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Visual attention and self-regulation of driving among older adults

Published online by Cambridge University Press:  01 February 2008

Ozioma C. Okonkwo ,
Michael Crowe ,
Virginia G. Wadley  and
Karlene Ball
Ozioma C. Okonkwo
Affiliation:
Department of Psychology, University of Alabama at Birmingham, Alabama, U.S.A. Center for Translational Research on Aging and Mobility, University of Alabama at Birmingham, Alabama, U.S.A.
Michael Crowe
Affiliation:
Center for Translational Research on Aging and Mobility, University of Alabama at Birmingham, Alabama, U.S.A. Department of Medicine, University of Alabama at Birmingham, Alabama, U.S.A.
Virginia G. Wadley
Affiliation:
Department of Psychology, University of Alabama at Birmingham, Alabama, U.S.A. Center for Translational Research on Aging and Mobility, University of Alabama at Birmingham, Alabama, U.S.A. Department of Medicine, University of Alabama at Birmingham, Alabama, U.S.A. Alzheimer's Disease Research Center, University of Alabama at Birmingham, Alabama, U.S.A.
Karlene Ball
Affiliation:
Department of Psychology, University of Alabama at Birmingham, Alabama, U.S.A. Center for Translational Research on Aging and Mobility, University of Alabama at Birmingham, Alabama, U.S.A. Alzheimer's Disease Research Center, University of Alabama at Birmingham, Alabama, U.S.A.
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Abstract

Background: With the number of older drivers increasing, self-regulation of driving has been proposed as a viable means of balancing the autonomy of older adults against the sometimes competing demand of public safety. In this study, we investigate self-regulation of driving among a group of older adults with varying functional abilities.

Method: Participants in the study comprised 1,543 drivers aged 75 years or older. They completed an objective measure of visual attention from which crash risk was estimated, and self-report measures of driving avoidance, driving exposure, physical functioning, general health status, and vision. Crash records were obtained from the State Department of Public Safety.

Results: Overall, participants were most likely to avoid driving in bad weather followed by driving at night, driving on high traffic roads, driving in unfamiliar areas, and making left-hand turns across oncoming traffic. With the exception of driving at night, drivers at higher risk of crashes generally reported greater avoidance of these driving situations than lower risk drivers. However, across all driving situations a significant proportion of higher risk drivers did not restrict their driving. In general, self-regulation of driving did not result in reduced social engagement.

Conclusion: Some older drivers with visual attention impairments do not restrict their driving in difficult situations. There is a need for physicians and family members to discuss driving behaviors with older adults routinely to ensure their safety. The association between visual attention and driving restriction also has implications for interventions aimed at preserving mobility in the elderly.

Keywords

cognitive impairmentdriving self-restrictionolder drivers
Type
Research Article
Information
International Psychogeriatrics , Volume 20 , Issue 1 , February 2008 , pp. 162 - 173
Copyright
Copyright © International Psychogeriatric Association 2007

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References

Baldock, M. R. J., Mathias, J. L., McLean, A. J. and Berndt, A. 2006. Self-regulation of driving and its relationship to driving ability among older adults. Accident Analysis and Prevention, 38, 1038–1045.CrossRefGoogle ScholarPubMed
Ball, K. and Owsley, C. 2003. Driving competence: it's not a matter of age. Journal of the American Geriatrics Society, 51, 1499–1501.CrossRefGoogle Scholar
Ball, K., Owsley, C., Sloane, M. E., Roenker, D. L. and Bruni, J. R. 1993. Visual attention problems as a predictor of vehicle crashes in older drivers. Investigative Ophthalmology and Visual Science, 34, 3110–3123.Google ScholarPubMed
Ball, K., Owsley, C., Stalvey, B., Roenker, D. L., Sloane, M. E. and Graves, M. 1998. Driving avoidance and functional impairment in older adults. Accident Analysis and Prevention, 30, 313–322.CrossRefGoogle Scholar
Ball, K. et al. . 2006. Can high-risk older drivers be identified through performance-based measures in a department of motor vehicle setting? Journal of the American Geriatrics Society, 54, 77–84.CrossRefGoogle Scholar
Bédard, M., Leonard, E., McAuliffe, J., Weaver, B., Gibbons, C. and Dubois, S. 2006. Visual attention and older drivers: the contribution of inhibition of return to safe driving. Experimental Aging Research, 32, 119–135.CrossRefGoogle ScholarPubMed
Brabyn, J. A., Schneck, M. E., Lott, L. A. and Haegerstom-Portnoy, G. 2005. Night driving self-restriction: vision function and gender differences. Optometry and Vision Science, 82, 755–764.CrossRefGoogle ScholarPubMed
Carr, D. B. 2000. The older adult driver. American Family Physician, 61, 141–146, 148.Google ScholarPubMed
Carr, D. B., Duchek, J. M., Meuser, T. M. and Morris, J. C. 2006. Older adult drivers with cognitive impairment. American Family Physician, 73, 1029–1034.Google ScholarPubMed
Clay, O., Wadley, V. G., Edwards, J. D., Roth, D. L., Roenker, D. L. and Ball, K. 2005. Cumulative meta-analysis of the relationship between useful field of view and driving performance in older adults: current and future implications. Optometry and Vision Science, 82, 724–731.CrossRefGoogle ScholarPubMed
De Raedt, R. and Ponjaert-Kristofferson, I. 2000. The relationship between cognitive/neuropsychological factors and car driving performance in older adults. Journal of the American Geriatrics Society, 48, 1664–1668.CrossRefGoogle ScholarPubMed
Dugan, E. and Kivett, V. R. 1994. The importance of emotional and social isolation to loneliness among very old rural adults. The Gerontologist, 34, 340–346.CrossRefGoogle ScholarPubMed
Fonda, S. J., Wallace, R. B. and Herzog, A. R. 2001. Changes in driving patterns and worsening depression symptoms among older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56, S343–351.CrossRefGoogle ScholarPubMed
Freeman, E., Gange, S. J., Munoz, B. and West, S. K. 2006. Driving status and risk of entry into long-term care in older adults. American Journal of Public Health, 96, 1254–1259.CrossRefGoogle ScholarPubMed
Goode, K. T. et al. . 1998. Useful field of view and other neurocognitive indicators of crash risk in older adults. Journal of Clinical Psychology in Medical Settings, 5, 425–440.CrossRefGoogle Scholar
Hennessy, D. E. 1995. Vision Testing of Renewal Applicants: Crashes Predicted when Compensation for Impairment is Inadequate. Sacramento, CA: California Department of Motor Vehicles.Google Scholar
Hoffman, L., McDowd, J. M., Atchley, P. and Dubinsky, R. 2005. The role of visual attention in predicting driving impairment in older adults. Psychology and Aging, 20, 610–622.CrossRefGoogle ScholarPubMed
Marottoli, R. A., Mendes de Leon, C. F., Glass, T. A., Williams, C. S., Cooney, L. M. and Berkman, L. F. 2000. Consequences of driving cessation: decreased out-of-home activity levels. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55, S334–340.CrossRefGoogle ScholarPubMed
Miller, D. J. and Morley, J. E. 1993. Attitudes of physicians toward elderly drivers and driving policy. Journal of the American Geriatrics Society, 41, 722–724.CrossRefGoogle ScholarPubMed
National Highway Traffic Safety Administration 2005. Medical Conditions and Driving: A Review of the Scientific Literature (1960–2000). Washington, DC: U.S. Department of Transportation.Google Scholar
Owsley, C. et al. . 1998. Visual processing impairment and risk of motor vehicle crash among older adults. JAMA, 279, 1083–1088.CrossRefGoogle ScholarPubMed
Owsley, C., Stalvey, B., Wells, J. and Sloane, M. E. 1999. Older drivers and cataract: driving habits and crash risk. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 54A, M203–M211.CrossRefGoogle Scholar
Richardson, E. D. and Marottoli, R. A. 2003. Visual attention and driving behaviors among community-living older persons. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58, M832–836.CrossRefGoogle ScholarPubMed
Rimmo, P. and Hakamies-Blomqvist, L. 2002. Older drivers' aberrant driving behaviour, impaired activity, and health as reasons for self-imposed driving limitations. Transportation Research Part F, 5, 47–62.CrossRefGoogle Scholar
Roenker, D. L., Cissell, G. M., Ball, K., Wadley, V. G. and Edwards, J. D. 2003. Speed-of-processing and driving simulator training result in improved driving performance. Human Factors, 45, 218–233.CrossRefGoogle ScholarPubMed
Ruechel, S. and Mann, W. C. 2005. Self-regulation of driving by older persons. Physical and Occupational Therapy in Geriatrics, 23, 91–101.CrossRefGoogle Scholar
Sloane, M. E., Owsley, C. and Alvarez, S. L. 1988. Aging, senile miosis, and spatial contrast sensitivity at low illumination. Vision Research, 28, 1235–1246.CrossRefGoogle Scholar
Stutts, J. C. 1998. Do older drivers with visual and cognitive impairments drive less? Journal of the American Geriatrics Society, 46, 854–861.CrossRefGoogle ScholarPubMed
Wang, C. C. 2003. Physician's Guide to Assessing and Counseling Older Drivers. Chicago: American Medical Association. Available at www.ama-assn.org/ama/pub/category/10791.html (accessed12 January 2007).Google Scholar
Whelihan, W. M., DiCarlo, M. A. and Paul, R. H. 2005. The relationship of neuropsychological functioning to driving competence in older persons with early cognitive decline. Archives of Clinical Neuropsychology, 20, 217–228.CrossRefGoogle ScholarPubMed