Systematic review of observational studies on secondary task engagement while driving

Different types of mobile phone use while driving and influencing factors on intention and behavior: Insights from an expanded theory of planned behavior

Mobile phone use while driving (MPUWD) is a significant concern due to its negative impact on road safety. This cross-sectional study aimed to assess different types of MPUWD and identify factors influencing intention and behavior among drivers in Zahedan. A total of 392 participants provided information on demographic and driving characteristics, as well as constructs derived from the Theory of Planned Behavior (TPB) augmented with moral norms. Findings revealed that a majority of drivers (86.4%) engaged in MPUWD, primarily involving calling, using applications, and texting. However, most participants did not intend to use their phones while driving in the following week. Multiple regression analysis identified age, receiving driving fines, subjective norm, and perceived behavior control as significant predictors of intention for MPUWD. Additionally, factors such as age, receiving driving fines, driving hours, car gearbox type, attitude, perceived behavior control, behavioral intention, and moral norm were significant predictors of actual MPUWD. Older participants demonstrated better behavior in various mobile phone activities while driving. Overall, the study emphasized that the main TPB constructs and moral norms have a greater influence compared to other variables in predicting MPUWD. Perceived behavioral control was the most important predictor of the intention and behavior of MPUWD. Understanding these factors can guide efforts to discourage MPUWD through targeted interventions and strategies to promote safer driving practices.

Is distraction on the road associated with maladaptive mobile phone use? A systematic review

Maladaptive Mobile Phone Use (MMPU) (also known as Smartphone Addiction, Nomophobia, Fear of Missing Out, or Problematic Mobile Phone Use) is a growing mental health problem. However, the health and safety consequences of MMPU remain unexplored in many real-life contexts. A potential setting where MMPU may have some negative repercussions is on the road. It is well established that road users (e.g., drivers, motorcyclists, pedestrians, and cyclists) increasingly injure themselves or others due to distractions such as phone use while on the road. Emerging research suggests that MMPU is a possible determinant of this risky behaviour. Therefore, it is essential to investigate the relationship between MMPU and mobile phone use behaviour on the road, as it could help guide and improve interventions aimed at increasing road safety. This systematic review investigated the relationship between maladaptive mobile phone use and mobile phone use behaviour on the road in terms of attitudes and risk perception, intention, phone use engagement, performance changes, and safety outcomes. A total of 44 studies were identified with 47 unique samples of road users, of which 68.1% (32/47) were comprised of drivers, 19.1% (9/47) were pedestrians, 8.5% (4/47) were unspecified road users, and there was one group of motorcyclists and cyclists. Our findings confirmed that MMPU is related to risky behaviour on the roads. In the 29 studies considering observed or self-reported behaviour, 90.9% (30/33) found that road users who scored higher in MMPU are more likely to use their phones on the road as cyclists, drivers, motorcyclists, and pedestrians. Of the nine studies that analysed performance changes, 55.6% (5/9) showed evidence that MMPU changes the performance of road users engaging in mobile phone use, meaning that there is evidence suggesting that MMPU determines the level of impairment. Of the nine studies that analysed the safety-related-outcomes, 66.7% (6/9) found that the higher the MMPU score, the more likely road users are to experience safety-critical traffic events. This review contributes to the literature by showing a pathway between the negative health consequences of MMPU and road trauma. We also identified that the quality of the studies was generally low due to study design and blinding aspects. This field of research also lacks standard practices as researchers avoid using established and well-validated questionnaires, often creating new ones to measure MMPU. This hinders the generalisability of the findings and raises questions about the construct validity and external validity of MMPU. The usefulness of future research would be enhanced by a consistent methodological approach using the same scales based on standard behavioural definitions. The cross-disciplinary nature of MMPU effects means that transport and road safety professionals need to work with healthcare professionals and technology organisations to understand and address MMPU as a contributing factor to road crashes.

Investigating the impact of environmental and temporal features on mobile phone distracted driving behavior using phone use data

Mobile phone distracted driving (MPDD) is one of the most significant and common factors in distraction-affected crashes. In previous studies, MPDD has been described as a self-selected behavior that affects driving performance, rather than a multidimensionally impacted behavior. In this study, the researchers hypothesized that external environmental features significantly impacted MPDD and tested this hypothesis by structural equation modeling (SEM). Three external latent variables (road, operation, and control factors) were measured at different times during weekdays in urban areas of Texas by integrating a large number of mobile phone sensor data and roadway inventory data. A structural model was developed to test the relationship between the latent variables and the rate of drivers involved in MPDD (MPDDR) on the roadway during different time periods. Finally, the data summary and model results revealed significant temporal effects. Standardized estimates from the SEM results revealed the positive impact of roads factors in the morning peak that broader shoulders, wider medians, and smaller curve radians were correlated with higher MPDDR in the morning peak hours; the negative impact of operation factors that higher average annual daily truck traffic (truck AADT) were associated with lower MPDDR significantly. And the impact of control factors on MPDDR is positive. In other words, the road segments with a large number of traffic signals in urban areas had a higher MPDDR than those without traffic signals. These findings could assist transportation and legislation agencies in the development of appropriate countermeasures or enforcement tactics and implement them effectively to reduce the occurrence of MPDD. In addition, this study provides a novel perspective close to the actual consideration of drivers about using mobile phones while driving, in the context of MPDD research, rather than comparing driver groups and vehicle performance.

Using electroencephalography to analyse drivers' different cognitive workload characteristics based on on-road experiment

Driver's cognitive workload has an important impact on driving safety. This paper carries out an on-road experiment to analyse the impact from three innovative aspects: significance analysis of electroencephalogram (EEG) under different cognitive workloads, distribution of EEG maps with different frequency signals and influence of different cognitive workloads on driving safety based on EEG. First, the EEG signals are processed and four frequencies of delta, theta, alpha and beta are obtained. Then, the time-frequency transform and power spectral density calculation are carried out by short-time Fourier to study the correlation of each frequency signal of different workload states, as well as the distribution pattern of the EEG topographic map. Finally, the time and space energy and phase changes in each cognitive task event are studied through event-related spectral perturbation and inter-trial coherence. Results show the difference between left and right brains, as well as the resource occupancy trends of the monitor, perception, visual and auditory channels in different driving conditions. Results also demonstrate that the increase in cognitive workloads will directly affect driving safety. Changes in cognitive workload have different effects on brain signals, and this paper can provide a theoretical basis for improving driving safety under different cognitive workloads. Mastering the EEG characteristics of signals can provide more targeted supervision and safety warnings for the driver.

Mobile phone use among truck drivers: The application and extension of the theory of planned behavior

Commercial truck drivers are particularly exposed to the risks associated with distracted driving, especially with mobile phone use while driving (MPWD), due to their higher driving exposure (DE) (e.g., high driving frequency, long driving hours and distance). However, despite being identified as one of the major causes in truck crashes, truck drivers' MPWD behavior has received little attention. In the current work, the theory of planned behavior (TPB), extended with DE, was applied to explore the determinants of MPWD among commercial truck drivers in China and examine the correlations between drivers' DE and psychological factors. We conducted an Internet survey and collected 420 valid questionnaires, which measured truck drivers' 5 standard TPB variables, DE and demographics. Structural equation modelling was used to analyze the data from the survey. The results showed strong support for the application of the proposed TPB model in explaining truck drivers' MPWD behavior. Specifically, truck drivers' behavioral intention (BI) had the greatest direct positive effect on MPWD behavior, while perceived behavioral control (PBC) had no direct positive effect. Moreover, PBC, attitude (ATT) and DE were significantly and positively associated with BI, while subjective norm was insignificant. As expected, DE has significant positive effects on truck drivers' psychological factors underlying MPWD behavior, especially on ATT and PBC, indicating that truck drivers with higher DE tend to have more positive attitudes toward MPWD and feel more confident about performing this risky behavior. These results may have notable practical implications in providing theoretical support for management and intervention of commercial truck drivers.

Identifying distracted-driving events from on-road observations using a moving vehicle: A case study in New Jersey

Distracted driving is a major traffic safety concern in the USA. To observe and detect distracted-driving events, various methods (e.g., surveys, videos, and simulations) involving the collection of cross-sectional data from individual subjects have been used in the transportation field. In this study, we employed an unconventional approach of on-road observations using a moving vehicle to collect data on distracted-driving events for multiple subjects in New Jersey. A data-collection crew member continuously navigated selected corridors to record driver-distraction events. A GPS (Global Positioning System) tracker was used to timestamp and record the location of each incident. Two non-parametric tests (Mann-Whitney U test and Kruskal-Wallis test) were performed to identify the significance of the variations in distracted-driving behaviors due to changes in temporal variables (e.g., day of the week, season), the type of roadway, and the geometric properties of the roadway. The results indicated that cellphone use was the leading type of distraction. Additionally, "handheld phone use (phone to ear)," "fidgeting/grooming," "drinking/eating/smoking," and "talking to passengers" events were significantly affected by the time of day and the geometric properties of the roadway. The results of this study are expected to assist state and local agencies in promoting awareness of distracted driving with the aim of reducing the frequency and severity of distracted driving-related crashes.

Secondary task engagement, risk-taking, and safety-related equipment use in German bicycle and e-scooter riders - An observation

The behavioral safety of e-bike and e-scooter riders is a significant concern in traffic safety. In an observational study in Braunschweig, Germany, 4,514 bicycle and e-scooter riders were observed concerning their used vehicles type, secondary task engagement, use of additional safety equipment, and traffic rule violation. Overall, 13.4% of all riders were engaged in any secondary task, wearing headphones or earphones being the most frequent behavior (6.7%), followed by conversations with other cyclists (3.7%). Banned mobile phone use was low (0.8%). Secondary task engagement was positively correlated with traffic rule violations and at-fault conflicts and negatively with the use of additional safety equipment. Cluster analysis on vehicle types and behaviors revealed five groups of riders, two with relatively high numbers of risky behaviors: young and middle-aged, predominantly male riders of conventional bicycles, and a group of demographically similar users of electric bikes and e-scooters. Campaigns targeted at these specific groups may help reduce risky behaviors.

Risk of Accidents or Chronic Disorders From Improper Use of Mobile Phones: A Systematic Review and Meta-analysis

Background

Mobile phone use has brought convenience, but the long or improper use of mobile phones can cause harm to the human body.

Objective

We aimed to assess the impact of improper mobile phone use on the risks of accidents and chronic disorders.

Methods

We systematically searched in PubMed, EMBASE, Cochrane, and Web of Science databases for studies published prior to April 5, 2019; relevant reviews were also searched to identify additional studies. A random-effects model was used to calculate the overall pooled estimates.

Results

Mobile phone users had a higher risk of accidents (relative risk [RR] 1.37, 95% CI 1.22 to 1.55). Long-term use of mobile phones increased accident risk relative to nonuse or short-term use (RR 2.10, 95% CI 1.63 to 2.70). Compared with nonuse, mobile phone use resulted in a higher risk for neoplasms (RR 1.07, 95% CI 1.01 to 1.14), eye diseases (RR 2.03, 95% CI 1.27 to 3.23), mental health disorders (RR 1.16, 95% CI 1.02 to 1.32), and headaches (RR 1.25, 95% CI 1.18 to 1.32); the pooled risk of other chronic disorders was 1.20 (95% CI 0.90 to 1.59). Subgroup analyses also confirmed the increased risk of accidents and chronic disorders.

Conclusions

Improper use of mobile phones can harm the human body. While enjoying the convenience brought by mobile phones, people have to use mobile phones properly and reasonably.

"Like it's wrong, but it's not that wrong:" Exploring the normalization of risk-compensatory strategies among young drivers engaging in illegal smartphone use

INTRODUCTION

Young drivers are the most vulnerable road users and most likely to use a smartphone illegally while driving. Although when compared with drink-driving, attitudes to illegal smartphone risk are nearly identical, smartphone use among young drivers continues to increase.

METHOD

Four in-depth focus groups were conducted with 13 young (18-25 years) drivers to gain insight into their perceptions of the risks associated with the behavior. Our aim was to determine how drivers navigate that risk and if their behavior shapes and informs perceptions of norms.

RESULTS

Three key themes emerged: (a) participants perceived illegal smartphone use as commonplace, easy, and benign; (b) self-regulatory behaviors that compensate for risk are pervasive among illegal smartphone users; and (c) risk-compensation strategies rationalize risks and perceived norms, reducing the seriousness of transgression when compared with drink-driving. Young drivers rationalized their own use by comparing their selfregulatory smartphone and driving skills with those of "bad drivers," not law abiders. Practical Applications: These findings suggest that smartphone behaviors shape attitudes to risk, highlighting the importance for any countermeasure aimed at reducing illegal use to acknowledge how a young person's continued engagement in illegal smartphone use is justified by the dynamic composition of use, risk assessment and the perceived norms.

Mobile Phone Use "on the Road": A Self-Report Study on Young Drivers

BACKGROUND

Extensive research showed that multitasking negatively affects driving performance. Multitasking activities can range from talking and texting to listening to music; particularly among young drivers, multitasking behavior is caused mainly from mobile phone use while driving which is one of the main causes of road accidents.

OBJECTIVE

The main purpose of this study was to investigate whether some variables (e.g., Sensation-Seeking, preferences of Multitasking) could affect mobile phone use while driving in young drivers and whether any gender differences were present among the examined variables.

SETTING AND PARTICIPANTS

The sample consists of 424 Italian students (56% males) with an age range of 18-21 years. A self-report questionnaire was specifically developed to assess variables such as: Attitude toward Multitasking, Perceived Self-efficacy in Multitasking, Accident Risk Perception, General Multitasking Habits, and Sensation Seeking.

RESULTS

Through SEM modeling, we found the attitude to multitasking while driving to be largely explained by the considered variables. Using multigroup analysis (MGSEM), the model we developed appears to be suitable for explaining the behaviors of both male and female young drivers. Furthermore, data comparison showed that females were more likely to risk perception toward multitasking, and risk perception when using a mobile phone while driving, while males obtained higher mean scores in Sensation Seeking, Perceived Self-Efficacy in Multitasking, and in Multitasking caused by mobile phone use while driving.

CONCLUSION

Our research showed how some variables may influence the inclination of some subjects to engage in multitasking while driving. Furthermore, we discussed the importance of considering these variables in the implementation of effective road safety education projects on driving multitasking.

Examining driver distraction in the context of driving speed: An observational study using disruptive technology and naturalistic data

Considering the number of people who have been involved in crashes associated with driver distractions, it is important to understand the characteristics of distracted driving on public roadways. While experiments have indicated that driver distractions are associated with slower driving speeds, the methodologies tend to have limited external validity. Observational studies are often conducted under limited circumstances - be it time or location. Therefore, in order to better understand the nature of driver distractions, the authors investigated the relationships between driving speed, posted speed limits, and phone handling frequency through naturalistic driving data obtained (via disruptive technology) from 8,240 mobile application users on state-maintained highways throughout Texas. As a measure of manual distractions, a phone handling rate (PHR; times/hours driven) was calculated based on phone rotations. Within-subject comparisons were drawn for driving speed and posted speed limits under normal driving conditions and distracted conditions. The analysis revealed a strong negative correlation between PHR and driving speed (r_s = -0.87). Paired t-tests revealed significantly lower driving speeds (p = 0.000 < 0.01, d = -0.48, η = 0.69) and posted speed limits (p = 0.000 < 0.01, d = -0.20, η = 0.42) during phone handling events when compared to driving without phone handling. On average, users drove 3.26 mph slower in distracted conditions than in undistracted conditions. Driving speed had a larger effect size than posted speed limits. The findings were in line with existing theories and experiments as well as other observational studies conducted at fixed locations. Although this research did not reveal causal relations, it is noteworthy that speed reduction with manual distractions was observed under real road conditions. Spatial analyses are recommended to conduct in order to paint a more thorough picture of speed reduction, its relationship to space, and crash risks related to distracted driving.

Mobile phone applications use while driving in Ukraine: Self-reported frequencies and psychosocial factors underpinning this risky behaviour

Despite the fact that mobile phones have been transformed over the last decade into information and communication hubs that are fundamental to modern life, there is little information on how this has impacted on mobile phone use while driving. The present study was conducted in Ukraine, where this risky behaviour remains a common driving practice, despite legislative bans. A total of 220 (male = 82%; mean age = 35.53; SD = 10.54) drivers completed an online survey assessing frequency of engaging in a range of mobile phone applications while driving. Four variables of the theory of planned behaviour (general attitude and intention towards phone use while driving, social norms towards mobile phone use, perceived behavioural control, the specific beliefs about being able to engage in distracting activities and drive safely), and type A behaviour pattern were also collected. The results showed that, during the last year, 65% of drivers had read a text message and 49% had written a text using mobile phone applications. Likewise, a substantial proportion of the sample reported using social media while driving, by checking (34%), sending or typing a post (25%) on social network applications. Hierarchical stepwise regressions showed that a positive attitude towards mobile phone use while driving and beliefs about being able to drive safely and write or read a text message were significantly associated with the mobile phone applications use while driving. No associations were found between the type A behaviour pattern and mobile phone applications use.

Evaluation of smartphone interactions on drivers' brain function and vehicle control in an immersive simulated environment

Smartphones and other modern technologies have introduced multiple new forms of distraction that color the modern driving experience. While many smartphone functions aim to improve driving by providing the driver with real-time navigation and traffic updates, others, such as texting, are not compatible with driving and are often the cause of accidents. Because both functions elicit driver attention, an outstanding question is the degree to which drivers' naturalistic interactions with navigation and texting applications differ in regard to brain and behavioral indices of distracted driving. Here, we employed functional near-infrared spectroscopy to examine the cortical activity that occurs under parametrically increasing levels of smartphone distraction during naturalistic driving. Our results highlight a significant increase in bilateral prefrontal and parietal cortical activity that occurs in response to increasingly greater levels of smartphone distraction that, in turn, predicts changes in common indices of vehicle control.

Understanding the deterrent impact formal and informal sanctions have on illegal smartphone use while driving

The illegal use of a smartphone while driving increases the risk of crashes. As such, road authorities rely on countermeasures to reduce illegal smartphone use. Deterrence-based methods dominate road safety, however, perceptions and impact of formal (legal) and informal (non-legal) methods to deter illegal smartphone use in Australia have not yet been explored. The current study reports on a survey of 2774 drivers (47.0 % males) that own and regularly use a smartphone. The survey analysed the self-reported frequency of illegal smartphone use while driving, perceptions of formal and informal deterrence mechanisms, differences between perceived and informed deterrence, and deterrent predictors of illegal use. The findings revealed that illegal smartphone use is increasing in Victoria, Australia. Drivers that break the law perceive deterrent mechanisms significantly different from drivers that abide by the law, however, both groups view the prospect of hurting oneself as most impactful. Additionally, drivers tend to underestimate the consequences of illegal use, yet overestimate the certainty of apprehension. A binary logistic regression analysis revealed that only age, gender and informal sanctions such as social loss (stigma/peer disapproval), internal loss (shame/guilt/embarrassment), and physical loss (injury/property damage) were significant predictors of illegal use. None of the formal mechanisms were significant. Based on these findings, road safety interventions and future research should consider exploring the psychological characteristics of young people's perceptions of informal sanctions such as social loss (shame/embarrassment) and internal loss (guilt).

Mobile phone use among car drivers and motorcycle riders: The effect of problematic mobile phone use, attitudes, beliefs and perceived risk

Mobile phone use while driving presents significant risks, potentially leading to injury or death through distracted driving. Using a case study of Vietnam, this research aimed to understand the effect of problematic mobile phone use (also known as mobile phone addiction or compulsive mobile phone use), attitudes and beliefs, and perceived risk on the frequency of mobile phone use among motorcyclists and car drivers. A self-administered questionnaire was distributed to motorcyclists (n₁= 529) and car drivers (n₂= 328) using an online survey and face-to-face survey. The survey took around 20-min to complete and participants were entered into a lottery for supermarket vouchers. Of the motorcyclists, 42% of the sample (the highest proportion) was in the 18-25 age group while the 36-45 age group accounted for the highest proportion among car drivers (34.8%). Using structural equation modelling (SEM), key findings showed that each construct influenced mobile phone use, but in different ways for motorcycle riders and car drivers. Attitudes and beliefs had the largest effect on mobile phone use while riding among motorcyclists, with problematic mobile phone use having the smallest influence. In contrast, problematic mobile phone use had the largest effect on mobile phone use while driving a car, with attitudes and beliefs having the smallest effect. The findings of this study point to the need for tailored interventions involving a range of actors (policymakers, police enforcement, mental health professionals, advocacy groups and the wider community) to raise awareness, modify attitudes and increase risk perception associated with mobile phone use while driving/riding. This can be achieved thorough educational tools and road safety campaigns which are focused on reducing this risky driving behaviour. This includes customising road safety programs for individuals and groups affected by problematic mobile phone use such as targeted advertising.

Drivers' gap acceptance behaviours at intersections: A driving simulator study to understand the impact of mobile phone visual-manual interactions

Mobile phone use is often considered to be the main source of distraction on the road. Gap acceptance at intersections is a frequent and complex driving task that requires high visual attention from drivers. This study aims to investigate the effect of mobile phone use on the gap acceptance manoeuvre at intersections. Different mobile phone use positions, intersection type, gap size and driver characteristics were considered in the study. A total of 41 licenced drivers drove in an advanced driving simulator in three phone use conditions: baseline (no phone use), using the phone under the steering wheel (covert) and using the phone above the steering wheel (overt). Drivers drove the simulator three times and experienced two intersection types (straight-forward vs. left-turn) and two gap sizes (4 s vs. 7 s) during each drive. A parametric accelerated failure time (AFT) duration model was developed to evaluate the intersection crossing completion time of drivers. The results showed no significant difference of gap acceptance behaviours between the two phone use positions. The distraction task did not affect drivers' gap acceptance decision, but it increased the crossing completion time by over 10 % compared to baseline. Besides, drivers behaved conservatively at intersections while using a mobile phone, such as adopting a larger deceleration, waiting a longer time, and mainting a larger distance to the front vehicle, etc. However, these compensational behaviours were not helpful in improving the intersection traffic situation regarding both safety and efficiency. Intersection type and gap size were both significant factors of gap acceptance decision and crossing completion time. Additionally, younger drivers were more likely to accept a gap than older drivers, and female drivers spent longer time to cross the intersection than males.

Assessing driver acceptance of technology that reduces mobile phone use while driving: The case of mobile phone applications

The nature of the road environment requires drivers to be vigilant and attentive. Distracted driving is a primary concern, as it threatens the safety of road users. However very little research has been conducted into interventions to combat such an issue. Existing interventions such as police enforcement and legislation appear to have limited effect. The use of mobile phone applications to assist in limiting driver distraction is an alternative intervention that is currently gaining traction. With a great array of potential benefits, such as reducing road toll, these applications can be readily available to all road users. Despite the positive implications, it is vital that drivers accept the use of such a technology for the intervention to be effective. Therefore, understanding driver acceptance is an important step in implanting such applications. To assess this, the present study examines the utility of two versions of the Technology Acceptance Model (TAM), the Theory of Planned Behaviour (TPB) and the Unified Theory of Acceptance and Use of Technology (UTAUT) for understanding the acceptance of technology designed to reduce distraction. Participants were presented with two different applications and responded to questions that indicated their attitudes towards the factors included in the TAM, TPB and UTAUT, alongside their intent to use the technology. A total of 731 participants responded to the survey, and their responses analysed. The results indicated that overall, Davis' (1985) TAM was slightly better in explaining behavioural intent for both Mobile Phone Application (MPA) 1 and MPA 2, explaining 66.1% and 68.7% of the variance, respectively. Davis' (1989) TAM and the TPB were close behind, while the UTAUT explained the least variance in behavioural intent of all the models. Overall, the findings of this study provide support for using psychological theories to assess the acceptance of mobile phone applications.