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Visual attention and self-regulation of driving among older adults
Author(s)Ozioma C Okonkwo, Michael Crowe, Virginia G Wadley
Journal titleInternational Psychogeriatrics, vol 20, no 1, February 2008
Pagespp 162-173
KeywordsDriving capability ; Drivers accidents ; Visual impairment ; Cognitive impairment ; Cognitive processes ; Mental speed ; Social surveys ; United States of America.
AnnotationWith 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, the authors investigate self-regulation of driving among a group of older adults with varying functional abilities. 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 United States State Department of Public Safety. 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. 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 behaviours with older adults routinely to ensure their safety. The association between visual attention and driving restriction has implications for interventions aimed at preserving mobility in the older population. (KJ/RH).
Accession NumberCPA-090825211 A
ClassmarkOPF: OPD: BR: E4: DA: DG: 3F: 7T

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