Road safety education for older drivers: Evaluation of a classroom-based training initiative

Around the world, a growing proportion of drivers are aged 70 or over. Although accident rates for older drivers are lower than for young or novice drivers, increased frailty and slowed reactions mean that older drivers are at higher risk of death or serious injury when involved in a road collision. The objectives of this study were to: (a) identify driving knowledge and self-regulatory strategies among a group of older drivers with a view to planning future on-road training; (b) measure driver self-assessments of ability and confidence before and after classroom training delivered by driving instructors; (c) evaluate the utility and acceptability of training courses for older drivers using questionnaires and focus groups; d) examine the characteristics of course participants.142 drivers aged ≥75 completed a two-hour classroom-based driving course and took part in the evaluation: 94 aged 75–79, 48 aged ≥80, 68% male. Main reasons for taking part were to update knowledge, improve driving and check they were safe to drive. Results showed that females were more likely than males to avoid driving in difficult conditions (at night, in bad weather, unfamiliar roads). More drivers aged 75–79 said they did not restrict their driving (52, 57%) compared to drivers aged ≥80 (19, 43%). Pre-course, males rated their driving confidence and ability significantly higher than females. Post-course, self-ratings of confidence and ability were unchanged for 76 (60%) drivers. However, two-thirds reported improved knowledge and 80% said they would change their driving behaviour as a result of the course. Focus group results suggest that competent drivers are more likely to attend educational courses than unsafe drivers. This study provides preliminary evidence that classroom-based training can initiate behaviour change among older drivers. Future research will examine the effectiveness of on-road training in this age group.     

Distraction while driving: The case of older drivers

As the impairment of older drivers is especially found in perception and attention, one could assume that they are especially prone to distraction effects of secondary tasks performed while driving. The aim of the study was to examine the effect of age on driving performance as well as the compensation strategies of older drivers under distraction. 10 middle-aged and 10 older drivers drove in a simulator with and without a secondary task. To assess driving performance the Lane Change Task (Mattes, 2003) was used. This method aims at estimating driver demand while a secondary task is being performed, by measuring performance degradation on a primary driving-like task in a standardized manner. The secondary task – a self-developed computer-based version of “d2 Test of Attention” was presented both with and without time pressure. The results show that older participants’ overall driving performance (mean deviation from an ideal path) was worse in all conditions as compared to the younger ones. With regard to lane change reaction time both age groups were influenced by distraction in a comparable manner. However, when the lane keeping performance (standard deviation of the lateral position) was examined, the older participants were more affected than the younger ones. This pattern could be explained by compensation strategies of the older drivers. They focused on the most relevant part of the driving task, the lane change manoeuvres and were able to maintain their performance level in a similar way as did younger drivers. The driving performance of the older participants was not additionally impaired when the secondary task imposed time pressure. Overall, subjective rating of driving performance, perceived workload and perceived distraction was found to be similar for both age groups. The observed trends and patterns associated with distraction while driving should contribute to the further research or practical work regarding in-vehicle technologies and older drivers.     

Cognitive and psychomotor tests as predictors of on-road driving ability in older primary care patients

This study examined the accuracy with which different cognitive and psychomotor assessment tools were able to predict driving ability among older primary care patients. A cross-sectional study of 50 older drivers (with an average age of 73.1 ± 7.0 years) was conducted. Participants who had been referred by their physicians for psychological assessment following a fitness-to-drive examination underwent both an on-road driving test and a cognitive assessment protocol that included the Senior Drivers Battery (SDB) that is currently administered at the Mobility and Land Transports Institute (MLTI) in Portugal, the Useful Field of View (UFOV) test, the Stroke Drivers Screening Assessment (SDSA), Addenbrooke’s Cognitive Examination Revised (ACE-R), the Trail Making Test, the Key Search test, and the Wechsler Adult Intelligence Scale (WAIS-III) Vocabulary and Block Design tests. Logistic regression analysis revealed that the performances of the participants on the SDSA, ACE-R, UFOV and SDB were the best predictors of on-road driving. Specific measures of processing speed and divided attention, visuospatial abilities, executive functions, psychomotor speed and global cognitive functioning may be useful for predicting unsafe driving. The practical implications of these findings are discussed with a view to developing new assessment models for determining driving fitness in older adults.     

The ability of young,middle-aged and older drivers to inhibit visual and auditory distraction in a driving simulator task

Driver distraction is one major cause of road traffic accidents. In order to avoid distraction-related accidents it is important to inhibit irrelevant stimuli and unnecessary responses to distractors and to focus on the driving task, especially when unpredictable critical events occur. Since inhibition is a cognitive function that develops until young adulthood and decreases with increasing age, young and older drivers should be more susceptible to distraction than middle-aged drivers. Using a driving simulation, the present study investigated effects of acoustic and visual distracting stimuli on responses to critical events (flashing up brake lights of a car ahead) in young, middle-aged, and older drivers. The task difficulty was varied in three conditions, in which distractors could either be ignored (perception-only), or required a simple response (detection) or a complex Go-/NoGo-response (discrimination). Response times and error rates to the critical event increased when a simultaneous reaction to the distractor was required. This distraction effect was most pronounced in the discrimination condition, in which the participants had to respond to some of the distracting stimuli and to inhibit responses to some other stimuli. Visual distractors had a stronger impact than acoustic ones. While middle-aged drivers managed distractor inhibition even in difficult tasks quite well (i.e., when responses to distracting stimuli had to be suppressed), response times of young and old drivers increased significantly, especially when distractor stimuli had to be ignored. The results demonstrate the high impact of distraction on driving performance in critical traffic situations and indicate a driving-related inhibition deficit in young and old drivers.     

Effectiveness of the compensatory strategy adopted by older drivers: Difference between professional and non-professional drivers

It has been a controversial issue for the effect of ageing population on driving safety. Apparently, drivers’ physiological and cognitive performances deteriorate with age. However, older drivers may compensate for the elevated risk by adjusting their behaviors, known as compensatory strategy. Despite the extensive research on this topic, the compensatory strategy of older professional drivers is not well understood since many studies focused on the differences in compensatory behavior between older and young drivers. Professional drivers tend to be more skillful and able to cope with the unfavorable driving environments, thus presenting a higher capability to mitigate the risk. This study attempts to examine the compensatory behavior and its safety effect amongst older professional drivers, as compared to those of older non-professional drivers, using the driving simulator approach. In the driving simulator experiment, participants were asked to follow a leading vehicle for one hour, and two sudden brake events were presented. 41 (mid-aged and older) drivers completed the driving tests. Each participant was required to complete a car-following test, either under high or low traffic flow conditions. Performance indicators include driving capability (i.e. lateral control, longitudinal control, and brake reaction time) and compensatory behavior (i.e. average speed, and time headway). Additionally, two modified traffic conflict measures: time exposed time-to-collision (TET) and time integrated time-to-collision (TIT) are applied to indicate the traffic conflict risk. The random parameter Tobit models were estimated to measure the association between conflict risk and driver attributes, and random intercept models were used to assess other driving performance indicators. Results show that despite the impaired lateral control performance and longer brake reaction time of older drivers, the likelihood of severe traffic conflict of older drivers is lower than that of mid-aged drivers. Furthermore, though both older professional and older non-professional drivers adopted longer time headway, the reduction in the risk of severe traffic conflict is more profound among the older professional drivers. Such findings suggest that older professional drivers are more capable of mitigating the possible collision risk by adopting the compensatory strategy, as compared to older non-professional drivers. This justifies the existence of compound effect by the compensatory strategy of older driver and better driving skills of professional driver. This research provides useful insights into driver training and management strategies for employers, as older drivers would become a major cohort in the transportation industry.     

Driving distraction at night: The impact of cell phone use on driving behaviors among young drivers

Currently, young drivers are more likely than other drivers to use cell phones while driving at night, which has become a major cause of road crashes. However, limited attention has been given to distracted nighttime driving. Therefore, the aim of this study was to explore the interaction effect of cell phone use and time of day (daytime and nighttime) on young drivers’ car-following performance. Forty-three young drivers engaged in a driving simulator experiment with a within-subject design that included three distractions (no distraction, talking and texting on a cell phone) and two times of day. This paper applied non-parametric tests to analyze the data and obtained the following results: (1) the standard deviation of lane position (SDLP) did not significantly differ at either time of day under no distraction, but it was significantly higher at night on straight roads and large-radius curves after introducing distractions. In addition, participants drove faster and gave less headway on small-radius curves under both distractions at night; (2) texting significantly increased the SDLP, while there was less lateral variation during the talking tasks than under no distraction on simple road sections; and (3) compared with the experienced drivers, the novice drivers drove faster during the talking tasks on small-radius curves, but there was no significant difference between groups during the texting tasks. These findings provide both theoretical and practical implications for related policy makers to enhance traffic safety.     

Takeover performance of older drivers in automated driving: A review

IntroductionThe introduction of automated vehicles to the road environment brings new challenges for older drivers. Level 3 of conditional automation requires drivers to take over control of their vehicle whenever the automated system reaches its limits. Even though autonomous vehicles may be of great benefit to older drivers in terms of safely maintaining their mobility, a better understanding of their takeover performance remains crucial. The objective of this review of the literature is to shed more light on the effects that aging has on takeover performance during automated driving.MethodsThree database searches were conducted: PsychINFO, Web Of Sciences, and TRID. Studies from the last decade which included groups of older drivers were reviewed.ResultsAfter checking through abstracts and texts of articles, 9 articles, 4 proceedings papers, and 1 technical report were included in this review. All studies included a driving simulator that refers to level 3 of automation (which requires supervision by the driver). Five out of fourteen studies showed that older adults had poorer takeover performance (in terms of takeover time and takeover quality) than younger adults. However, several factors, such as the type of non-driving related task (NDRT), were seen to influence takeover performance in older adults. Speed, type and duration of notification interval, distribution and duration of driving modes, and number of takeovers were all also factors of influence.ConclusionThis review synthesizes the results of 14 articles which investigate the effects of age-related changes on takeover performance. Various external factors as NDRTs, speed, type and duration of notification to take over, duration of the automated phase, distribution of the automated/manual phases may affect takeover performance in older adults. Even if the majority of articles showed that older adults are globally slower at taking over a vehicle than younger adults, findings concerning take over quality yield divergent results. It's probably due to age related cognitive changes, particularly in executive functions or to a great heterogeneity in this population. This literature review highlights the need to develop new research on the impact of aging on takeover performance.     

Difficulties experienced by older drivers during their regular driving and their expectations towards Advanced Driving Aid Systems and vehicle automation

The aim of this study was to analyse the difficulties experienced by older drivers during their regular driving, and to identify their needs and their expectations regarding Advanced Driving Aid Systems (ADAS) and vehicle automation. More than 100 items were investigated by using a Focus Group method based on a Collective Questionnaire (named FoG-CoQS). Thirty elderly drivers, 15 females and 15 males aged from 70 to 81 years (mean age of 73.3; S.D. = 3.18) were recruited among a representative sample of 76 older drivers living in the Rhône area and having previously participated to an on-road experiment, in order to collect from this Focus Group method further information about the driving difficulties they experienced in their everyday life and their expectations towards driving aids. Seven main topics were more particularly investigated, recovering at last all the main dimensions of the driving task (from navigation to speed control, through intersection crossing).Regarding driving difficulties, one of the most interesting result collected is the high contrast between the literature review, identifying Left Turn (LT) manoeuvres at crossroads as a risky driving situation for elderly drivers, and the relatively low values of perceived difficulties (i.e. compared to other driving sub-tasks) collected during this Focus Group among our sample of older drivers. Regarding the driving aid functions investigated, 10 of them obtained high scores of “perceived utility” (i.e. overpassing 60% on scales ranging from 0% [no utility] to 100% [high utility]), and they concerned assistances liable to support all the main components of the driving task investigated in this study.Additional results are related to the differences between the elderly female and male drivers. Several driving situations were assessed as significantly more difficult to perform by the older female than by the older male drivers, like intersection crossing, entering expressways, or implementing a lane change manoeuver. By contrast, this gender effect is more limited regarding driving aids: synthetically, men and women have a positive attitude towards driving aid systems and their expectations for future ADAS are quite similar (for instance, “informative systems” are preferred than driving aids based on “vehicle automation”).Finally, from two transversal items (i.e. “difficulties” to perform a driving sub-task and “perceived utility” of ADAS), it was possible to rank older drivers’ difficulties experienced during their everyday life (from lowest difficulties to “navigate on a familiar itinerary” to highest when “interacting with bicyclists”) and their expectations towards driving aids (from lowest utility score given to “Automatic Lane Change systems” to highest utility value provided to “Speed Informer systems”). At last, older drivers’ acceptance and expectations towards highly automated cars was also investigated: full automation was assessed as an interesting solution to ensure the self-mobility of elderly peoples in their circle, but also for themselves in the future, in case of impairments of their own cognitive or physical capacities.     

Cognitive function and young drivers: The relationship between driving,attitudes, personality and cognition

Young drivers (aged 17–25 years) are the highest risk age group for driving crashes and are over-represented in car crash statistics in Australia. A relationship between cognitive functioning and driving in older drivers (60 years and older) has been consistently supported in previous literature, however, this relationship has been neglected in research regarding younger drivers. The role of cognitive functioning in young people’s driving was investigated both independently and within a current model of younger peoples driving performance. With young drivers as participants, driving behaviour, attitudes, personality and cognitive functioning were tested and driving performance was operationalised through two measures on a driving simulator, speeding and lane deviations. Cognitive functioning was found to contribute to driving behaviour, along with driving attitudes and personality traits, in accounting for young people’s driving performance. The young drivers who performed better on cognitive functioning tasks engaged in less speeding behaviour and less lane deviation on the driving simulator than those who performed worse on these tasks. This result was found independent of the role of driving behaviour, driving attitudes and personality traits, accounting for unique variance in driving ability.     

The value of self-report measures as indicators of driving behaviors among young drivers

Although much of the knowledge in transportation psychology has been gained by means of self-report measures, there is still a dispute regarding the usefulness and validity of such instruments. This series of two studies employed multivariate statistical models to examine associations between self-report and objective measures in two samples of young drivers. Study 1 (n = 151) compared scores on the Multidimensional Driving Style Inventory (MDSI), a self-report questionnaire tapping four broad driving styles, with the naturalistic driving recorded by an in-vehicle data recorder (IVDR). Study 2 (n = 80) compared responses to the Reckless Driving Habits Scale, assessing the frequency with which drivers commit a set of risky behaviors, with driving measures collected by a simulator. This study also examined the personality trait of sensation seeking, as well as gender and driving experience. In Study 1, the analysis revealed positive associations between high scores on the risky and hostile driving styles measured by the MDSI and risky behaviors measured by the IVDR, as well as inverse correlations between the latter and high MDSI scores on the anxious and careful driving styles. Similarly, in Study 2 associations were found between the self-reported frequency of reckless driving habits and several risky behaviors measured by the driving simulator. In addition, risky behaviors correlated with the sociodemographic variables and sensation seeking. The two studies therefore show that self-report measures are reliable tools for assessing driving behaviors for purposes of research, evaluation, and intervention.     

Mild functional decline and driving performance of older drivers without a diagnosed dementia: Study of leukoaraiosis and cognitive function

Motor vehicle collisions involving older drivers have increased and become an important social issue. It is known that the decline of cognitive function, including dementia, affects driving performance. A series of studies using the Mini-Mental State Examination (MMSE) and other tests of dementia have attempted to prevent motor vehicle collisions by identifying as early as possible older drivers who may be unable to maintain their driving performance. Further, the performance of older drivers may deteriorate even if they do not have a diagnosis of dementia. Therefore we focused on the relationship between cognitive functioning assessed by the MMSE and diagnosis of leukoaraiosis (LA), or changes in the cerebral white matter, with different aspects of driving behavior resulting from aging. Qualified driving instructors evaluated participants’ driving behaviors on an outdoor driving course at a driving school. Visual search duration and angle at intersections were obtained by wearable wireless sensors. Vehicle speed and minimum vehicle speed were recorded from vehicle speed pulse signals. Duration of signaling and visual searches at unsignalized intersections were recorded using an in-vehicle camera. We assessed instructors’ evaluations and the scores on two instruments to evaluate the effects of MMSE scores and the grade of LA on driving performance were verified. The results suggest that lower MMSE scores and higher LA grade can predict some aspects of poor driving performance in older drivers before they experience dementia or an evident decline in cognitive functioning. Based on these results, we discuss countermeasures that may prevent motor vehicle collisions involving older drivers.     

Keep on cruising: Changes in lifestyle and driving style among male drivers between the age of 18 and 23

Despite recent improvements in general road safety levels, young male drivers in most western countries continue to be overrepresented in road traffic accidents. Lifestyle related motivational factors are a key element in the young male driver problem. Based on 379 posted questionnaires completed by the same male drivers at the age of 18 and again at the age of 23, this study examined changes in the relationship between lifestyle and driving style over a 5 year period. A number of changes in car use, driving style and engagement in different leisure time activities were found. Cruising was related to an extrovert social life as well as problem behaviours such as drink driving. At the age of 18 cruising was a part of the normal social life of the majority of the participants. However, while most drivers reduced their level of cruising as well as related problem behaviour over time, a smaller group still showed a similar life style at the age of 23. The study confirmed the importance of lifestyle related motivational factors for driving behaviour among young drivers.     

Identification of driving simulator sessions of depressed drivers: A comparison between aggregated and time-series classification

Depression has been found to significantly increase the probability of risky driving and involvement in traffic collisions. The majority of studies correlating depressive symptoms with driving, pursue to predict the differences in driving behavior if the driver has already been diagnosed. Little evidence can be found, however, on how mental and psychological disorders can be identified from driving data, and usually analyses utilize simple models and aggregated data. This study aims at utilizing microscopic data from a driving simulator to detect sessions belonging to “depressed” drivers by utilizing powerful machine learning classifiers. Driving simulator sessions from 11 older drivers with symptoms of depression and 65 healthy drivers were utilized towards that aim. Random Forests, an ensemble classifier, with proven efficiency among transportation applications, are then trained on highly disaggregated data describing the mean and standard deviation of speed and lateral or longitudinal acceleration of drivers in the simulator. The kinematic data were aggregated in 30-seconds, 1-minute and 5-minute intervals, but the corresponding time-series of the measurements were also taken into account. Furthermore, classifiers were treated with imbalanced learning techniques to address the scarcity of depressed drivers among the healthy. Time-series of mean speed and the standard deviation of longitudinal acceleration even with a duration of 30-seconds have proven to be the best predictors of driving sessions belonging to depressed drivers with a very low rate of false alarms. The results outperform previous approaches, and indicate that naturalistic driving data or deep learning could prove even more efficient in detecting depression.     

Self-regulation of driving by older adults: Comparison of self-report and objective driving data

Until recently, objective data have been lacking on the extent to which older adults modify their driving by driving less or avoiding situations considered challenging; a process commonly referred to as self-regulation. Advances in technology now make it possible to examine driving exposure, patterns, and habits using low-cost global positioning system (GPS) technology to record a vehicle’s location on a continuous basis along with the date and time. The purpose of this exploratory study was to better understand the process of self-regulation among older adults by examining their trip-specific driving patterns using objectively-derived GPS measures of driving and comparing these patterns with drivers’ self-reports. The study used a sample of 156 adults age 75 or older, recruited from the greater Melbourne area of Australia as part of the Ozcandrive project, a partnership between Monash University Accident Research Centre and the Canadian Driving Research Initiative for Vehicular Safety in the Elderly (Candrive), a prospective cohort study of older drivers. Objective driving data were collected through equipment installed in participants’ personal vehicles. Participants were asked to drive as they normally would with the equipment installed in their vehicle. After approximately the first 4 months of driving with the device, data were downloaded and participants completed a computer-based questionnaire on self-regulation of driving. Results suggest that there was correspondence, albeit not perfect, between some objective driving measures and their comparable self-reported measures, but a lack of correspondence for others. For avoidance of various driving situations, comparisons were statistically significant for driving at night, driving in unfamiliar areas, and on high speed roads. For each driving situation, participants’ actual driving predicted the likelihood of reporting trying to avoid that situation, although perfect one-to-one correspondence between the self-reported and objective data on self-regulatory driving patterns was lacking. For measures of driving exposure, self-reported and objective driving exposure measures were correlated, but participants tended to underreport their average number of days per week and kilometers per week driven. This discrepancy between self-reported and objective measures is of concern as the ability to measure driving exposure not only contributes to a better understanding of the complex process of self-regulation, but is also a critical element in understanding crash risk.     

Driving fear and driving skills: comparison between fearful and control samples using standardised on-road assessment

The present study explores driving skills in a group of 50 media-recruited driving-fearful and 50 control drivers, all of whom were women. Participants completed an on-road practical driving assessment with a professional driving instructor. Diagnostic as well as pre-post self-report and instructor driving assessments were conducted. Fearful drivers made more errors on the driving assessment than controls. However, the pattern of errors was identical for both groups, indicating that fear and anxiety may be associated with the number rather than the type of driving errors made. These differences remained when factors such as driving history, current driving frequency, and diagnosis were controlled using case selection. More research is needed to replicate the findings in more diverse samples. Additional work should also aim to clarify the specific role of driving skills in driving fear, which will facilitate treatment planning for exposure-based treatments and help identify cases where driving skills assessment may be appropriate.     

The detection of vulnerable road users by younger and older drivers

The detection of vulnerable road users (VRUs), especially under time constraints, may be impaired in elderly drivers, due to their visual and cognitive decline. This represents a major concern for road safety. The objective of the present study was to investigate the effect of aging on the detection of VRUs. A further aim was to investigate the impact of external factors on VRU detection. Twenty-two young adults, 20 younger-old adults, and 32 older-old adults were included in the study. A series of photographs were displayed for 500 ms. Participants were asked to detect the VRU, which could be a motorcyclist, a cyclist, or a pedestrian. The VRU was located at one of two distances (near/far), one of two locations (off-centered/centered), and in two car-DRL (daytime running lights) environments (on/off). The ability to correctly detect a VRU was measured. An eye-tracker was used to record eye movements. The main findings showed that VRU-detection performance decreased with aging, even in the younger-old group (ages 55–68). The ability to correctly detect a VRU by older-old adults was poorer particularly when the VRU was a motorcyclist or a cyclist. As a whole, the older-old adults made more fixations to correctly detect the VRU than the other two age groups did. Moreover, the visual angle between the gaze of the participant’s last fixation and the target in the older-old group was lower than in the other two groups, particularly when the VRU was off-centered. This finding suggests that older-old adults compensated for their visual-field decline by doing more visual exploration than the other two groups did to correctly detect the VRU. The results are discussed with regards to age-related cognitive and visual deficits.Word count: 279.     

Bias in older adults’ driving self-assessments: The role of personality

A convenience sample of 50 older drivers (M_age = 73.14, SD = 4.85) completed the Myers-Briggs Type Indicator® (MBTI®) Step III™ instrument and rated their own driving abilities (compared to all other drivers, same age drivers, and their own driving 20 years prior) and their ability to perform 68 specific driving-related behaviors. Each subject’s driving performance was also evaluated in a comprehensive on-road assessment conducted by a certified driving rehabilitation specialist, who rated the same 68 driving behaviors as well as driving performance. Drivers identified by the MBTI Step III instrument as Extraverted, Sensing, and (above median) Confident rated their driving significantly more favorably than Introverts, Intuitives, and below median Confidence drivers. Step III Sufficiency scales were associated with on-road performance: drivers with scores indicating low Confidence, low Stamina, or critical high levels of Compensatory Strain received significantly lower evaluations. Drivers with a Sensing preference or critical Strain score rated their driving significantly more favorably than evaluators did. These findings present preliminary evidence for the utility of personality assessments in identifying self-serving bias in driving self-evaluations, essential for safe self-regulation of driving.     

Planning for driving retirement: The effect of driving perceptions,driving events,and assessment of driving alternatives

Most older adults will eventually stop driving, but few engage in planning for driving retirement. This study assessed whether driving stress, enjoyment, confidence, concerning driving events, and assessment of driving alternatives influence planning. Demographic factors were also included. Data were collected via a mailed transportation survey, with a final sample of 551 older adults who currently drive. Linear regression analyses revealed that more driving retirement planning was associated with greater driving stress, less driving confidence, and a more positive view of driving alternatives. Driving enjoyment and recent concerning driving events were not significantly related. Among the control variables, race and income were significantly related to planning, suggesting that lower income and identifying as Black race were associated with more planning. Gender only approached significance, suggesting that females may plan more than males. Overall, these findings suggest that more driving retirement planning is warranted. Some of the groups known to be at increased risk for driving reduction and cessation plan more for that eventuality than their counterparts. Implications of the study and suggestions for future research are discussed.