and independence,we need to better understand how thecognitive, visual functioning, and health declines influence their tendency to self-restrict their driving. The objective of this study is to develop a causal model to examine the effects of age, gender, household status (specifically living alone), physical, cognitive, visual abilities, and health status on older adults' driving mobility in terms of driving exposure and avoidance. Driving exposure was measured by actual driving data, whereas driving avoidance was assessed by both self-report data and actual driving exposure to challenging situations. Structural equation modeling was used to analyze data collectedin the Second Strategic Highway Research Program Naturalistic Driving Study for establishing relationships between the selected factors and mobility. The structural equation model included a total of794 participants aged 65 and over (367 or 46.22%femalesand 427 or 53.78% males). Results indicate that poorer health is associated with less driving exposure; deteriorating cognitive and physical capabilities are associated with more self-reported driving avoidance and less actual driving in challenging situations; visual function is associated with self-reported avoidance; living alone is associated with higher driving exposure in general as well as in challenging situations; self-reported driving avoidance of challenging situations has a negative association with actual driving in those same situations. The final model could be applied to predict older adults' mobility changes according to their age, gender, household status, as well as their visual, physical, cognitive and health status.
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Affiliation(s)
- Dan Liang
- Grado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA 24060, United States.
| | - Nathan Lau
- Grado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA 24060, United States.
| | - Jonathan F Antin
- Virginia Tech Transportation Institute, Blacksburg, VA 24060, United States.
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St Louis RM, Koppel S, Molnar LJ, Di Stefano M, Darzins P, Porter MM, Bédard M, Mullen N, Myers A, Marshall S, Charlton JL. Examining the contribution of psychological resilience on self-reported and naturalistic driving behavior of older adults. JOURNAL OF SAFETY RESEARCH 2022; 82:251-260. [PMID: 36031252 DOI: 10.1016/j.jsr.2022.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 06/01/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION This study examined the contribution of psychological resilience on self-reported driving comfort, abilities, and restrictions, and on naturalistic driving (ND) behavior of older adults at two time points, five years apart (N = 111; Male: 65.8%, Mean age = 86.1 years). METHOD Participants from the Ozcandrive older driver cohort study completed a demographic questionnaire, functional assessments, psychosocial driving questionnaires, and a resilience scale. Participants' vehicles were equipped with a recording device to monitor driving behavior throughout the study. Over 1.7 million kilometers of ND data were analyzed. RESULTS There was a significant increase in resilience over time, and both self-reported and ND measures revealed reduced driving across five years. Hierarchical regression analyses using age, sex, driving exposure, functional measures, and resilience showed that adding resilience into the models at the final step resulted in statistically significant increases in the amount of variance explained for driving comfort during the day and night, perceived driving abilities, number of trips, trip distance, and proportion of night trips. CONCLUSIONS This research leveraged the longitudinal nature of the Ozcandrive study to provide the first insights into the role of resilience and ND. The observed patterns of reduced driving, captured by both subjective and objective measures, are suggestive of increased levels of self-regulation. As resilience is associated with adaptive coping skills, older adults with higher resilience may be able to more effectively engage in appropriate coping behaviors with regard to driving behavior, safety, and mobility. PRACTICAL APPLICATIONS Effective methods of increasing resilience in the context of driving is worthy of future research as it will provide valuable information about how older drivers navigate the process of aging as it relates to driving and may assist stakeholders in developing suitable measures to support older driver safety.
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Affiliation(s)
- Renée M St Louis
- Monash University Accident Research Centre, Monash University, Melbourne, Victoria, Australia; University of Michigan Transportation Research Institute, Ann Arbor, MI, USA.
| | - Sjaan Koppel
- Monash University Accident Research Centre, Monash University, Melbourne, Victoria, Australia.
| | - Lisa J Molnar
- University of Michigan Transportation Research Institute, Ann Arbor, MI, USA.
| | | | - Peteris Darzins
- Monash University Eastern Health Clinical School, Melbourne, Victoria, Australia.
| | | | | | - Nadia Mullen
- Lakehead University, Thunder Bay, Ontario, Canada.
| | - Anita Myers
- University of Waterloo, Waterloo, Ontario, Canada.
| | - Shawn Marshall
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
| | - Judith L Charlton
- Monash University Accident Research Centre, Monash University, Melbourne, Victoria, Australia.
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Speed management across road environments of varying complexities and self-regulation behaviors in drivers with cataract. Sci Rep 2022; 12:6951. [PMID: 35484276 PMCID: PMC9051061 DOI: 10.1038/s41598-022-10952-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 04/15/2022] [Indexed: 11/08/2022] Open
Abstract
Evidence suggests that drivers with cataract self-regulate their driving, but there is a lack of objective information. This study compared speed behavior in older drivers with and without cataract and how the parameter is influenced by road traffic complexity and driver characteristics. The study included 15 drivers with cataract and a control group of 20 drivers. Visual status was assessed using visual acuity, contrast sensitivity, and intraocular straylight. Speed management was studied using a driving simulator. Driving difficulty and self-regulation patterns were evaluated by means of the Driver Habits Questionnaire (DHQ). The cataract group showed a significant decrease in visual function in all the parameters evaluated (p < 0.05). These drivers tended to drive at lower speeds than the control group. Road characteristics, gender, and intraocular straylight in the better eye were identified as significant predictors of speed management. Drivers with cataract experience greater driving difficulty, particularly when driving at night (p < 0.05). Drivers with cataract reduce their driving speed more than older drivers without visual impairment. The straylight parameter may be a good indicator of each driver's subjective perception of their own visual ability to drive. This work helps shed light on the mechanisms through which age-related visual impairment influences driving behavior.
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Review of Studies on Older Drivers' Behavior and Stress-Methods, Results, and Outlook. SENSORS 2021; 21:s21103503. [PMID: 34069779 PMCID: PMC8157302 DOI: 10.3390/s21103503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 05/10/2021] [Accepted: 05/12/2021] [Indexed: 12/03/2022]
Abstract
This paper presents a review on relevant studies and reports related to older drivers’ behavior and stress. Questionnaires, simulators, and on-road/in-vehicle systems are used to collect driving data in most studies. In addition, research either directly compares older drivers and the other drivers or considers participants according to various age groups. Nevertheless, the definition of ‘older driver’ varies not only across studies but also across different government reports. Although questionnaire surveys are widely used to affordably obtain massive data in a short time, they lack objectivity. In contrast, biomedical information can increase the reliability of a driving stress assessment when collected in environments such as driving simulators and on-road experiments. Various studies determined that driving behavior and stress remain stable regardless of age, whereas others reported degradation of driving abilities and increased driving stress among older drivers. Instead of age, many researchers recommended considering other influencing factors, such as gender, living area, and driving experience. To mitigate bias in findings, this literature review suggests a hybrid method by applying surveys and collecting on-road/in-vehicle data.
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Singh H, Kathuria A. Analyzing driver behavior under naturalistic driving conditions: A review. ACCIDENT; ANALYSIS AND PREVENTION 2021; 150:105908. [PMID: 33310431 DOI: 10.1016/j.aap.2020.105908] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 11/20/2020] [Accepted: 11/22/2020] [Indexed: 06/12/2023]
Abstract
For a decade, researchers working in the area of road safety have started exploring the use of driving behavior data for a better understanding of the causes related to road accidents. A review of the literature reveals the excellent potential of naturalistic driving studies carried out by collecting vehicle performance data and driver behavior data during normal, impaired, and safety-critical situations. An in-depth understanding of driver behavior helps analyze and implement pre-crash safety measures - the development of enforcement policies, infrastructure design, and intelligent vehicle safety systems. The present paper attempts to review the naturalistic driving studies that have been undertaken so far. The paper begins with an overview of different methods for collecting unobtrusive driver behavior data during their day to day trip, followed by a discussion of various factors affecting driving behavior and their influence on vehicle performance parameters. The paper also discusses the strategies mentioned in the literature for improving driving behavior using naturalistic driving studies to enhance road safety. Some of the major findings of this review suggest that i) driver behavior is a major cause in the majority of the road accidents ii) drivers generally reduce their speed and increases headway as a compensatory measure to reduce the workload imposed during distracting activity and adverse weather conditions iii) mobile phone has emerged as a potential device for collecting naturalistic driving data and, iv) improvement in driving behavior can be achieved by providing feedback to the drivers about their driving behavior. This can be done by implementing usage-based insurance schemes such as pay as you drive (PAYD), pay how you drive (PHYD), and manage how you drive (MHYD). While a considerable amount of research has been done to analyze driving behavior under naturalistic conditions, some areas which are yet to be explored are highlighted in the present paper.
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Affiliation(s)
- Harpreet Singh
- Department of Civil Engineering, Indian Institute of Technology Jammu (IIT-JMU), Jammu, India.
| | - Ankit Kathuria
- Department of Civil Engineering, Indian Institute of Technology Jammu (IIT-JMU), Jammu, India.
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Bell T, Pope C, Fazeli P, Crowe M, Ball K. The Association of Persistent Low Back Pain With Older Adult Falls and Collisions: A Longitudinal Analysis. J Appl Gerontol 2020; 40:1455-1464. [PMID: 33095077 DOI: 10.1177/0733464820966517] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Mobility-related injuries associate with reduced quality of life, greater functional dependence, and quicker mortality in older adults-warranting prevention efforts. One factor elevating injury risk may be persistent low back pain, which can negatively affect cognitive and physical functions essential for safe mobility. Among older adults obtaining license renewal (n = 1,127), this study examined the association between persistent low back pain and incidence of falls and motor vehicle collisions (MVCs) for up to 15 years. Overall, older adults with persistent low back pain were more likely to have a fall (odds ratio [OR] = 1.54, 95% confidence interval [CI] = [1.34, 1.77]) or MVC (OR = 1.38, 95% CI = [1.07, 1.77]) than those without back pain. Furthermore, the number of falls and MVCs was lower for people with better lower limb and visuospatial function, respectively. Ameliorating pain and functioning in persistent lower back pain might contribute to improved mobility and a reduction of injury-related risk in later life.
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Prince SA, Cardilli L, Reed JL, Saunders TJ, Kite C, Douillette K, Fournier K, Buckley JP. A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act 2020; 17:31. [PMID: 32131845 PMCID: PMC7055033 DOI: 10.1186/s12966-020-00938-3] [Citation(s) in RCA: 191] [Impact Index Per Article: 47.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 02/19/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Sedentary behaviour (SB) is a risk factor for chronic disease and premature mortality. While many individual studies have examined the reliability and validity of various self-report measures for assessing SB, it is not clear, in general, how self-reported SB (e.g., questionnaires, logs, ecological momentary assessments (EMAs)) compares to device measures (e.g., accelerometers, inclinometers). OBJECTIVE The primary objective of this systematic review was to compare self-report versus device measures of SB in adults. METHODS Six bibliographic databases were searched to identify all studies which included a comparable self-report and device measure of SB in adults. Risk of bias within and across studies was assessed. Results were synthesized using meta-analyses. RESULTS The review included 185 unique studies. A total of 123 studies comprising 173 comparisons and data from 55,199 participants were used to examine general criterion validity. The average mean difference was -105.19 minutes/day (95% CI: -127.21, -83.17); self-report underestimated sedentary time by ~1.74 hours/day compared to device measures. Self-reported time spent sedentary at work was ~40 minutes higher than when assessed by devices. Single item measures performed more poorly than multi-item questionnaires, EMAs and logs/diaries. On average, when compared to inclinometers, multi-item questionnaires, EMAs and logs/diaries were not significantly different, but had substantial amount of variability (up to 6 hours/day within individual studies) with approximately half over-reporting and half under-reporting. A total of 54 studies provided an assessment of reliability of a self-report measure, on average the reliability was good (ICC = 0.66). CONCLUSIONS Evidence from this review suggests that single-item self-report measures generally underestimate sedentary time when compared to device measures. For accuracy, multi-item questionnaires, EMAs and logs/diaries with a shorter recall period should be encouraged above single item questions and longer recall periods if sedentary time is a primary outcome of study. Users should also be aware of the high degree of variability between and within tools. Studies should exert caution when comparing associations between different self-report and device measures with health outcomes. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42019118755.
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Affiliation(s)
- Stephanie A Prince
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada.
- Centre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, K1A 0K9, Canada.
| | - Luca Cardilli
- Birmingham Community Healthcare NHS Foundation Trust, Community Cardiac Services, Birmingham, United Kingdom
- Centre for Active Living, University Centre Shrewsbury, University of Chester, Guildhall, Frankwell Quay, Shrewsbury, United Kingdom
| | - Jennifer L Reed
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada
| | - Travis J Saunders
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, Canada
| | - Chris Kite
- Centre for Active Living, University Centre Shrewsbury, University of Chester, Guildhall, Frankwell Quay, Shrewsbury, United Kingdom
- School of Life and Health Sciences, Aston University, Birmingham, United Kingdom
| | - Kevin Douillette
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, Canada
| | - Karine Fournier
- Health Sciences Library, University of Ottawa, Ottawa, Canada
| | - John P Buckley
- Centre for Active Living, University Centre Shrewsbury, University of Chester, Guildhall, Frankwell Quay, Shrewsbury, United Kingdom
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Friedrich TE, Duerksen KN, Elias LJ. Overestimation of self-reported driving exposure: Results from the SHRP2 Naturalistic Driving Study. TRAFFIC INJURY PREVENTION 2019; 20:128-133. [PMID: 30938546 DOI: 10.1080/15389588.2018.1549731] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 11/11/2018] [Accepted: 11/14/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVES The accuracy of self-reported driving exposure has questioned the validity of using self-reported mileage to inform research questions. Studies examining the accuracy of self-reported driving exposure compared to objective measures find low validity, with drivers overestimating and underestimating driving distance. The aims of the current study were to (1) examine the discrepancy between self-reported annual mileage and driving exposure the following year and (2) investigate whether these differences depended on age and annual mileage. METHODS Two estimates of drivers' self-reported annual mileage collected during vehicle installation (obtained via prestudy questionnaires) and approximated annual mileage driven (based upon Global Positioning System data) were acquired from 3,323 participants who participated in the Strategic Highway Research Program 2 (SHRP2) Naturalistic Driving Study. RESULTS A Wilcoxon signed rank test showed that there was a significant difference between self-reported and annual driving exposure during participation in SHRP 2, with the majority of self-reported responses overestimating annual mileage the following year, irrespective of whether an ordinal or ratio variable was examined. Over 15% of participants provided self-reported responses with over 100% deviation, which were exclusive to participants underestimating annual mileage. Further, deviations in reporting differed between participants who had low, medium, and high exposure, as well as between participants in different age groups. CONCLUSIONS These findings indicate that although self-reported annual mileage is heavily relied on for research, such estimates of driving distance may be an overestimate of current or future mileage and can influence the validity of prior research that has utilized estimates of driving exposure.
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Affiliation(s)
- Trista E Friedrich
- a Department of Psychology , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Kari N Duerksen
- a Department of Psychology , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Lorin J Elias
- a Department of Psychology , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
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Rudisill TM, Zhu M, Chu H. Association between cellphone use while driving legislation and self-reported behaviour among adult drivers in USA: a cross-sectional study. BMJ Open 2019; 9:e023456. [PMID: 30782881 PMCID: PMC6398625 DOI: 10.1136/bmjopen-2018-023456] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Cellphone use behaviours can vary demographically in the USA. This study examined whether legislation restricting cellphone use while driving was associated with lower self-reported hand-held cellphone conversations or texting behaviours among adult drivers of different ages (19-24, 25-39, 40-59,≥60 years), sex, race/ethnicity (white non-Hispanic, black non-Hispanic, Hispanic, Other) or rurality (urban, rural). DESIGN Cross-sectional study. SETTING USA. PARTICIPANTS Individuals ≥19 years of age who indicated they were a current driver and participated in the 2011-2014 Traffic Safety Culture Index Surveys (n=9706). PRIMARY OUTCOME The exposure was the presence of a hand-held calling or texting ban applicable to all drivers (ie, universal) at time of survey. Modified Poisson regression with robust SE was used to estimate the risk of engaging in these self-reported behaviours. RESULTS In fully adjusted models, universal texting bans were not associated with lower texting behaviours (adjusted risk ratio [aRR]=0.92; 95% CI 0.84, 1.01). In stratified, fully adjusted models, men and those of other racial/ethnic origin were 13% and 33% less likely, respectively (aRR=0.87; 95% CI 0.77, 0.98; aRR=0.67; 95% CI 0.46, 0.97), to engage in texting behaviours if a universal texting ban was effective in their state. Conversely, universal hand-held calling bans were associated with lower self-reported hand-held cellphone conversations across every sub-group. In fully adjusted models, the presence of a hand-held calling ban was associated with 40% lower (aRR=0.60, 95% CI 0.54, 0.67) self-reported hand-held cellphone conversations while driving. CONCLUSIONS Universal hand-held calling bans were associated with lower self-reported cellphone conversations for adult drivers. More interventional work targeting adult drivers may be needed to reduce texting while driving.
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Affiliation(s)
| | - Motao Zhu
- Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio, USA
| | - Haitao Chu
- Division of Biostatistics, University of Minnesota, Minneapolis, Minnesota, USA
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Self-reported versus GPS-derived indicators of daily mobility in a sample of healthy older adults. Soc Sci Med 2019; 220:193-202. [DOI: 10.1016/j.socscimed.2018.11.010] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 10/02/2018] [Accepted: 11/06/2018] [Indexed: 01/18/2023]
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Pulido JA, Barrero LH, Mathiassen SE, Dennerlein JT. Correctness of Self-Reported Task Durations: A Systematic Review. Ann Work Expo Health 2018; 62:1-16. [PMID: 29228093 DOI: 10.1093/annweh/wxx094] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 10/21/2017] [Indexed: 11/12/2022] Open
Abstract
Objectives Duration of tasks in a job is an essential interest in occupational epidemiology. Such duration is frequently measured using self-reports, which may, however, be associated with both bias and random errors. The present systematic literature review examines the correctness of self-reported durations of tasks, i.e. the extent to which they differ from more valid reference data due to either systematic or random errors, and factors influencing this correctness, with particular emphasis on the assessment of exposures of relevance to musculoskeletal disorders. Methods The search for relevant studies included the databases ISI Web of Science, MEDLINE, EBSCO HOST, Proquest, and Psycnet. Results Thirty-two articles were identified; of which, 23 examined occupational tasks and 9 examined non-occupational tasks. Agreement between self-reports and a more correct reference was reported for, in total, 182 tasks. Average proportional errors were, for most tasks, between -50% (i.e. underestimations) and +100%, with a dominance of overestimations; 22% of all results considered overestimations of 100% or more. For 15% of the 182 reported tasks, the mean difference between the self-reported and the reference duration value was <5%, and 20% of the 182 mean differences were between 5 and 20%. In general, respondents were able to correctly distinguish tasks of a longer duration from shorter tasks, even though the actual durations were not correct. A number of factors associated with the task per se appeared to influence agreement between self-reports and reference data, including type of task, true task duration, task pattern across time (continuous versus discontinuous), and whether the addressed task is composed of subtasks. The musculoskeletal health status of the respondent did not have a clear effect on the ability to correctly report task durations. Studies differed in key design characteristics and detail of information reported, which hampers a formal aggregation of results. Conclusions The correctness of self-reported task durations is, at the best, moderate at the individual level, and this may present a significant problem when using self-reports in task-based assessment of individual job exposures. However, average self-reports at the group level appear reasonably correct and may thus be a viable method in studies addressing, for instance, the relative occurrence of tasks in a production system. Due to the disparity of studies, definite conclusions on the quantitative effect on agreement of different modifiers are not justified, and we encourage future studies specifically devoted to understanding and controlling sources of bias in self-reported task durations. We also encourage studies developing decision support for when to apply or avoid self-reports to measure task durations, depending on study purpose and occupational setting.
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Affiliation(s)
- Jean A Pulido
- Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Facultad de Ingeniería, Colombia
| | - Lope H Barrero
- Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Facultad de Ingeniería, Colombia
| | - Svend Erik Mathiassen
- Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, University of Gävle, Sweden
| | - Jack T Dennerlein
- Department of Physical Therapy, Movement and Rehabilitation Science, Bouvé College of Health Sciences, Northeastern University, USA
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Kaye SA, Lewis I, Freeman J. Comparison of self-report and objective measures of driving behavior and road safety: A systematic review. JOURNAL OF SAFETY RESEARCH 2018; 65:141-151. [PMID: 29776523 DOI: 10.1016/j.jsr.2018.02.012] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 11/14/2017] [Accepted: 02/19/2018] [Indexed: 05/24/2023]
Abstract
INTRODUCTION This research systematically reviewed the existing literature in regards to studies which have used both self-report and objective measures of driving behavior. The objective of the current review was to evaluate disparities or similarities between self-report and objective measures of driving behavior. METHODS Searches were undertaken in the following electronic databases, PsycINFO, PubMed, and Scopus, for peer-reviewed full-text articles that (1) focused on road safety, and (2) compared both subjective and objective measures of driving performance or driver safety. A total of 22,728 articles were identified, with 19 articles, comprising 20 studies, included as part of the review. RESULTS The research reported herein suggested that for some behaviors (e.g., driving in stressful situations) there were similarities between self-report and objective measures while for other behaviors (e.g., sleepiness and vigilance states) there were differences between these measurement techniques. In addition, findings from some studies suggested that in-vehicle devices may be a valid measurement tool to assess driving exposure in older drivers. CONCLUSIONS Further research is needed to examine the correspondence between self-report and objective measures of driving behavior. In particular, there is a need to increase the number of studies which compare "like with like" as it is difficult to draw comparisons when there are variations in measurement tools used. PRACTICAL APPLICATIONS Incorporating a range of objective and self-report measurements tools in research would help to ensure that the methods used offer the most reliable measures of assessing on-road behaviors.
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Affiliation(s)
- Sherrie-Anne Kaye
- Queensland University of Technology (QUT), Centre for Accident Research and Road Safety - Queensland (CARRS-Q), Institute of Health and Biomedical Innovation (IHBI), Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia.
| | - Ioni Lewis
- Queensland University of Technology (QUT), Centre for Accident Research and Road Safety - Queensland (CARRS-Q), Institute of Health and Biomedical Innovation (IHBI), Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia.
| | - James Freeman
- Queensland University of Technology (QUT), Centre for Accident Research and Road Safety - Queensland (CARRS-Q), Institute of Health and Biomedical Innovation (IHBI), Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia.
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Seelye A, Mattek N, Sharma N, Witter P, Brenner A, Wild K, Dodge H, Kaye J. Passive Assessment of Routine Driving with Unobtrusive Sensors: A New Approach for Identifying and Monitoring Functional Level in Normal Aging and Mild Cognitive Impairment. J Alzheimers Dis 2018; 59:1427-1437. [PMID: 28731434 DOI: 10.3233/jad-170116] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND Driving is a key functional activity for many older adults, and changes in routine driving may be associated with emerging cognitive decline due to early neurodegenerative disease. Current methods for assessing driving such as self-report are inadequate for identifying and monitoring subtle changes in driving patterns that may be the earliest signals of functional change in developing mild cognitive impairment (MCI). OBJECTIVE This proof of concept study aimed to establish the feasibility of continuous driving monitoring in a sample of cognitively normal and MCI older adults for an average of 206 days using an unobtrusive driving sensor and demonstrate that derived sensor-based driving metrics could effectively discriminate between MCI and cognitively intact groups. METHODS Novel objective driving measures derived from 6 months of routine driving monitoring were examined in older adults with intact cognition (n = 21) and MCI (n = 7) who were enrolled in the Oregon Center for Aging and Technology (ORCATECH) longitudinal assessment program. RESULTS Unobtrusive continuous monitoring of older adults' routine driving using a driving sensor was feasible and well accepted. MCI participants drove fewer miles and spent less time on the highway per day than cognitively intact participants. MCI drivers showed less day-to-day fluctuations in their driving habits than cognitively intact drivers. CONCLUSION Sensor-based driving measures are objective, unobtrusive, and can be assessed every time a person drives his or her vehicle to identify clinically meaningful changes in daily driving. This novel methodology has the potential to be useful for the early detection and monitoring of changes in daily functioning within individuals.
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Affiliation(s)
- Adriana Seelye
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA.,Minneapolis Veterans Affairs Medical Center, Minneapolis, MN, USA.,Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA
| | - Nora Mattek
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA
| | - Nicole Sharma
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA
| | - Phelps Witter
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA
| | - Ariella Brenner
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA
| | - Katherine Wild
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA
| | - Hiroko Dodge
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA.,Department of Neurology, University of Michigan, Ann Arbor, MI, USA
| | - Jeffrey Kaye
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA.,Oregon Center for Aging and Technology, Oregon Health and Science University, Portland, OR, USA.,Department of Biomedical Engineering, Oregon Health and Science University, Portland, OR, USA
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Molnar L, Eby D, Vivoda J, Bogard S, Zakraksek J, St. Louis R, Zanier N, Ryan L, LeBlanc D, Smith J, Yung R, Nyquist L, DiGuiseppi C, Li G, Mielenz T, Strogatz D. The effects of demographics, functioning, and perceptions on the relationship between self-reported and objective measures of driving exposure and patterns among older adults. TRANSPORTATION RESEARCH. PART F, TRAFFIC PSYCHOLOGY AND BEHAVIOUR 2018; 54:367-377. [PMID: 30337834 PMCID: PMC6190922 DOI: 10.1016/j.trf.2018.02.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The exploratory study reported here was intended to examine: how strongly subjectively reported driving avoidance behaviors (commonly referred to as self-regulation) and exposure were related to their objectively measured counterparts and whether it depended on the specific behavior; the extent to which gender and age play a role in the association between subjectively reported driving avoidance behaviors and exposure and their objectively measured counterparts; and the extent to which demographics, health and functioning, driving-related perceptions, and cognition influence the association between subjective and objective driving avoidance behaviors overall. The study used data from the Longitudinal Research on Aging Drivers (LongROAD) study, a multisite, prospective cohort study designed to generate empirical data for understanding the role of medical, behavioral, environmental, and technological factors in driving safety during the process of aging. Objective driving measures were derived from GPS/datalogger data from 2131 LongROAD participants' vehicles. The corresponding subjective measures came from a comprehensive questionnaire administered to participants at baseline that asked them to report on their driving exposure, patterns, and other aspects of driving. Several other variables used in the analyses came from the comprehensive questionnaire and an inperson clinical assessment administered to participants at baseline. A series of simple linear and logistic models were fitted to examine the relationship between the subjective and objective driving measures of interest, and a multivariable analysis was conducted to examine the potential role of selected factors in the relationship between objective and subjective driving avoidance behaviors. Results of the models are presented and overall findings are discussed within the context of the existing research literature.
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Affiliation(s)
- L.J. Molnar
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
- Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, MI, United States
| | - D.W. Eby
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
- Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, MI, United States
| | - J.M. Vivoda
- Miami University, Sociology and Gerontology, Oxford, OH, United States
| | - S.E. Bogard
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
| | - J.S. Zakraksek
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
- Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, MI, United States
| | - R.M. St. Louis
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
- Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, MI, United States
- Monash University Accident Research Centre, Clayton, Australia
| | - N. Zanier
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
- Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, MI, United States
| | - L.H. Ryan
- Institute for Social Research, University of Michigan, Ann Arbor, MI, United States
| | - D. LeBlanc
- University of Michigan Transportation Research Institute, Ann Arbor, MI, United States
| | - J. Smith
- Institute for Social Research, University of Michigan, Ann Arbor, MI, United States
| | - R. Yung
- Institute of Gerontology, Division of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, MI, United States
| | - L. Nyquist
- Institute of Gerontology, Division of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, MI, United States
| | - C. DiGuiseppi
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, United States
| | - G. Li
- Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY, United States
- Department of Epidemiology, Mailman School of Public Health, Columbia’s Injury Control Research Center, Columbia University, New York, NY, United States
| | - T.J. Mielenz
- Department of Epidemiology, Mailman School of Public Health, Columbia’s Injury Control Research Center, Columbia University, New York, NY, United States
| | - D. Strogatz
- Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY, United States
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Koppel S, Stephens AN, Charlton JL, Di Stefano M, Darzins P, Odell M, Marshall S. The Driver Behaviour Questionnaire for older drivers: Do errors, violations and lapses change over time? ACCIDENT; ANALYSIS AND PREVENTION 2018; 113:171-178. [PMID: 29407664 DOI: 10.1016/j.aap.2018.01.036] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Revised: 01/26/2018] [Accepted: 01/28/2018] [Indexed: 06/07/2023]
Abstract
The aim of the current study was to examine how self-reported aberrant driving behaviours change across a three time-points in a group of older drivers. Two hundred and twenty-seven older drivers (males = 69.6%) from the Candrive/Ozcandrive longitudinal study completed the Driving Behaviour Questionnaire (DBQ) each yearacross three time-points (i.e., Year 1, Year 2, Year 3). At the third time-point, older drivers ranged in age from 77 to 96 years (M = 81.74 years; SD = 3.44 years). A longitudinal confirmatory factor analysis showed that a modified 21-item, 3-factor (errors, lapses and violations) DBQ was invariant across the time period, suggesting that the structure of the questionnaire was stable across each time-point. Further, multiple domain latent growth analysis on the resultant factors for errors, lapses and violations showed that the frequency of errors remained similar across the three-year period, while violations and lapses showed very marginal decreases in frequency. These changes were independent of the absolute number of these behaviours; Drivers with higher violations or lapses in Year one, showed similar decreases in frequency as those who self-reported lower frequencies of the behaviours. These results suggest that the DBQ is a reliable tool to measure older drivers' self-reported aberrant driving behaviours, and that these behaviours do not show much change across time. Future research should validate the self-reported responses from the DBQ with more objective measures such as those collected through naturalistic driving study (NDS) methodology or on-road driving tasks.
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Affiliation(s)
- S Koppel
- Monash University Accident Research Centre, Monash University, Australia.
| | - A N Stephens
- Monash University Accident Research Centre, Monash University, Australia
| | - J L Charlton
- Monash University Accident Research Centre, Monash University, Australia
| | | | - P Darzins
- Eastern Health, Australia; Monash University Eastern Health Clinical School, Australia
| | - M Odell
- Victorian Institute of Forensic Medicine, Australia
| | - S Marshall
- Ottawa Hospital Research Institute, Canada
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Chen YT, Gélinas I, Mazer B. Determining Older Adults' Fitness-to-Drive: Comparing the Standard On-road Driving Evaluation and the Naturalistic Driving Observation. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2018. [DOI: 10.1080/02703181.2018.1440042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Yu-Ting Chen
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada
| | - Isabelle Gélinas
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada
| | - Barbara Mazer
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada
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Molnar LJ, Eby DW, Bogard SE, LeBlanc DJ, Zakrajsek JS. Using naturalistic driving data to better understand the driving exposure and patterns of older drivers. TRAFFIC INJURY PREVENTION 2018; 19:S83-S88. [PMID: 29584495 DOI: 10.1080/15389588.2017.1379601] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2017] [Accepted: 09/11/2017] [Indexed: 06/08/2023]
Abstract
OBJECTIVE The aging of the population in the United States and elsewhere has brought increasing attention to the issue of safe driving and mobility among older adults. The overall objective of this research was to use naturalistic data collection to better understand driving exposure and driving patterns, 2 important contributors to crash risk. METHODS Data came from a study conducted at the University of Michigan Transportation Research Institute as part of the Integrated Vehicle-Based Safety System (IVBSS) program. A total of 108 randomly sampled drivers took part, with the sample stratified by age and sex. The age groups examined were 20 to 30 (younger), 40 to 50 (middle-aged), and 60 to 70 years old (older). Sixteen late-model Honda Accords were used as research vehicles and were driven by participants as their personal vehicles over the study period. Roughly the first 2 weeks of vehicle use comprised the baseline driving period, during which the IVBSS technologies were turned off (i.e., no warnings were presented to the drivers) but all onboard data were collected. For this article, only data from the baseline period were analyzed to limit any confounding effects that the safety technology may have had on driving behavior. RESULTS Results indicated that when looking at age independent of sex, older drivers (age 60-70) took fewer trips, drove fewer minutes, were less likely to drive at night, and had fewer high decelerations and speeding events than the youngest age group (20-30). They were also less likely to drive during peak morning traffic and on high-speed roads than their middle-age counterparts (40-50). Across all age groups, there were few differences by sex, with the exception that females drove fewer miles and fewer minutes and had fewer high decelerations than males. When both age and sex were taken into account, it was often the group of females age 60-70 that appeared to account for many of the age and sex differences found in driving exposure and patterns. CONCLUSIONS Future research in this area would benefit from larger scale and longitudinal study designs so that changes in driving exposure and patterns over time among large samples of drivers could be examined.
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Affiliation(s)
- Lisa J Molnar
- a University of Michigan Transportation Research Institute , Ann Arbor , Michigan
| | - David W Eby
- a University of Michigan Transportation Research Institute , Ann Arbor , Michigan
| | - Scott E Bogard
- a University of Michigan Transportation Research Institute , Ann Arbor , Michigan
| | - David J LeBlanc
- a University of Michigan Transportation Research Institute , Ann Arbor , Michigan
| | - Jennifer S Zakrajsek
- a University of Michigan Transportation Research Institute , Ann Arbor , Michigan
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Agramunt S, Meuleners LB, Fraser ML, Chow KC, Ng JQ, Raja V. First and second eye cataract surgery and driver self-regulation among older drivers with bilateral cataract: a prospective cohort study. BMC Geriatr 2018; 18:51. [PMID: 29454304 PMCID: PMC5816381 DOI: 10.1186/s12877-018-0743-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Accepted: 02/06/2018] [Indexed: 11/16/2022] Open
Abstract
Background Driving a car is the most common form of transport among the older population. Common medical conditions such as cataract, increase with age and impact on the ability to drive. To compensate for visual decline, some cataract patients may self-regulate their driving while waiting for cataract surgery. However, little is known about the self-regulation practices of older drivers throughout the cataract surgery process. The aim of this study is to assess the impact of first and second eye cataract surgery on driver self-regulation practices, and to determine which objective measures of vision are associated with driver self-regulation. Methods Fifty-five older drivers with bilateral cataract aged 55+ years were assessed using the self-reported Driving Habits Questionnaire, the Mini-Mental State Examination and three objective visual measures in the month before cataract surgery, at least one to three months after first eye cataract surgery and at least one month after second eye cataract surgery. Participants’ natural driving behaviour in four driving situations was also examined for one week using an in-vehicle monitoring device. Two separate Generalised Estimating Equation logistic models were undertaken to assess the impact of first and second eye cataract surgery on driver-self-regulation status and which changes in visual measures were associated with driver self-regulation status. Results The odds of being a self-regulator in at least one driving situation significantly decreased by 70% after first eye cataract surgery (OR: 0.3, 95% CI: 0.1–0.7) and by 90% after second eye surgery (OR: 0.1, 95% CI: 0.1–0.4), compared to before first eye surgery. Improvement in contrast sensitivity after cataract surgery was significantly associated with decreased odds of self-regulation (OR: 0.02, 95% CI: 0.01–0.4). Conclusions The findings provide a strong rationale for providing timely first and second eye cataract surgery for older drivers with bilateral cataract, in order to improve their mobility and independence.
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Affiliation(s)
- Seraina Agramunt
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, GPO BOX U1987, PERTH, WA, 6845, Australia
| | - Lynn B Meuleners
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, GPO BOX U1987, PERTH, WA, 6845, Australia.
| | - Michelle L Fraser
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, GPO BOX U1987, PERTH, WA, 6845, Australia
| | - Kyle C Chow
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, GPO BOX U1987, PERTH, WA, 6845, Australia
| | - Jonathon Q Ng
- Eye & Vision Epidemiology Research (EVER) Group, Perth, WA, Australia.,School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - Vignesh Raja
- Sir Charles Gairdner Hospital, Perth, WA, Australia
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Davis JJ, Conlon EG. Identifying compensatory driving behavior among older adults using the situational avoidance questionnaire. JOURNAL OF SAFETY RESEARCH 2017; 63:47-55. [PMID: 29203023 DOI: 10.1016/j.jsr.2017.08.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Revised: 07/29/2017] [Accepted: 08/17/2017] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Driving self-regulation is considered a means through which older drivers can compensate for perceived declines in driving skill or more general feelings of discomfort on the road. One form of driving self-regulation is situational avoidance, the purposeful avoidance of situations perceived as challenging or potentially hazardous. This study aimed to validate the Situational Avoidance Questionnaire (SAQ, Davis, Conlon, Ownsworth, & Morrissey, 2016) and identify the point on the scale at which drivers practicing compensatory avoidance behavior could be distinguished from those whose driving is unrestricted, or who are avoiding situations for other, non-compensatory reasons (e.g., time or convenience). METHOD Seventy-nine Australian drivers (Mage=71.48, SD=7.16, range: 55 to 86years) completed the SAQ and were classified as a compensatory-restricted or a non-restricted driver based on a semi-structured interview designed to assess the motivations underlying avoidance behavior reported on the SAQ. RESULTS Using receiver-operator characteristic (ROC) analysis, the SAQ was found to have high diagnostic accuracy (sensitivity: 85%, specificity: 82%) in correctly classifying the driver groups. Group comparisons confirmed that compensatory-restricted drivers were self-regulating their driving behavior to reduce the perceived demands of the driving task. This group had, on average, slower hazard perception reaction times, and reported greater difficulty with driving, more discomfort when driving due to difficulty with hazard perception skills, and greater changes in cognition over the past five years. CONCLUSIONS The SAQ is a psychometrically sound measure of situational avoidance for drivers in baby boomer and older adult generations. PRACTICAL APPLICATIONS Use of validated measures of driving self-regulation that distinguish between compensatory and non-compensatory behavior, such as the SAQ, will advance our understanding of the driving self-regulation construct and its potential safety benefits for older road users.
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Affiliation(s)
- Jessica J Davis
- School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Australia.
| | - Elizabeth G Conlon
- School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Australia
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28
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Medhizadah S, Classen S, Johnson AM. Constructing the 32-item Fitness-to-Drive Screening Measure. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2017; 38:89-95. [PMID: 29126376 DOI: 10.1177/1539449217741136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
The Fitness-to-Drive Screening Measure© (FTDS) enables proxies to identify at-risk older drivers via 54 driving-related items, but may be too lengthy for widespread uptake. We reduced the number of items in the FTDS and validated the shorter measure, using 200 caregiver responses. Exploratory factor analysis and classical test theory techniques were used to determine the most interpretable factor model and the minimum number of items to be used for predicting fitness to drive. The extent to which the shorter FTDS predicted the results of the 54-item FTDS was evaluated through correlational analysis. A three-factor model best represented the empirical data. Classical test theory techniques lead to the development of the 32-item FTDS. The 32-item FTDS was highly correlated ( r = .99, p = .05) with the FTDS. The 32-item FTDS may provide raters with a faster and more efficient way to identify at-risk older drivers.
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Affiliation(s)
- Shabnam Medhizadah
- 1 University of Florida, Gainesville, USA.,2 The University of Western Ontario, London, Canada
| | - Sherrilene Classen
- 1 University of Florida, Gainesville, USA.,2 The University of Western Ontario, London, Canada
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Agramunt S, Meuleners LB, Fraser ML, Chow KC, Ng JQ, Raja V, Morlet N. Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery? Clin Interv Aging 2017; 12:1911-1920. [PMID: 29184397 PMCID: PMC5685090 DOI: 10.2147/cia.s148037] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objectives To analyze the association between visual impairment and driver self-regulation among a cohort of older drivers waiting for first eye cataract surgery. Methods Ninety-six drivers with bilateral cataract aged 55+ years were assessed before first eye cataract surgery. Data collection consisted of a researcher-administered questionnaire, objective visual measures (visual acuity, contrast sensitivity and stereopsis), a visual attention test (the useful field of view test) and a cognitive test (the Mini-Mental State Examination). Driver self-regulation practices were collected using the Driving Habits Questionnaire and were also measured with an in-vehicle monitoring device. Characteristics of self-regulators and non-self-regulators were compared and a logistic regression model was used to examine the association between 3 objective visual measures and driver self-regulation status. Results After controlling for potential confounding factors, only binocular contrast sensitivity (p=0.01), age (p=0.03) and gender (p=0.03) were significantly associated with driver self-regulation status. The odds of participants with better contrast sensitivity scores (better vision) self-regulating their driving in at least 1 driving situation decreased (odds ratio [OR]: 0.01, 95% CI: 0.00-0.28) while those of increasing age reported an increased odds of self-regulating their driving (OR: 1.08, 95% CI: 1.01-1.15). The odds of males self-regulating their driving was decreased compared with females (OR: 0.28, 95% CI: 0.09-0.86). Conclusions Worse binocular contrast sensitivity scores, increasing age and being female were significantly associated with driver self-regulation. The study highlighted that while self-regulation was common among cataract patients, a proportion of those with poor vision did not self-regulate. Further research should determine how cataract patients could benefit from self-regulation strategies while waiting for cataract surgery.
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Affiliation(s)
- Seraina Agramunt
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Faculty of Health Sciences, Perth, Australia
| | - Lynn B Meuleners
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Faculty of Health Sciences, Perth, Australia
| | - Michelle L Fraser
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Faculty of Health Sciences, Perth, Australia
| | - Kyle C Chow
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Faculty of Health Sciences, Perth, Australia
| | - Jonathon Q Ng
- Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia.,School of Population and Global Health, The University of Western Australia, Perth, Australia
| | | | - Nigel Morlet
- Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia.,School of Population and Global Health, The University of Western Australia, Perth, Australia
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Hazlehurst MF, Spalt EW, Curl CL, Davey ME, Vedal S, Burke GL, Kaufman JD. Integrating data from multiple time-location measurement methods for use in exposure assessment: the Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air). JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2017; 27:569-574. [PMID: 28120831 DOI: 10.1038/jes.2016.84] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Accepted: 12/06/2016] [Indexed: 06/06/2023]
Abstract
Tools to assess time-location patterns related to environmental exposures have expanded from reliance on time-location diaries (TLDs) and questionnaires to use of geospatial location devices such as data-logging Global Positioning System (GPS) equipment. The Multi-Ethnic Study of Atherosclerosis and Air Pollution obtained typical time-location patterns via questionnaire for 6424 adults in six US cities. At a later time (mean 4.6 years after questionnaire), a subset (n=128) participated in high-resolution data collection for specific 2-week periods resulting in concurrent GPS and detailed TLD data, which were aggregated to estimate time spent in various microenvironments. During these 2-week periods, participants were observed to spend the most time at home indoors (mean of 78%) and a small proportion of time in-vehicle (mean of 4%). Similar overall patterns were reported by these participants on the prior questionnaire (mean home indoors: 75%; mean in-vehicle: 4%). However, individual micro-environmental time estimates measured over specific 2-week periods were not highly correlated with an individual's questionnaire report of typical behavior (Spearman's ρ of 0.43 for home indoors and 0.39 for in-vehicle). Although questionnaire data about typical time-location patterns can inform interpretation of long-term epidemiological analyses and risk assessment, they may not reliably represent an individual's short-term experience.
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Affiliation(s)
- Marnie F Hazlehurst
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA
| | - Elizabeth W Spalt
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA
| | - Cynthia L Curl
- Department of Community and Environmental Health, Boise State University, Boise, Idaho, USA
| | - Mark E Davey
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Sverre Vedal
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA
| | - Gregory L Burke
- Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Joel D Kaufman
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA
- Department of Medicine, University of Washington, Seattle, Washington, USA
- Department of Epidemiology, University of Washington, Seattle, Washington, USA
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Ge Y, Zhang Q, Zhao W, Zhang K, Qu W. Effects of trait anger, driving anger, and driving experience on dangerous driving behavior: A moderated mediation analysis. Aggress Behav 2017; 43:544-552. [PMID: 28556910 DOI: 10.1002/ab.21712] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Revised: 03/22/2017] [Accepted: 03/29/2017] [Indexed: 11/10/2022]
Abstract
To explore the effect of anger behind the wheel on driving behavior and accident involvement has been the subject of many studies. However, few studies have explored the interaction between anger and driving experience on dangerous driving behavior. This study is a moderated mediation analysis of the effect of trait anger, driving anger, and driving experience on driving behavior. A sample of 303 drivers was tested using the Trait Anger Scale (TAS), the Driving Anger Scale (DAS), and the Dula Dangerous Driving Index (DDDI). The results showed that trait anger and driving anger were positively correlated with dangerous driving behavior. Driving anger partially mediated the effect of trait anger on dangerous driving behavior. Driving experience moderated the relationship between trait anger and driving anger. It also moderated the effect of driving anger on dangerous driving behavior. These results suggest that drivers with more driving experience may be safer as they are not easily irritated during driving.
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Affiliation(s)
- Yan Ge
- CAS Key Laboratory of Behavioral Science; Institute of Psychology; Beijing China
| | - Qian Zhang
- CAS Key Laboratory of Behavioral Science; Institute of Psychology; Beijing China
- Department of Psychology; University of Chinese Academy of Sciences; Beijing China
| | - Wenguo Zhao
- CAS Key Laboratory of Behavioral Science; Institute of Psychology; Beijing China
- Department of Psychology; University of Chinese Academy of Sciences; Beijing China
| | - Kan Zhang
- CAS Key Laboratory of Behavioral Science; Institute of Psychology; Beijing China
| | - Weina Qu
- CAS Key Laboratory of Behavioral Science; Institute of Psychology; Beijing China
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Agramunt S, Meuleners L, Chow KC, Ng JQ, Morlet N. A validation study comparing self-reported travel diaries and objective data obtained from in-vehicle monitoring devices in older drivers with bilateral cataract. ACCIDENT; ANALYSIS AND PREVENTION 2017; 106:492-497. [PMID: 27793322 DOI: 10.1016/j.aap.2016.10.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2016] [Revised: 09/03/2016] [Accepted: 10/16/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Advances in technology have made it possible to examine real-world driving using naturalistic data obtained from in-vehicle monitoring devices. These devices overcome the weaknesses of self-report methods and can provide comprehensive insights into driving exposure, habits and practices of older drivers. AIM The aim of this study is to compare self-reported and objectively measured driving exposure, habits and practices using a travel diary and an in-vehicle driver monitoring device in older drivers with bilateral cataract. METHODS A cross-sectional study was undertaken. Forty seven participants aged 58-89 years old (mean=74.1; S.D.=7.73) were recruited from three eye clinics over a one year period. Data collection consisted of a cognitive test, a researcher-administered questionnaire, a travel diary and an in-vehicle monitoring device. Participants' driving exposure and patterns were recorded for one week using in-vehicle monitoring devices. They also completed a travel diary each time they drove a motor vehicle as the driver. Paired t-tests were used to examine differences/agreement between the two instruments under different driving circumstances. RESULTS The data from the older drivers' travel diaries significantly underestimated the number of overall trips (p<0.001), weekend trips (p=0.002) and trips during peak hour (p=0.004). The travel diaries also significantly overestimated overall driving duration (p<0.001) and weekend driving duration (p=0.003), compared to the data obtained from the in-vehicle monitoring devices. No significant differences were found between instruments for kilometres travelled under any of the driving circumstances. CONCLUSIONS The results of this study found that relying solely on self-reported travel diaries to assess driving outcomes may not be accurate, particularly for estimates of the number of trips made and duration of trips. The clear advantages of using in-vehicle monitoring devices over travel diaries to monitor driving habits and exposure among an older population are evident.
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Affiliation(s)
- Seraina Agramunt
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Perth, Australia; Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia
| | - Lynn Meuleners
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Perth, Australia; Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia.
| | - Kyle Chi Chow
- Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Perth, Australia; Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia
| | - Jonathon Q Ng
- Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia; School of Population Health, The University of Western Australia, Perth, Australia
| | - Nigel Morlet
- Eye & Vision Epidemiology Research (EVER) Group, Perth, Australia; School of Population Health, The University of Western Australia, Perth, Australia
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Koppel S, Charlton JL, Richter N, Di Stefano M, Macdonald W, Darzins P, Newstead SV, D'Elia A, Mazer B, Gelinas I, Vrkljan B, Eliasz K, Myers A, Marshall S. Are older drivers' on-road driving error rates related to functional performance and/or self-reported driving experiences? ACCIDENT; ANALYSIS AND PREVENTION 2017; 103:1-9. [PMID: 28365398 DOI: 10.1016/j.aap.2017.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Revised: 02/14/2017] [Accepted: 03/06/2017] [Indexed: 06/07/2023]
Affiliation(s)
- S Koppel
- Monash University Accident Research Centre, Monash University Australia.
| | - J L Charlton
- Monash University Accident Research Centre, Monash University Australia
| | - N Richter
- Monash University Accident Research Centre, Monash University Australia
| | | | | | | | - S V Newstead
- Monash University Accident Research Centre, Monash University Australia
| | - A D'Elia
- Monash University Accident Research Centre, Monash University Australia
| | | | | | | | | | - A Myers
- University of Waterloo, Canada
| | - S Marshall
- Ottawa Hospital Research Institute, Canada
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Teasdale N, Simoneau M, Hudon L, Germain Robitaille M, Moszkowicz T, Laurendeau D, Bherer L, Duchesne S, Hudon C. Older Adults with Mild Cognitive Impairments Show Less Driving Errors after a Multiple Sessions Simulator Training Program but Do Not Exhibit Long Term Retention. Front Hum Neurosci 2016; 10:653. [PMID: 28082883 PMCID: PMC5186807 DOI: 10.3389/fnhum.2016.00653] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Accepted: 12/08/2016] [Indexed: 11/30/2022] Open
Abstract
The driving performance of individuals with mild cognitive impairment (MCI) is suboptimal when compared to healthy older adults. It is expected that the driving will worsen with the progression of the cognitive decline and thus, whether or not these individuals should continue to drive is a matter of debate. The aim of the study was to provide support to the claim that individuals with MCI can benefit from a training program and improve their overall driving performance in a driving simulator. Fifteen older drivers with MCI participated in five training sessions in a simulator (over a 21-day period) and in a 6-month recall session. During training, they received automated auditory feedback on their performance when an error was noted about various maneuvers known to be suboptimal in MCI individuals (for instance, weaving, omitting to indicate a lane change, to verify a blind spot, or to engage in a visual search before crossing an intersection). The number of errors was compiled for eight different maneuvers for all sessions. For the initial five sessions, a gradual and significant decrease in the number of errors was observed, indicating learning and safer driving. The level of performance, however, was not maintained at the 6-month recall session. Nevertheless, the initial learning observed opens up possibilities to undertake more regular interventions to maintain driving skills and safe driving in MCI individuals.
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Affiliation(s)
- Normand Teasdale
- Department of Kinesiology, Faculty of Medicine, Université LavalQuebec City, QC, Canada; Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale et Centre d'excellence sur le vieillissement de QuébecQuebec City, QC, Canada
| | - Martin Simoneau
- Department of Kinesiology, Faculty of Medicine, Université LavalQuebec City, QC, Canada; Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale et Centre d'excellence sur le vieillissement de QuébecQuebec City, QC, Canada
| | - Lisa Hudon
- Department of Kinesiology, Faculty of Medicine, Université Laval Quebec City, QC, Canada
| | | | - Thierry Moszkowicz
- Computer Vision and Systems Laboratory, Department of Electrical Engineering, Université Laval Quebec City, QC, Canada
| | - Denis Laurendeau
- Computer Vision and Systems Laboratory, Department of Electrical Engineering, Université Laval Quebec City, QC, Canada
| | - Louis Bherer
- PERFORM Centre, Concordia UniversityMontreal, QC, Canada; Department of Medicine, University of Montreal and Montreal Heart InstituteMontreal, QC, Canada
| | - Simon Duchesne
- Centre de recherche de l'Institut universitaire en santé mentale de QuébecQuebec City, QC, Canada; Département de Radiologie, Faculté de Médecine, Université LavalQuebec City, QC, Canada
| | - Carol Hudon
- Centre de recherche de l'Institut universitaire en santé mentale de QuébecQuebec City, QC, Canada; École de psychologie, Université LavalQuebec City, QC, Canada
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Coxon K, Chevalier A, Brown J, Clarke E, Billot L, Boufous S, Ivers R, Keay L. Effects of a Safe Transportation Educational Program for Older Drivers on Driving Exposure and Community Participation: A Randomized Controlled Trial. J Am Geriatr Soc 2016; 65:540-549. [DOI: 10.1111/jgs.14550] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Kristy Coxon
- The George Institute for Global Health Sydney Medical School University of Sydney SydneyNew South Wales Australia
- School of Science and Health Western Sydney University PenrithNew South Wales Australia
| | - Anna Chevalier
- The George Institute for Global Health Sydney Medical School University of Sydney SydneyNew South Wales Australia
| | - Julie Brown
- Neuroscience Research Australia and School of Medical Science University of New South Wales RandwickNew South Wales Australia
| | - Elizabeth Clarke
- Kolling Institute Sydney Medical School University of Sydney St LeonardsNew South Wales Australia
| | - Laurent Billot
- The George Institute for Global Health Sydney Medical School University of Sydney SydneyNew South Wales Australia
| | - Soufiane Boufous
- Transport and Road Safety Research University of New South Wales Sydney New South Wales Australia
| | - Rebecca Ivers
- The George Institute for Global Health Sydney Medical School University of Sydney SydneyNew South Wales Australia
| | - Lisa Keay
- The George Institute for Global Health Sydney Medical School University of Sydney SydneyNew South Wales Australia
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Rudisill TM, Zhu M, Abate M, Davidov D, Delagarza V, Long DL, Sambamoorthi U, Thornton JD. Characterization of drug and alcohol use among senior drivers fatally injured in U.S. motor vehicle collisions, 2008-2012. TRAFFIC INJURY PREVENTION 2016; 17:788-95. [PMID: 27027152 PMCID: PMC5039044 DOI: 10.1080/15389588.2016.1165809] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2015] [Revised: 03/08/2016] [Accepted: 03/09/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Adults 65 years of age and older comprise the fastest growing demographic in the United States. As substance use is projected to increase in this population, there is concern that more seniors will drive under the influence of impairing drugs. The purpose of this analysis was to characterize the drug and alcohol usage among senior drivers fatally injured (FI) in traffic collisions. METHODS Data from the Fatality Analysis Reporting System were analyzed from 2008 to 2012. Commonly used classes and specific drugs were explored. Rates of drug use, multiple drugs, concomitant drug and alcohol use, and alcohol use alone were generated using Poisson regression with robust error variance estimation. Rates were compared to a reference population of FI middle-aged drivers (30 to 50 years old) using rate ratios. RESULTS Drug use among FI senior drivers occurred in 20.0% of those tested. Among drug-positive FI senior drivers, narcotics and depressants were frequent. The prevalence of testing positive for any drug, multiple drugs, combined drug and alcohol, and alcohol use alone among FI seniors were 47% less (relative risk [RR] = 0.53, 95% confidence interval [CI], 0.47, 0.62), 59% less (RR = 0.41, 95% CI, 0.34, 0.51), 87% less (RR = 0.13, 95% CI, 0.09, 0.19), and 77% less (RR = 0.23, 95% CI, 0.19, 0.28), respectively, compared to FI middle-aged drivers. CONCLUSIONS Though overall drug use is less common among FI senior drivers relative to FI middle-aged drivers, driving under the influence of drugs may be a relevant traffic safety concern in a portion of this population.
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Affiliation(s)
- Toni M. Rudisill
- Department of Epidemiology, West Virginia University, PO BOX 9151, Morgantown, West Virginia, 26506, USA
| | - Motao Zhu
- Department of Epidemiology, West Virginia University, PO BOX 9151, Morgantown, West Virginia, 26506, USA
- Injury Control Research Center, West Virginia University, PO BOX 9151, Morgantown, West Virginia, 26506, USA
| | - Marie Abate
- School of Pharmacy, West Virginia University, PO BOX 9520, Morgantown, West Virginia, USA
| | - Danielle Davidov
- Departments of Emergency Medicine and Social and Behavioral Sciences, PO BOX 9151, West Virginia University, Morgantown, West Virginia, 26506, USA
| | - Vincent Delagarza
- School of Medicine, West Virginia University, PO BOX 8059, Morgantown, West Virginia, 26506, USA
| | - D. Leann Long
- Department of Biostatistics, West Virginia University, PO BOX 9151, Morgantown, West Virginia, 26506, USA
| | - Usha Sambamoorthi
- Department of Pharmaceutical Systems and Policy, West Virginia University, PO BOX 9510, Morgantown, West Virginia, USA, 26506
| | - J. Doug Thornton
- Department of Pharmaceutical Systems and Policy, West Virginia University, PO BOX 9510, Morgantown, West Virginia, USA, 26506
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Ge Y, Zhang Q, Zhang J, Zhao W, Yu T, Zhang K, Qu W. Validation of the Driver's Angry Thoughts Questionnaire (DATQ) in a Chinese sample. ACCIDENT; ANALYSIS AND PREVENTION 2016; 95:362-372. [PMID: 27178029 DOI: 10.1016/j.aap.2016.04.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Revised: 03/02/2016] [Accepted: 04/25/2016] [Indexed: 06/05/2023]
Abstract
The relationship between driving anger and negative driving outcomes, such as dangerous driving behaviors and traffic violations, has been the topic of several studies, but few studies have explored drivers' angry thoughts when they encounter anger-provoking situations and the potential consequences of such thoughts. The purpose of this study was to investigate drivers' angry thoughts behind the wheel and their relationship with dangerous driving behaviors. A total of 303 Chinese drivers completed the Chinese version of the Driver's Angry Thoughts Questionnaire (DATQ), the Dula Dangerous Driving Index (DDDI) and the Driving Anger Scale (DAS). A confirmatory factor analysis (CFA) of the Chinese DATQ yielded a five-factor solution with 20 items that showed the best goodness of fit for the data. The brief DATQ also showed good reliability and validity. Three forms of aggressive thinking were positively correlated with dangerous driving behaviors, and coping self-instruction was negatively correlated with dangerous driving behaviors and traffic violations. More importantly, aggressive thinking mediated the effect of driving anger on dangerous driving behaviors, indicating the importance of thoughts behind the wheel. These results provide evidence supporting the development of strategies to reduce and prevent aggressive driving and accidents.
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Affiliation(s)
- Yan Ge
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Qian Zhang
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Jingyu Zhang
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Wenguo Zhao
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Tao Yu
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Kan Zhang
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Weina Qu
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
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Babulal GM, Traub CM, Webb M, Stout SH, Addison A, Carr DB, Ott BR, Morris JC, Roe CM. Creating a driving profile for older adults using GPS devices and naturalistic driving methodology. F1000Res 2016; 5:2376. [PMID: 27990264 PMCID: PMC5133689 DOI: 10.12688/f1000research.9608.2] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/30/2016] [Indexed: 11/20/2022] Open
Abstract
Background/Objectives: Road tests and driving simulators are most commonly used in research studies and clinical evaluations of older drivers. Our objective was to describe the process and associated challenges in adapting an existing, commercial, off-the-shelf (COTS), in-vehicle device for naturalistic, longitudinal research to better understand daily driving behavior in older drivers. Design: The Azuga G2 Tracking Device TM was installed in each participant's vehicle, and we collected data over 5 months (speed, latitude/longitude) every 30-seconds when the vehicle was driven. Setting: The Knight Alzheimer's Disease Research Center at Washington University School of Medicine. Participants: Five individuals enrolled in a larger, longitudinal study assessing preclinical Alzheimer disease and driving performance. Participants were aged 65+ years and had normal cognition. Measurements: Spatial components included Primary Location(s), Driving Areas, Mean Centers and Unique Destinations. Temporal components included number of trips taken during different times of the day. Behavioral components included number of hard braking, speeding and sudden acceleration events. Methods: Individual 30-second observations, each comprising one breadcrumb, and trip-level data were collected and analyzed in R and ArcGIS. Results: Primary locations were confirmed to be 100% accurate when compared to known addresses. Based on the locations of the breadcrumbs, we were able to successfully identify frequently visited locations and general travel patterns. Based on the reported time from the breadcrumbs, we could assess number of trips driven in daylight vs. night. Data on additional events while driving allowed us to compute the number of adverse driving alerts over the course of the 5-month period. Conclusions: Compared to cameras and highly instrumented vehicle in other naturalistic studies, the compact COTS device was quickly installed and transmitted high volumes of data. Driving Profiles for older adults can be created and compared month-to-month or year-to-year, allowing researchers to identify changes in driving patterns that are unavailable in controlled conditions.
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Affiliation(s)
- Ganesh M Babulal
- Charles F. and Joanne Knight Alzheimer's Disease Research Center, Department of Neurology, Washington University School of Medicine, St. Louis, MO, 63130, USA
| | - Cindy M Traub
- Data and GIS Services, University Libraries, Washington University in St. Louis, St. Louis, MO, 63130, USA
| | - Mollie Webb
- Data and GIS Services, University Libraries, Washington University in St. Louis, St. Louis, MO, 63130, USA
| | - Sarah H Stout
- Charles F. and Joanne Knight Alzheimer's Disease Research Center, Department of Neurology, Washington University School of Medicine, St. Louis, MO, 63130, USA
| | - Aaron Addison
- Data and GIS Services, University Libraries, Washington University in St. Louis, St. Louis, MO, 63130, USA
| | - David B Carr
- Departments of Medicine and Neurology, Divisions of Geriatrics and Nutritional Science/Neurorehabilitation, St. Louis, MO, 63110, USA
| | - Brian R Ott
- Department of Neurology, Warren Alpert Medical School, Brown University, and Rhode Island Hospital, Providence, Rhode Island, USA
| | - John C Morris
- Charles F. and Joanne Knight Alzheimer's Disease Research Center, Department of Neurology, Washington University School of Medicine, St. Louis, MO, 63130, USA; Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, USA; Physical Therapy, Washington University School of Medicine, St. Louis, MO, 63110, USA; Occupational Therapy, Washington University School of Medicine, St. Louis, MO, 63110, USA
| | - Catherine M Roe
- Charles F. and Joanne Knight Alzheimer's Disease Research Center, Department of Neurology, Washington University School of Medicine, St. Louis, MO, 63130, USA
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Pulido J, Barrio G, Hoyos J, Jiménez-Mejías E, Martín-Rodríguez MDM, Houwing S, Lardelli-Claret P. The role of exposure on differences in driver death rates by gender and age: Results of a quasi-induced method on crash data in Spain. ACCIDENT; ANALYSIS AND PREVENTION 2016; 94:162-167. [PMID: 27305640 DOI: 10.1016/j.aap.2016.05.020] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Revised: 04/21/2016] [Accepted: 05/20/2016] [Indexed: 06/06/2023]
Abstract
AIM Part of the differences by age and gender in driver death rates from traffic injuries depends on the amount of exposure (km/year travelled). Unfortunately, direct indicators of exposure are not available in many countries. Our aim was to compare the age and gender differences in death rates with and without adjustment by exposure using a quasi-induced exposure approach in Spain, during 2004-2012. METHODS Crude and adjusted death rate ratios (CDRR and ADRR, respectively) were calculated for each age and gender group. To obtain the latter estimates, in accordance with quasi-exposure reasoning, the number of registered drivers was replaced by the number of non-infractor drivers, passively involved in collisions with another vehicle whose driver committed an infraction. 18-29 years and female drivers were chosen as the reference categories for age and gender. RESULTS Striking differences were found between CDRR and ADRR estimates. When CDRR were estimated, we found the highest traffic mortality among the youngest drivers, except for females in non-urban roads. ADRR however showed the highest mortality among the oldest groups, especially in females, peaking among drivers >74 years in all types of roads. Regarding differences by gender, both estimates revealed higher traffic mortality in males, although the differences were much smaller when using ADRR. CDRR and ADRR for males tended to converge as age increased. CONCLUSIONS Death risk from traffic injuries among drivers is clearly influenced by the amount of exposure. These findings further emphasize the need to obtain direct traffic exposure estimates by subgroups of drivers.
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Affiliation(s)
- José Pulido
- Escuela Nacional de Sanidad, Instituto de Salud Carlos III, c/Monforte de Lemos, 3-5, Pabellón 7, 28029 Madrid, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5, Pabellón 11, 28029 Madrid, Spain
| | - Gregorio Barrio
- Escuela Nacional de Sanidad, Instituto de Salud Carlos III, c/Monforte de Lemos, 3-5, Pabellón 7, 28029 Madrid, Spain.
| | - Juan Hoyos
- CIBER Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5, Pabellón 11, 28029 Madrid, Spain
| | - Eladio Jiménez-Mejías
- CIBER Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5, Pabellón 11, 28029 Madrid, Spain; Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Granada, Avenida de Madrid, 11, 18012, Granada, Spain; Instituto de Investigación Biosanitaria de Granada, C/Doctor Azpitarte 4 4a Planta, Edificio Licinio de la Fuente, 18012 Granada, Spain
| | - María Del Mar Martín-Rodríguez
- Servicio de Medicina Preventiva, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima, s/n, 35016 Las Palmas, Spain
| | - Sjoerd Houwing
- SWOV, Institute for Road Safety Research, Bezuidenhoutseweg 62, The Hague 2594 AW, The Netherlands
| | - Pablo Lardelli-Claret
- CIBER Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5, Pabellón 11, 28029 Madrid, Spain; Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Granada, Avenida de Madrid, 11, 18012, Granada, Spain; Instituto de Investigación Biosanitaria de Granada, C/Doctor Azpitarte 4 4a Planta, Edificio Licinio de la Fuente, 18012 Granada, Spain
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Evidence Based Review of Fitness-to-Drive and Return-to-Driving Following Traumatic Brain Injury. Geriatrics (Basel) 2016; 1:geriatrics1030017. [PMID: 31022811 PMCID: PMC6371138 DOI: 10.3390/geriatrics1030017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Revised: 07/01/2016] [Accepted: 07/01/2016] [Indexed: 11/17/2022] Open
Abstract
The purpose of this study was to conduct an evidence-based review to determine predictors of fitness to drive and return to driving in persons with traumatic brain injury (TBI). Relevant databases (MEDLINE/PubMed, CINAHL, Cochrane Library, and SCOPUS) were searched for primary articles published before June 2016 using MeSH search terms. Using the American Academy of Neurology’s classification criteria, 24 articles were included after reviewing 1998 articles. Studies were rated by class (I–IV), with I being the highest level of evidence. Articles were classified according to TBI severity, as well as types of assessments (on-road, simulator and surveys). There were no Class I studies. Based on Class II studies, only Post-traumatic amnesia (PTA) duration was found to be probably predictive of on-road driving performance. There is limited evidence concerning predictors of return to driving. The findings suggest further evidence is needed to identify predictors of on-road driving performance in persons with TBI. Class I studies reporting Level A recommendations for definitive predictors of driving performance in drivers with TBI are needed by policy makers and clinicians to develop evidence-based guidelines.
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Attitudes: Mediators of the Relation between Health and Driving in Older Adults. Can J Aging 2016; 35 Suppl 1:44-58. [PMID: 27256819 DOI: 10.1017/s0714980816000076] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
RÉSUMÉNous avons examiné les relations entre la santé perçue (p. ex., l’état de santé auto-évaluation) et des pratiques d’autorégulation de la conduite (p. ex., la fréquence de la conduite, l’evitement des situations de conduite difficiles) comme médiée par les attitudes et les perceptions de conduite (à savoir, le confort de conduite, les attitudes positif et négatif envers la conduite) dans les données recueillies pour 928 conducteurs âgés de 70 ans et plus inscrits à l’étude Candrive II. Nous avons observé que les attitudes spécifiques à la conduite (p. ex., le confort de conduite, les attitudes négatives envers la conduite) assurent la médiation des relations entre les symptômes de santé et les comportements de conduite auto-reglementés au début et au fil du temps. Seuls les attitudes négatives à l’égard de conduite ont mediés entièrement les relations entre les changements dans les symptômes perçus de la santé et les changements dans le comportement de conduite. Les symptômes perçus pour la santé influencent apparemment la probabilité d’éviter des situations difficiles de conduite par le biais de deux attitudes négatives initiales pour la conduite, ainsi que des changements dans les attitudes négatives au fil du temps. Comprendre les influences sur le comportement de conduite d’auto-réglementation seront bénéfiques lors de la conception des interventions visant à améliorer la sécurité des conducteurs âgés.
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Kaye SA, Lewis I, Algie J, White MJ. Young drivers' responses to anti-speeding advertisements: Comparison of self-report and objective measures of persuasive processing and outcomes. TRAFFIC INJURY PREVENTION 2016; 17:352-358. [PMID: 26302428 DOI: 10.1080/15389588.2015.1084419] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE Self-report measures are typically used to assess the effectiveness of road safety advertisements. However, psychophysiological measures of persuasive processing (i.e., skin conductance response [SCR]) and objective driving measures of persuasive outcomes (i.e., in-vehicle Global Positioning System [GPS] devices) may provide further insights into the effectiveness of these advertisements. This study aimed to explore the persuasive processing and outcomes of 2 anti-speeding advertisements by incorporating both self-report and objective measures of speeding behavior. In addition, this study aimed to compare the findings derived from these different measurement approaches. METHODS Young drivers (N = 20, M age = 21.01 years) viewed either a positive or negative emotion-based anti-speeding television advertisement. While viewing the advertisement, SCR activity was measured to assess ad-evoked arousal responses. The RoadScout GPS device was then installed in participants' vehicles for 1 week to measure on-road speed-related driving behavior. Self-report measures assessed persuasive processing (emotional and arousal responses) and actual driving behavior. RESULTS There was general correspondence between the self-report measures of arousal and the SCR and between the self-report measure of actual driving behavior and the objective driving data (as assessed via the GPS devices). CONCLUSIONS This study provides insights into how psychophysiological and GPS devices could be used as objective measures in conjunction with self-report measures to further understand the persuasive processes and outcomes of emotion-based anti-speeding advertisements.
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Affiliation(s)
- Sherrie-Anne Kaye
- a Centre for Accident Research and Road Safety-Queensland (CARRS-Q), Queensland University of Technology , Kelvin Grove , Queensland , Australia
- b Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Queensland , Australia
| | - Ioni Lewis
- a Centre for Accident Research and Road Safety-Queensland (CARRS-Q), Queensland University of Technology , Kelvin Grove , Queensland , Australia
- b Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Queensland , Australia
| | - Jennifer Algie
- c School of Management, Operations and Marketing, University of Wollongong , Wollongong , New South Wales , Australia
| | - Melanie J White
- b Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Queensland , Australia
- d School of Psychology and Counselling, Queensland University of Technology , Kelvin Grove , Queensland , Australia
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Bilateral cataract, crash risk, driving performance, and self-regulation practices among older drivers. J Cataract Refract Surg 2016; 42:788-94. [DOI: 10.1016/j.jcrs.2016.02.023] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Revised: 01/25/2016] [Accepted: 01/26/2016] [Indexed: 11/23/2022]
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Smith GA, Porter MM, Cull AW, Mazer BL, Myers AM, Naglie G, Bédard M, Tuokko HA, Vrkljan BH, Gélinas I, Marshall SC, Rapoport MJ. Seasonal and Weather Effects on Older Drivers' Trip Distances. Can J Aging 2016; 35:1-10. [PMID: 27045699 DOI: 10.1017/s0714980816000040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
The purpose of this study was to determine if season or weather affected the objectively measured trip distances of older drivers (≥ 70 years; n = 279) at seven Canadian sites. During winter, for all trips taken, trip distance was 7 per cent shorter when controlling for site and whether the trip occurred during the day. In addition, for trips taken within city limits, trip distance was 1 per cent shorter during winter and 5 per cent longer during rain when compared to no precipitation when controlling for weather (or season respectively), time of day, and site. At night, trip distance was about 30 per cent longer when controlling for season and site (and weather), contrary to expectations. Together, these results suggest that older Canadian drivers alter their trip distances based on season, weather conditions, and time of day, although not always in the expected direction.
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Affiliation(s)
- Glenys A Smith
- Health,Leisure and Human Performance Research Institute,Faculty of Kinesiology and Recreation Management,University of Manitoba
| | - Michelle M Porter
- Health,Leisure and Human Performance Research Institute,Faculty of Kinesiology and Recreation Management,University of Manitoba
| | - Andrew W Cull
- Health,Leisure and Human Performance Research Institute,Faculty of Kinesiology and Recreation Management,University of Manitoba
| | - Barbara L Mazer
- School of Physical and Occupational Therapy,McGill University,and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal;Jewish Rehabilitation Hospital
| | - Anita M Myers
- School of Public Health and Health Systems,University of Waterloo
| | - Gary Naglie
- Department of Medicine and Rotman Research Institute,Baycrest Health Sciences;Department of Research,Toronto Rehabilitation Institute,University Health Network;Department of Medicine and Institute of Health Policy,Management and Evaluation,University of Toronto
| | - Michel Bédard
- Centre for Research on Safe Driving and Department of Health Sciences,Lakehead University
| | - Holly A Tuokko
- Centre on Aging and Department of Psychology,University of Victoria
| | - Brenda H Vrkljan
- Occupational Therapy,School of Rehabilitation Science,McMaster University
| | - Isabelle Gélinas
- School of Physical and Occupational Therapy,McGill University,and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal;Jewish Rehabilitation Hospital
| | - Shawn C Marshall
- Ottawa Hospital Research Institute;Department of Medicine,University of Ottawa
| | - Mark J Rapoport
- Department of Psychiatry,University of Toronto,and Sunnybrook Health Sciences Centre
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Psychosocial Constructs as Possible Moderators of Self-Reported Driving Restrictions. Can J Aging 2016; 35 Suppl 1:32-43. [DOI: 10.1017/s0714980816000027] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
RÉSUMÉLes associations entre les variables psychosociaux et les comportements de conduite ont été examinés seulement en coupe transversale à ce jour. Dans cette étude, nous avons utilisé trois vagues de données recueillies chaque année de 928 conducteurs âgés (âge moyen = 76.21 ans; 62% d'hommes) s'inscrits pour la cohorte Candrive II, afin de déterminer si des changements dans les attitudes et les perceptions à l'égard de conduire (l'équilibre décisionnel et le confort à la conduite de jour comme de nuit) ont été associés à des limitations à la conduite rapportées chez les aînés et de leurs capacités perçues à conduire. Des modèles à plusieurs niveaux ont révélé que plus de personnes âgées qui ont montré une augmentation des attitudes négatives à l'égard de conduite étaient plus susceptibles de déclarer la pratique de plus en plus restreinte (on évite souvent des situations difficiles de conduite) et des baisses perçues dans la capacité de conduire, par rapport aux individus dont les attitudes envers la conduite restaient stable au cours de deux années. Ce travail confirme les résultats précédents et offre une nouvelle compréhension de la façon dont les attitudes ont trait aux perceptions de conduite (c'est-à-dire, le confort), et l'auto-régulation chez les personnes âgées au fil du temps.
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Driving Task: How Older Drivers’ On-Road Driving Performance Relates to Abilities, Perceptions, and Restrictions. Can J Aging 2016; 35 Suppl 1:15-31. [PMID: 27021591 DOI: 10.1017/s0714980816000015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
RÉSUMÉCette étude a examiné une cohorte de 227 conducteurs âgés et a étudié la relation entre leur performance sur la grille d’observation e-DOS pour manœuvres de conduite et (1) les caractéristiques des conducteurs; (2) les capacités fonctionnelles; (3) les perceptions des capacités et le confort pendant la conduite, ainsi que (4) les restrictions auto-déclarées de la conduite. Les participants (hommes: 70%; âge: M = 81.53 ans, É-T = 3,37 ans) a achevé une série de mesures de la capacité fonctionnelle et d’écailles sur le confort, les capacités et les restrictions aperçut du Candrive / Ozcandrive protocole d’évaluation Année 2, avec une tâche de conduite e-DOS. Les observations des comportements de conduite des participants au cours de la tâche de conduite ont été enregistrées pour : la négociation au carrefour, le changement de voie, la fusion, les manœuvres à basse vitesse, et la conduite sans manoeuvres. Les scores de conduite e-DOS étaient élevés (M = 94,74; É-T = 5,70) et étaient liés d’une façon significative aux capacité de conduite perçu des participants, la fréquence rapporté de la conduite dans des situations difficiles, et le nombre de restrictions de la conduite. Les analyses futures exploreront les changements potentiels dans les scores de tâches de conduite au fil du temps.
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Medication use and the risk of motor vehicle collision in West Virginia drivers 65 years of age and older: a case-crossover study. BMC Res Notes 2016; 9:166. [PMID: 26979111 PMCID: PMC4791935 DOI: 10.1186/s13104-016-1974-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Accepted: 03/03/2016] [Indexed: 02/06/2023] Open
Abstract
Background The current generation of older adults reports a higher lifetime prevalence of prescription, over-the-counter, and recreational drug use. The purpose of this analysis is to characterize the drug usage and determine the risk of motor vehicle collision associated with individual medications in a population of drivers ≥65 years. Methods A case-crossover study was conducted at West Virginia University Healthcare’s facilities using data obtained from the electronic health records (n = 611) of drivers ≥65 years admitted for medical treatment following a motor vehicle collision which occurred between Jan. 1, 2009 and June 30, 2014. Patients’ medication usage 14 days before collision were matched and compared to their medication usage during four control periods prior to collision. Odds ratios were then calculated for the most prevalent individual medications and pharmaceutical sub-classes using conditional logistic regression. Results Analgesic, cardiovascular and gastrointestinal medicines were common. Few drivers tested positive for either licit or illicit drugs. Of those testing positive for drugs, benzodiazepines and opiates were prevalent. Drivers consuming Tramadol (adjusted OR 11.41; 95 % CI 1.27, 102.15) were at a significantly increased risk of motor vehicle collision. Conclusions Older adult drivers who have a prescription for this medication may need to be aware of the potential risk. Further research is necessary in a larger, more nationally representative population.
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Huisingh C, Levitan EB, Irvin MR, Owsley C, McGwin G. Driving with pets and motor vehicle collision involvement among older drivers: A prospective population-based study. ACCIDENT; ANALYSIS AND PREVENTION 2016; 88:169-74. [PMID: 26774042 PMCID: PMC4738176 DOI: 10.1016/j.aap.2015.12.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Revised: 12/15/2015] [Accepted: 12/17/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Distracted driving is a major cause of motor vehicle collision (MVC) involvement. Pets have been identified as potential distraction to drivers, particularly in the front. This type of distraction could be worse for those with impairment in the cognitive aspects of visual processing. The purpose of this study is to evaluate the association between driving with pets and rates of motor vehicle collision involvement in a cohort of older drivers. METHODS A three-year prospective study was conducted in a population-based sample of 2000 licensed drivers aged 70 years and older. At the baseline visit, a trained interviewer asked participants about pet ownership, whether they drive with pets, how frequently, and where the pet sits in the vehicle. Motor vehicle collision (MVC) involvement during the three-year study period was obtained from the Alabama Department of Public Safety. At-fault status was determined by the police officer who arrived on the scene. Participants were followed until the earliest of death, driving cessation, or end of the study period. Poisson regression was used to calculate crude and adjusted rate ratios (RR) examining the association between pet ownership, presence of a pet in a vehicle, frequency of driving with a pet, and location of the pet inside with vehicle with any and at-fault MVC involvement. We examined whether the associations differed by higher order visual processing impairment status, as measured by Useful Field of View, Trails B, and Motor-free Visual Perception Test. RESULTS Rates of crash involvement were similar for older adults who have ever driven with a pet compared to those who never drove with their pet (RR=1.15, 95% CI 0.76-1.75). Drivers who reported always or sometimes driving with their pet had higher MVC rates compared to pet owners who never drive with a pet, but this association was not statistically significant (RR=1.39, 95% CI 0.86-2.24). In terms of location, those reporting having a pet frequently ride in the front of the vehicle had similar rates of MVC involvement compared to those who did not drive with a pet in the front. A similar pattern of results was observed for at-fault MVCs. This association was not modified by visual processing impairment status. CONCLUSION The current study demonstrates a positive but non-significant association between frequently driving with pets and MVC involvement. More research is needed, particularly on restraint use and whether the pet was in the car at the time of the crash, to help characterize the public safety benefit of regulations on driving with pets.
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Affiliation(s)
- Carrie Huisingh
- Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, United States.
| | - Emily B Levitan
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, United States
| | - Marguerite R Irvin
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, United States
| | - Cynthia Owsley
- Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, United States
| | - Gerald McGwin
- Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, United States; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, United States
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Davis J, Conlon E, Ownsworth T, Morrissey S. Measuring situational avoidance in older drivers: An application of Rasch analysis. ACCIDENT; ANALYSIS AND PREVENTION 2016; 87:68-77. [PMID: 26647017 DOI: 10.1016/j.aap.2015.11.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Revised: 11/04/2015] [Accepted: 11/16/2015] [Indexed: 06/05/2023]
Abstract
Situational avoidance is a form of driving self-regulation at the strategic level of driving behaviour. It has typically been defined as the purposeful avoidance of driving situations perceived as challenging or potentially hazardous. To date, assessment of the psychometric properties of existing scales that measure situational avoidance has been sparse. This study examined the contribution of Rasch analysis to the situational avoidance construct. Three hundred and ninety-nine Australian drivers (M=66.75, SD=10.14, range: 48-91 years) completed the Situational Avoidance Questionnaire (SAQ). Following removal of the item Parallel Parking, the scale conformed to a Rasch model, showing good person separation, sufficient reliability, little disordering of thresholds, and no evidence of differential item functioning by age or gender. The residuals were independent supporting the assumption of unidimensionality and in conforming to a Rasch model, SAQ items were found to be hierarchical or cumulative. Increased avoidance was associated with factors known to be related to driving self-regulation more broadly, including older age, female gender, reduced driving space and frequency, reporting a change in driving in the past five years and poorer indices of health (i.e., self-rated mood, vision and cognitive function). Overall, these results support the use of the SAQ as a psychometrically sound measure of situational avoidance. Application of Rasch analysis to this area of research advances understanding of the driving self-regulation construct and its practice by drivers in baby boomer and older adult generations.
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Affiliation(s)
- Jessica Davis
- School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia.
| | - Elizabeth Conlon
- School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia
| | - Tamara Ownsworth
- School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia
| | - Shirley Morrissey
- School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia
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Sukhawathanakul P, Tuokko H, Rhodes RE, Marshall SC, Charlton J, Koppel S, Gélinas I, Naglie G, Mazer B, Vrkljan B, Myers A, Man-Son-Hing M, Bédard M, Rapoport M, Korner-Bitensky N, Porter MM. Measuring Driving-Related Attitudes Among Older Adults: Psychometric Evidence for the Decisional Balance Scale Across Time and Gender. THE GERONTOLOGIST 2015; 55:1068-78. [DOI: 10.1093/geront/gnv077] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 05/14/2015] [Indexed: 01/22/2023] Open
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