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Driving Task: How Older Drivers’ On-Road Driving Performance Relates to Abilities, Perceptions, and Restrictions

Published online by Cambridge University Press:  29 March 2016

Sjaan Koppel*
Affiliation:
Monash University Accident Research Centre, Monash University
Judith L. Charlton
Affiliation:
Monash University Accident Research Centre, Monash University
Jim Langford
Affiliation:
Monash University Accident Research Centre, Monash University
Marilyn Di Stefano
Affiliation:
La Trobe University
Wendy MacDonald
Affiliation:
La Trobe University
Zafiroula Vlahodimitrakou
Affiliation:
Monash University Accident Research Centre, Monash University
Barbara L. Mazer
Affiliation:
McGill University
Isabelle Gelinas
Affiliation:
McGill University
Brenda Vrkljan
Affiliation:
McMaster University
Kinga Eliasz
Affiliation:
McMaster University
Anita Myers
Affiliation:
University of Waterloo
Holly A. Tuokko
Affiliation:
University of Victoria
Shawn C. Marshall
Affiliation:
Ottawa Hospital Research Institute
*
La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to: Dr. Sjaan Koppel Ph.D. Monash University Accident Research Centre 21 Alliance Lane, Clayton Campus, Monash University, VIC 3800 Australia ([email protected])

Abstract

This study examined a cohort of 227 older drivers and investigated the relationship between performance on the electronic Driver Observation Schedule (eDOS) driving task and: (1) driver characteristics; (2) functional abilities; (3) perceptions of driving comfort and abilities; and (4) self-reported driving restrictions. Participants (male: 70%; age: M = 81.53 years, SD = 3.37 years) completed a series of functional ability measures and scales on perceived driving comfort, abilities, and driving restrictions from the Year 2 Candrive/Ozcandrive assessment protocol, along with an eDOS driving task. Observations of participants’ driving behaviours during the driving task were recorded for intersection negotiation, lane-changing, merging, low-speed maneuvers, and maneuver-free driving. eDOS driving task scores were high (M = 94.74; SD = 5.70) and significantly related to participants’ perceived driving abilities, reported frequency of driving in challenging situations, and number of driving restrictions. Future analyses will explore potential changes in driving task scores over time.

Résumé

Cette 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.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2016 

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References

Augenstein, J. (2001, February). Differences in clinical response between the young and the elderly. Paper presented at the Aging and Driving Symposium, Association for the Advancement of Automotive Medicine, Des Plaines, IL.Google Scholar
Austroads. (2012). Assessing fitness to drive for commerical and private vehicle drivers. Sydney, Australia: Author.Google Scholar
Baldock, M. R. J., Mathias, J., McLean, J., & Berndt, A. (2006). Self-regulation of driving and older drivers’ functional abilities. Clinical Gerontologist, 30(1), 5370.CrossRefGoogle Scholar
Ball, K., Owsley, C., Stalvey, B., Roeneker, D., Sloane, M., & Graves, M. (1998). Driving avoidance and functional impairment in older drivers. Accident Analysis and Prevention, 30(3), 313322.CrossRefGoogle ScholarPubMed
Benekohal, R., Michaels, R., Shim, E., & Resende, P. (1994). Effects of aging on older drivers’ travel characteristics. Transportation Research Record, 1438, 9198.Google Scholar
Blanchard, R., & Myers, A. (2010). Examination of driving comfort and self-regulatory practices in older adults using in-vehicle devices to assess natural driving patterns. Accident Analysis & Prevention, 42(4), 12131219.CrossRefGoogle ScholarPubMed
Blanchard, R., Myers, A., & Porter, M. (2010). Correspondence between self-reported and objective measures of driving exposure and patterns in older drivers. Accident Analysis & Prevention, 42(2), 523529.CrossRefGoogle ScholarPubMed
Carr, D. B., Schwartzberg, J. G., Manning, L., & Sempek, J. (2010). Physician’s guide to assessing and counseling older drivers (2nd ed.). Washington, DC: National Highway Traffic Safety Association.Google Scholar
Catchpole, J., Styles, T., Pyta, V., & Imberger, K. (2005). Exposure and accident risk among older drivers. Victoria, Australia: ARRB Group Ltd.Google Scholar
Charlton, J., Koppel, S., Odell, M., Devlin, A., Langford, J., O’Hare, M., et al. (2010). Influence of chronic illness on crash involvement of motor vehicle drivers. Melbourne, Australia: Monash University Accident Research Centre.Google Scholar
Charlton, J., Oxley, J., Fildes, B., Oxley, P., Newstead, S., Koppel, S., et al. (2006). Characteristics of older drivers who adopt self-regulatory driving behaviours. Transportation Research Part F: Traffic Psychology and Behaviour, 9(5), 363373.CrossRefGoogle Scholar
Classen, S., Shechtman, O., Awadzi, K. D., Joo, Y., & Lanford, D. N. (2010). Traffic violations versus driving errors of older adults: Informing clinical practice. American Journal of Occupational Therapy, 64(2), 233241.CrossRefGoogle ScholarPubMed
Coughlin, J. (2009). Longevity, lifestyle, and anticipating the new demands of aging on the transportation system. Public Works Management & Policy, 13(4), 301311.CrossRefGoogle Scholar
Dejeammes, M., & Ramet, M. (1996, May). Aging process and safety enhancement of car occupants. Paper presented at the 15th International Technical Conference on the Enhanced Safety of Vehicles, Melbourne, Australia.Google Scholar
Di Stefano, M., & Macdonald, W. (2003). Assessment of older drivers: Relationships among on-road errors, medical conditions and test outcome. Journal of Safety Research, 34(4), 415429. doi: http://dx.doi.org/10.1016/j.jsr.2003.09.010 CrossRefGoogle ScholarPubMed
Di Stefano, M., & Macdonald, W. (2006). On-the-road evaluation of driving performance. In Pellerito, J. (Ed.), Driver rehabilitation and community mobility: Principles and practice (pp. 255274). St. Louis, MO: Elsevier Mosby.Google Scholar
Di Stefano, M., & Macdonald, W. (2010). Australian occupational therapy driver assessors’ opinions on improving on-road driver assessment procedures. American journal of occupational therapy, 64(2), 325335.CrossRefGoogle ScholarPubMed
Dobbs, A. R., Heller, R. B., & Schopflocher, D. (1998). A comparative approach to identify unsafe older drivers. Accident Analysis and Prevention, 30(3), 363370.CrossRefGoogle ScholarPubMed
Dobbs, B. (2001). Medical conditions and driving: Current knowledge. Washington, DC: National Highway Transportation Safety Administration and The Association for the Advancement of Automotive Medicine Project.Google Scholar
Ernst, R., & O’Connor, P. (1988). Report on accident countermeasures focusing on elderly drivers. Adelaide, Australia: South Australian Department of Road Transport.Google Scholar
Evans, L. (2004). Traffic Safety. Bloomfield Hills, MI: Science Serving Society.Google Scholar
Fildes, B., Corben, B., Kent, S., Oxley, J., Le, T., & Ryan, P. (1994). Older road user crashes . Melbourne, Australia: Monash University Accident Research Centre.Google Scholar
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini mental state. Journal of Psychiatric Research, 12, 189198.CrossRefGoogle ScholarPubMed
Fox, M. D. (1989). Elderly drivers’ perceptions of their driving abilities compared to their functional visual perception skills and their actual driving performance. Physical & Occupational Therapy in Geriatrics, 7(1–2), 1350.CrossRefGoogle Scholar
Galski, T., Bruno, R., & Ehle, H. (1993). Prediction of behind-the-wheel driving performance in patients with cerebral brain damage: A discriminant function analysis. American journal of occupational therapy, 47(5), 391396.CrossRefGoogle ScholarPubMed
Gstalter, H., & Fastenmeier, W. (2010). Reliability of drivers in urban intersections. Accident Analysis & Prevention, 42(1), 225234.CrossRefGoogle ScholarPubMed
Hakamies-Blomqvist, L., & Wahlstrom, B. (1998). Why do older drivers give up driving? Accident Analysis and Prevention, 30(3), 305312.CrossRefGoogle ScholarPubMed
Hunt, L., Murphy, C., Carr, D., Duchek, J., Buckles, V., & Morris, J. (1997). Reliability of the Washington University Road Test: A performance-based assessment for drivers with dementia of the Alzheimer type. Archives of Neurology, 54(6), 707712.CrossRefGoogle Scholar
Janke, M. (1994). Age-related disabilities that may impair driving and their assessment: Literature review . Sacramento, CA: California Department of Motor Vehicles.Google Scholar
Justiss, M. (2005). Development of a behind-the-wheel driving performance assessment for older adults (Unpublished doctoral dissertation). Gainesville, FL: University of Florida.Google Scholar
Justiss, M. D., & Stav, W. (2006) Development of a behind-the-wheel driving performance assessment for older adults. Topics in Geriatric Rehabilitation, 22(2), 121128.CrossRefGoogle Scholar
Koppel, S., Bohensky, M., Langford, J., & Taranto, D. (2011). Older drivers, crashes and injuries. Traffic Injury Prevention, 12(5), 459467.CrossRefGoogle ScholarPubMed
Koppel, S., Charlton, J. L., Langford, J., Di Stefano, M., Macdonald, W., Mazer, B., et al. (2012, October). Findings from the Candrive/Ozcandrive Study: A preliminary analysis of the driving observation schedule (DOS) data Paper presented at the Candrive/Ozcandrive Symposium. Paper presented at the Australian Road Safety Research, Policy and Education Conference, Wellington, New Zealand.Google Scholar
Koppel, S., Charlton, J. L., Langford, J., Vlahodimitrakou, Z., Di Stefano, M., Macdonald, W., et al. (2013, September). The relationship between older drivers’ performance on the driving observation schedule (eDOS) and cognitive performance. Paper presented at the Annual Proceedings of the Association for the Advancement of Automotive Medicine, Quebec City, Canada.Google Scholar
Korner-Bitensky, N., Bitensky, J., Sofer, S., Man-Son-Hing, M., & Gelinas, I. (2005). Driving evaluation practices of clinicians working in the United States and Canada. The American Journal Of Occupational Therapy: Official Publication of the American Occupational Therapy Association, 60(4), 428434.CrossRefGoogle Scholar
Kostyniuk, L., & Shope, J. (1998). Reduction and cessation of driving among older drivers: Focus groups. Ann Arbor, MI: The University of Michigan Transportation Research Institute.Google Scholar
Kowalski, K., Love, J., Tuokko, H., MacDonald, S., Hultsch, D., Strauss, E. (2011). The influence of cognitive impairment with no dementia on driving restriction and cessation in older adults. Accidents Analysis and Prevention, 49, 308315.CrossRefGoogle ScholarPubMed
Kowalski, K., & Tuokko, H. (2007). On-road driving assessment of older adults: A review of the literature. Victoria, Australia: University of Victoria Centre on Aging and Justice Institute of British Columbia.Google Scholar
Langford, J., & Koppel, S. (2006). Epidemiology of older driver crashes—Identifying older driver risk factors and exposure patterns. Transportation Research Part F: Traffic Psychology and Behaviour, 9(5), 309321.CrossRefGoogle Scholar
Langford, J., & Koppel, S. (2011). Licence restrictions as an under-used strategy in managing older driver safety. Accident Analysis & Prevention, 43(1), 487493.CrossRefGoogle ScholarPubMed
Li, G., Braver, E. R., & Chen, L. (2003). Fragility versus excessive crash involvement as determinants of high death rates per vehicle-mile of travel among older drivers. Accident Analysis and Prevention, 35(2), 227235.CrossRefGoogle ScholarPubMed
Lundberg, C., & Hakamies-Blomqvist, L. (2003). Driving tests with older patients: Effect of unfamiliar versus familiar vehicle. Transportation Research Part F: Traffic Psychology and Behaviour, 6(3), 163173. doi: http://dx.doi.org/10.1016/S1369-8478(03)00023-8 CrossRefGoogle Scholar
MacDonald, L., Myers, A., & Blanchard, R. (2008). Correspondence among older drivers’ perceptions, abilities and driving behaviours. Topics in Geriatric Rehabilitation, 24, 239252.CrossRefGoogle Scholar
MacDonald, W., Pellerito, J., & Di Stefano, M. (2006). Introduction to driver rehabilitation and community mobility. In Pellerito, J. M. (Ed.), Driver rehabilitation and community principles and practice (pp. 321). St. Louis, MO: Elsevier Mosby.Google Scholar
Mackay, M. (1998, December). Occupant protection and vehicle design. Paper presented at the Association for the Advancement of Automotive Medicine Course on the Biomechanics of Impact Trauma, Los Angeles, CA.Google Scholar
Marcotte, T., & Grant, I. (2009). Neuropsychology of everyday functioning. New York, NY: Guilford Press.Google Scholar
Marottoli, R. (2002, August). Health issues for older road users. Transcript of Proceedings of the Mobility and Safety of Older People Conference, Melbourne, Australia.Google Scholar
Marottoli, R., Ostfield, A., Merril, S., Perlman, G., Foley, D., & Cooney, L. (1993). Driving Cessation and changes in mileage driven among elderly individuals. Journal of Gerontology, Social Sciences, 48, 82558260.CrossRefGoogle ScholarPubMed
Marshall, S. C. (2008). The role of reduced fitness to drive due to medical impairments in explaining crashes involving older drivers. Traffic Injury Prevention, 9(4), 291298.CrossRefGoogle ScholarPubMed
Marshall, S. C., Man-Son-Hing, M., Bédard, M., Charlton, J., Gagnon, S., Gélinas, I., et al. (2013). Protocol for Candrive II/Ozcandrive, a multicentre prospective older driver cohort study. Accident Analysis & Prevention, 61, 245252. doi: http://dx.doi.org/10.1016/j.aap.2013.02.009 CrossRefGoogle ScholarPubMed
McCarthy, D. P. (2005). Approaches to improving elders’ safe driving abilities. Physical & Occupational Therapy in Geriatrics, 23(2–3), 2542. doi: 10.1080/J148v23n02_02 CrossRefGoogle Scholar
McGwin, G., & Brown, D. B. (1999). Characteristics of traffic crashes among young, middle-aged and older drivers. Accident Analysis and Prevention, 31, 181198.CrossRefGoogle ScholarPubMed
Meyer, J. (2004). Personal vehicle transportation. Technology for Adaptive Aging (pp. 253281). Washington, DC: National Academies Press.Google Scholar
Michon, J. A. (1989). Explanatory pitfalls and rule-based driver models. Accident Analysis Prevention, 21, 341353.CrossRefGoogle ScholarPubMed
Molnar, L. J., & Eby, D. W. (2008). The Relationship between self-regulation and driving-related abilities in older drivers: An exploratory study. Traffic Injury Prevention, 9(4), 314319. doi: 10.1080/15389580801895319 CrossRefGoogle ScholarPubMed
Moses, J. A. (2004). Comprehensive trail making test (CTMT). Archives of Clinical Neuropsychology, 19(5), 703708.CrossRefGoogle ScholarPubMed
Myers, A. M., Paradis, J. A., & Blanchard, R. A. (2008). Conceptualizing and measuring confidence in older drivers: Development of the day and night driving comfort scales. Archives of Physical Medicine and Rehabilitation, 89(4), 630640.CrossRefGoogle ScholarPubMed
Myers, A. M., Trang, A., & Crizzle, A. (2011). Naturalistic study of winter driving practices by older men and women: Examination of weather, road conditions, trip purposes and comfort. Canadian Journal of Aging, 30(4), 577589.CrossRefGoogle ScholarPubMed
Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., et al. (2005). The Montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695699. doi: 10.1111/j.1532-5415.2005.53221.x CrossRefGoogle Scholar
Nasvadi, , & Vavrik, J. (2007). Crash risk of older drivers after attending a mature driver education program. Accident Analysis and Prevention, 39, 10731079.CrossRefGoogle ScholarPubMed
Nasvadi, G. (2007). An evaluation of crash risk among older drivers with restricted licenses in British Columbia (Unpublished doctoral dissertation). Burnaby, BC: Simon Fraser University.Google Scholar
Odenheimer, G.L., Beaudet, M., Jette, A.M., Albert, M.S., Grande, L. & Minaker, K. L., 1994. Performance-based driving evaluation of the elderly driver: Safety, reliability, and validity. Journal of Gerontology, 49, 153159.CrossRefGoogle ScholarPubMed
Organisation for Economic Co-operation and Development (OECD). (2001). Ageing and transport. Mobility needs and safety issues. Paris, France: Author.Google Scholar
Ott, B., Papandonatos, G., Davis, J., & Barco, P. (2012). Naturalistic validation of an on-road driving test of older drivers. Human Factors: The Journal of the Human Factors and Ergonomics Society, 54(4), 663674.CrossRefGoogle ScholarPubMed
Padmanaban, J. (2001, February). Crash injury experience of elderly drivers. Paper presented at the Aging and Driving Symposium, Association for the Advancement of Automotive Medicine, Des Plaines, IL.Google Scholar
Persson, D. (1993). The elderly driver: Deciding when to stop. Gerontologist, 33, 8891.CrossRefGoogle ScholarPubMed
Sivak, M., & Schoettle, B. (2011). Recent changes in the age composition of drivers in 15 countries. Ann Arbor, MI: University of Michigan Transportation Research Institute.Google Scholar
Smiley, A. (1999, November). Adaptive strategies of older drivers. Paper presented at the Transportation Research Board Conference on Transportation in an Aging Society: A decade of Experience, Bethesda, MD.Google Scholar
Staplin, L., Gish, K. W., & Wagner, E. K. (2003). MaryPODS revisited: Updated crash analysis and implications for screening program implementation. Journal of Safety Research, 34, 389397.CrossRefGoogle ScholarPubMed
Stelmach, , & Nahom, A. (1992). Cognitive-motor abilities of the elderly driver. Human Factors, 34, 5365.CrossRefGoogle ScholarPubMed
Tuokko, H., Myers, A., Jouk, A., Marshall, S., Man-Son-Hing, M., Porter, M. M., et al. (2013). Associations between age, gender, psychosocial and health characteristics in the Candrive II study cohort. Accident Analysis & Prevention, 61(0), 267271. doi: http://dx.doi.org/10.1016/j.aap.2013.02.036 CrossRefGoogle ScholarPubMed
Viano, D., Culver, C., Evans, L., Frick, M., & Scott, R. (1990). Involvement of older drivers in multi-vehicle side impact crashes. Accident Analysis and Prevention, 22, 177188.CrossRefGoogle Scholar
Vlahodimitrakou, Z., Charlton, J., Langford, J., Koppel, S., Di Stefano, M., Macdonald, W., et al. (2013). Development and evaluation of a driving observation schedule (DOS) to study everyday driving performance of older drivers. Accident Analysis & Prevention, 61, 253260. doi: http://dx.doi.org/10.1016/j.aap.2013.03.027 CrossRefGoogle ScholarPubMed
Webber, S., Porter, M., & Menec, V. (2010). Mobility in older adults: A comprehensive framework. The Gerontologist, 50(4), 443450. doi: 10.1093/geront/gnq013 CrossRefGoogle ScholarPubMed
Willis, S. (2000). Driving competence: The person x environment fit. In Mobility and transportation in the elderly (pp. 269277). New York, NY: Springer.Google Scholar
Withaar, F., Brouwer, W., & Van Zomeren, A. (2000). Fitness to drive in older drivers with cognitive impairment. Journal of the International Neuropsychological Society, 6(04), 480490.CrossRefGoogle ScholarPubMed
Young, K. L., Salmon, P. M., & Lenné, M. G. (2013). At the cross-roads: An on-road examination of driving errors at intersections. Accident Analysis & Prevention, 58, 226234.CrossRefGoogle ScholarPubMed