In my car the brake is on the right: pedal errors among older drivers

PURPOSE: To assess to what extent specific cognitive functions contribute to pedal errors among older drivers. METHODS: 180 subjects aged 65 and older completed a 30 min driving evaluation on a simulator as well as three cognitive tests, the Mini-Mental State Exam (MMSE), the Clock Drawing Test, and Trailmaking Part A and B. Analyses based on logistic regressions were performed using age, gender, MMSE, Trailmaking Part A and B, and Clock Drawing Test as independent variables. RESULTS: Results indicate that Clock Drawing is the best predictor of pedal errors (odds ratio=10.04, p<.0001, 95% CI: 3.80, 26.63) followed by age > or =84 (odds ratio 6.10, p<.05, 95% CI: 1.77, 21.03). In contrast, Trailmaking Part A and B, gender, and the MMSE were not significantly related to pedal errors. CONCLUSION: Executive dysfunction may be an important contributor to pedal errors and thus unsafe driving. Practitioners may wish to consider measures of executive function when evaluating patients for driving safety.     

Self-rated driving performance among elderly drivers referred for driving evaluation

PURPOSE: To explore whether elderly drivers of varying driving skill levels (1) differ in their perception of their driving evaluation performance and (2) determine if self-rated driving evaluation performance is related to cognitive ability. METHODS: One hundred and fifty-two drivers aged 65 years or older and referred for a driving evaluation were enrolled into the study. Subjects were asked the question, "how well do you think you will perform today on your driving evaluation compared to others your own age?" Subjects also completed the Mini-Mental State Exam and a 30-min drive on a STISIM Drivetrade mark simulation (Systems Technology, Inc., Hawthorne, CA). Only 47 subjects completed both the simulated drive and self-rated item. RESULTS: Sixty-five percent of drivers rated themselves as performing better on a driving test than others of their age. Another 31.9% felt they would perform the same as others of their age on a driving test. A 50.0% of those considering themselves "a little better" and 52.9% of those considering themselves "a lot better" had an unsafe driving performance. As self-rated driving evaluation performance increased, there was a significantly increased risk of unsafe driving (p=0.02) in the study population. Drivers who considered themselves at least a little better than others of their age were over four times more likely to be unsafe drivers compared to others who believed they were comparable to or worse than other drivers of their age (RR=4.13, 95% CI=1.08-15.78). There was no significant difference in MMSE between self-rating groups (p=0.76). CONCLUSION: Older drivers assign high ratings to their driving performance, even in the presence of suspected skill decline. Cognitive ability was not related to self-rated driving evaluation performance.     

营运驾驶员驾驶风格研究

目的探索了解我国营运驾驶员的驾驶风格特点,以及驾驶风格与交通违规之间的关系。方法在辽宁省沈阳、大连两个城市现场选取170名营运驾驶员完成中文版驾驶风格量表。结果驾驶风格的性别差异显著。男性驾驶风格以冒险型和愤怒型为主,女性驾驶风格以焦虑型为主。驾驶员在感觉寻求、愤怒、分心维度上的得分随着年龄的增长而下降。有交通违规记录的驾驶员在愤怒、冒险、分心和焦虑维度上的得分均高于无违规记录的驾驶员,且差异显著。结论驾驶员的驾驶风格越倾向于冒险型、愤怒型和焦虑型,他们的交通违规次数也越多,应当针对危险驾驶行为采取适当有效的预防和干预措施。     

Taking a look behind the wheel: An investigation into the personality predictors of aggressive driving

The present study evaluated a theoretical model of the relationships among six aspects of driver personality (i.e., driving anger and the Big Five personality factors), aggressive driving, and two outcomes of aggressive driving: motor vehicle crashes and moving violations. Data from 308 drivers recruited from two vehicle licensing offices were analyzed using structural equation modeling. As expected, aggressive driving predicted crashes and moving violations. Based on the zero-order correlations, emotional stability, agreeableness, and conscientiousness were related to aggressive driving in the expected directions; however, the picture changed when the joint effects of all variables were examined via structural equation modeling. A model in which driver personality predicted aggressive driving, which in turn predicted crashes and moving violations was supported. Drivers who were high on driving anger and low on agreeableness reported driving more aggressively. Implications for traffic safety professionals and researchers are discussed.     

Personality and attitudes as predictors of risky driving among older drivers

Although there are several studies on the effects of personality and attitudes on risky driving among young drivers, related research in older drivers is scarce. The present study assessed a model of personality-attitudes-risky driving in a large sample of active older drivers. A cross-sectional design was used, and structured and anonymous questionnaires were completed by 485 older Italian drivers (Mean age = 68.1, SD = 6.2, 61.2% males). The measures included personality traits, attitudes toward traffic safety, risky driving (errors, lapses, and traffic violations), and self-reported crash involvement and number of issued traffic tickets in the last 12 months. Structural equation modeling showed that personality traits predicted both directly and indirectly traffic violations, errors, and lapses. More positive attitudes toward traffic safety negatively predicted risky driving. In turn, risky driving was positively related to self-reported crash involvement and higher number of issued traffic tickets. Our findings suggest that theoretical models developed to account for risky driving of younger drivers may also apply in the older drivers, and accordingly be used to inform safe driving interventions for this age group.     

Patterns of driver stress and coping strategies in a Greek sample and their relationship to aberrant behaviors and traffic accidents

This paper presents an investigation into the relationship between driver stress, coping strategies and aberrant driving of a Greek sample of company employees (N=714). The results supported the main factor structures of the Driver Behavior Inventory (Matthews, G., Tsuda, A., Xin, G., Ozeki, Y., 1999. Individual differences in driver stress vulnerability in a Japanese sample. Ergonomics 42, 401-415) and Driver Behavior Questionnaire (Kontogiannis, T., Kossiavelou, Z., Marmaras, N., 2002. Self-reports of aberrant behavior on the roads: errors and violations in a sample of Greek drivers. Accident Anal. Prev. 34, 391-399). An inventory of coping strategies was also examined in terms of self reports. Confrontive coping was characteristic of drivers high on aggression who also had higher rates of mistakes and violations. Coping in terms of self-criticism was exhibited by drivers high on dislike of driving (i.e., anxiety) who reported a higher incidence of mistakes. Task-focus coping was characteristic of alertness and had a weak correlation with confidence. Drivers high in confidence reported fewer mistakes and violations which, in association with low perception of risk, was a particularly worrying aspect of driving. A contextual model of accident involvement was tested with LISREL in which violations yielded a direct effect whilst aggression yielded an indirect effect mediated by violations. Alertness and confidence were both related to safety orientation but failed to predict accident rates and speeding convictions.     

Modeling safe and unsafe driving behaviour

A sample of 743 Dutch drivers was queried about driving-related errors and violations, and about the frequency of their accident involvement over the past 3 years. In addition, the following risky behaviours and characteristics related to driving were measured through self-report: strategic decisions made about driving before starting a trip, attitudes related to committing violations, psychological precursors of unsafe driving (such as being tired or stressed when driving), and physical precursors of unsafe driving (suffering physical or psychological handicaps when driving). The results show that several scales have acceptable reliability coefficients, though several others are in need of improvement. Path analysis showed that an acceptable structural model could be developed to describe all empirical relationships. Considerable parts of the variance in the violations scores and the psychological precursors scores could be explained by the other model variables. In terms of predictive power, "unsafe" attitudes, physical precursors, and psychological precursors had the most impact, each explaining up to 9% of the variance in violations scores, errors scores, and/or psychological precursors scores. The way these results can be utilized in future accident prevention programs and in driver training programs are indicated, as are their implications for future research.     

Validation of the Behaviour of Young Novice Drivers Scale (BYNDS) in a New Zealand young driver population

The Behaviour of Young Novice Drivers Scale, the BYNDS (Scott-Parker et al., 2010), is a reliable and valid self-report 44-item instrument which explores the frequency of a breadth of risky driving behaviours which appear to place young and novice drivers at an increased risk of road crash injury. As part of a larger collaborative research project, the Australian-developed BYNDS was piloted in a sample of 20 young New Zealand drivers n = 14 aged 16–18 years, 9 males; n = 6 aged 19–24 years, 2 males. The wording of 21 BYNDS items was modified to reflect the cultural context of the participating New Zealand drivers. The refined BYNDS was applied in a sample of 325 young drivers n = 116 aged 16–18 years, 65 males; n = 209 aged 19–24 years, 98 males, and the factor structure examined, including exploratory factor analysis for each gender. The 5-factor structure of the BYNDS was supported, with young drivers reporting considerable engagement in risky driving exposure, moderate engagement in transient violations and mood-related driving, and less fixed violations and driving misjudgements. Risky driving exposure was predictive of self-reported crash involvement for both males and females, suggesting targeted intervention regarding when, and the circumstances under which, the young driver is on the road.     

Driver Behaviour Questionnaire: a follow-up study

The aim of the present study was to investigate time-across stability of different factor solutions (two to six factors) of the Driver Behaviour Questionnaire (DBQ) and to examine the changes on self-reported driving pattern in a follow-up sample (n=622) after three years of the first responses. Repeated measures ANOVA indicated that there was a significant change between Time 1 and Time 2 scores in six items of the DBQ. Drivers reported less competitiveness while driving at Time 2 but more speeding, drinking and driving, driving to wrong destinations and having no recollection of the road just travelled. Significant Time x Sex x Age interactions were found in change scores of four items. Young males and middle-aged female drivers emerged as a group of drivers who changed their self-reported driving pattern over three years. Additionally, sex, age or both had main effects on scores of 21 items. Males and young drivers reported more violations than females and older drivers, whereas female drivers reported more errors and lapses. After running possible factor solutions with Tucker's Phi agreement coefficients, the results indicated that the four- and two-factor solutions were the most stable and interpretable ones. The two-factor solution showed better time-across stability than the four-factor structure did, although the factor solutions found at Time 1 and Time 2 were not as identical as expected. Separate analysis revealed that drivers who had high annual mileage at Time 1 and Time 2 showed the strongest two-factor time-across stability. The test-retest reliability was 0.50 for errors, 0.76 for violations and 0.61 for the whole scale.     

Self-report measures of distractibility as correlates of simulated driving performance

The present study investigated the relationship between self-reported measures pertaining to attention difficulties and simulated driving performance while distracted. Thirty-six licensed drivers participated in a simulator driving task while engaged in a cell phone conversation. The participants completed questionnaires assessing their tendency toward boredom, cognitive failures, and behaviors associated with attention deficit and hyperactivity. Scores on these measures were significantly correlated with various driving outcomes (e.g., speed, lane maintenance, reaction time). Significant relationships were also found between one aspect of boredom proneness (i.e., inability to generate interest or concentrate) and self-reports of past driving behavior (moving violations). The current study may aid in the understanding of how individual differences in driver distractibility may contribute to unsafe driving behaviors and accident involvement. Additionally, such measures may assist in the identification of individuals at risk for committing driving errors due to being easily distracted. The benefits and limitations of conducting and interpreting simulation research are discussed.     

Gender differences among older drivers in a comprehensive driving evaluation

Research studies typically consider older drivers as a homogenous group and do not report on the influence of gender on driving performance. Prior studies report that females are over-represented in crashes compared to males, caused by errors of yielding, gap acceptance, and speed regulation, all of which are assessed in a comprehensive driving evaluation (CDE). In a sample of 294 community dwelling older drivers, we examined and compared specific and total driving errors of both genders, and determined predictors of gender-specific driving errors and pass/fail outcomes who completed a CDE assessed by a certified driving rehabilitation specialist. No differences in specific or total number of driving errors on the CDE were found between older males (Mean age 73.4 ± 6.0) and older females (Mean age 73.8 ± 5.7). Education, days of driving, Useful Field of View™ (UFOV), Rapid Paced Walk Test (RPW) and the Mini-Mental State Exam (MMSE) were all independent predictors of failing a road test for both genders (p < 0.05). However, older females were 22% less likely than older males to fail an on-road test. Within group comparisons showed that older males and females >75 years were 3.2 and 3.5 times more likely to fail the on-road test compared to younger males and females (aged between 63 and 75), respectively. Our findings suggest that focusing on older old (75+) and old–old (85+) age groups may be more efficient for future investigations of driving performance.     

How accurately do drivers evaluate their own driving behavior? An on-road observational study

Self-assessment of driving skills became a noteworthy research subject in traffic psychology, since by knowing one's strenghts and weaknesses, drivers can take an efficient compensatory action to moderate risk and to ensure safety in hazardous environments. The current study aims to investigate drivers’ self-conception of their own driving skills and behavior in relation to expert evaluations of their actual driving, by using naturalistic and systematic observation method during actual on-road driving session and to assess the different aspects of driving via comprehensive scales sensitive to different specific aspects of driving. 19–63 years old male participants (N = 158) attended an on-road driving session lasting approximately 80 min (45 km). During the driving session, drivers’ errors and violations were recorded by an expert observer. At the end of the driving session, observers completed the driver evaluation questionnaire, while drivers completed the driving self-evaluation questionnaire and Driver Behavior Questionnaire (DBQ). Low to moderate correlations between driver and observer evaluations of driving skills and behavior, mainly on errors and violations of speed and traffic lights was found. Furthermore, the robust finding that drivers evaluate their driving performance as better than the expert was replicated. Over-positive appraisal was higher among drivers with higher error/violation score and with the ones that were evaluated by the expert as “unsafe”. We suggest that the traffic environment might be regulated by increasing feedback indicators of errors and violations, which in turn might increase the insight into driving performance. Improving self-awareness by training and feedback sessions might play a key role for reducing the probability of risk in their driving activity.     

Passenger complaints about driver behaviors

Fifty-two couples were surveyed about their behavior while driving together. Each was asked to individually rate the driver's behavior, the passenger's amount of complaining about the driver's behavior, the effect of that complaining on the driver, the driver's use of vengeance while driving, and the driver's ability and safety. Drivers and passengers gave similar responses: the riskier the driver's behavior, the more the passenger complained. The more the passenger complained, the less both reported that it helped. Judged ability of the driver was not related to the driver's risky behavior by either the drivers or passengers, although passengers, but not drivers, saw more risky driving behaviors as less safe.     

The potential effectiveness of young driver high-performance vehicle restrictions as used in Australia

Young drivers persistently have higher crash rates despite various countermeasures targeted at their risk factors and exposures. A potentially high risk situation for novice drivers may feasibly include the driving of high performance vehicles, which are subject to restrictions for probationary and restricted drivers in four Australian States. High performance vehicles are capable of high levels of acceleration and speed, which may encourage unsafe driving behaviours, particularly when driven by novice drivers, who may lack appropriate judgement and experience. This research sought to identify potential safety benefits of restrictions on certain vehicles for novice drivers using crash data from Australia and New Zealand, and vehicle licensing data from New Zealand.     

Driving behaviors in early stage dementia: A study using in-vehicle technology

According to the Alzheimer's Association (2011), (1) in 8 people age 65 and older, and about one-half of people age 85 and older, have Alzheimer's disease in the United States (US). There is evidence that drivers with Alzheimer's disease and related dementias are at an increased risk for unsafe driving. Recent advances in sensor, computer, and telecommunication technologies provide a method for automatically collecting detailed, objective information about the driving performance of drivers, including those with early stage dementia. The objective of this project was to use in-vehicle technology to describe a set of driving behaviors that may be common in individuals with early stage dementia (i.e., a diagnosis of memory loss) and compare these behaviors to a group of drivers without cognitive impairment. Seventeen drivers with a diagnosis of early stage dementia, who had completed a comprehensive driving assessment and were cleared to drive, participated in the study. Participants had their vehicles instrumented with a suite of sensors and a data acquisition system, and drove 1–2 months as they would under normal circumstances. Data from the in-vehicle instrumentation were reduced and analyzed, using a set of algorithms/heuristics developed by the research team. Data from the early stage dementia group were compared to similar data from an existing dataset of 26 older drivers without dementia. The early stage dementia group was found to have significantly restricted driving space relative to the comparison group. At the same time, the early stage dementia group (which had been previously cleared by an occupational therapist as safe to drive) drove as safely as the comparison group. Few safety-related behavioral errors were found for either group. Wayfinding problems were rare among both groups, but the early stage dementia group was significantly more likely to get lost.     

Multivariate analysis of age-related driver ability and performance deficits.

A computerized measure of 22 visual, attentional, perceptual, cognitive and psychomotor abilities and a structured road test were administered to 407 elderly drivers age 62 and above. Approximately two-thirds of the sample had been referred to licensing agencies on the basis of observed unsafe incidents and the remainder were volunteers free of reported incidents. Significant correlations (r = 0.4-0.5) were found between unsafe driving incidents and deficiencies in attentional, perceptual, cognitive and psychomotor categories and 0.3 for the visual. A total score based upon all ability measures correctly identified 80% of incident-involved, while misidentifying only 20% of the incident-free drivers. Unsafe driving incidents evidenced significant but small positive correlations (r = 0.1-0.2) with road test errors indicative of skill deficiencies but not with errors in routine safe driving practices. Substantial examiner differences attenuated relationships involving road performances, and correlations with skill-related performances rose (r = 0.2-0.3) when these effects were partialled out. Intercorrelations among measured abilities were high, indicating the need for caution in interpreting reported relationships between individual abilities and unsafe driving incidents. The authors also caution against interpreting correlations found in highly selected samples as representing the magnitude of relationships in the population at large.     

驾驶员风险驾驶行为及影响因素分析

为探究中国驾驶员风险驾驶行为产生的原因及其影响因素,利用修正的曼彻斯特DBQ问卷对349名中国驾驶员进行了问卷调查。经过探索性因素分析(EFA)得到了4因子结构模型,分别命名为认知错误、违规行为、无意失误和记忆力流失,并利用验证性因素分析(CFA)对该模型进行了验证。研究了性别与驾驶行为的关系,结果表明男性驾驶员更容易发生违规行为,而女性驾驶员发生无意失误行为的频率较男性驾驶员偏高。通过变量间的相关性分析,研究了驾驶员的统计学信息、4因子以及交通事故之间的关系,构建了基于Logistic回归的交通事故预测模型,研究表明违规行为和年龄是影响交通事故的重要参数。     

The Prosocial and Aggressive Driving Inventory (PADI): A self-report measure of safe and unsafe driving behaviors

Surveys of 1217 undergraduate students supported the reliability (inter-item and test–retest) and validity of the Prosocial and Aggressive Driving Inventory (PADI). Principal component analyses on the PADI items yielded two scales: Prosocial Driving (17 items) and Aggressive Driving (12 items). Prosocial Driving was associated with fewer reported traffic accidents and violations, with participants who were older and female, and with lower Boredom Susceptibility and Hostility scores, and higher scores on Agreeableness, Conscientiousness, Openness, and Neuroticism. Aggressive Driving was associated with more frequent traffic violations, with female participants, and with higher scores on Competitiveness, Sensation Seeking, Hostility, and Extraversion, and lower scores on Conscientiousness, Agreeableness, and Openness. The theoretical and practical implications of the PADI's dual focus on safe and unsafe driving are discussed.     

Self-reported driving behaviors as a function of trait anxiety

This study examined self-reported driving behaviors in 120 (Israeli) male drivers as a function of trait anxiety (TA). TA was assessed through the TA scale of the State-Trait Anxiety Inventory. For the analysis of driving behaviors, the present study used the Driver Behavior Questionnaire (DBQ) and adopted previous distinctions between four classes of behaviors within the DBQ: errors, lapses, ordinary violations and aggressive violations. Regression analyses revealed that level of TA had a significant direct positive effect on all dependent variables, suggesting riskier driving behaviors among high-anxious individuals. Significant logarithmic effects for all measures indicate that these aberrant driving behaviors increase more at increasing LTA-, than at increasing HTA-values. Consistent with the general adverse effects of anxiety on performance effectiveness, the present findings as well, are interpreted in the framework of theories which suggest that worries occupy the capacities of working memory, at the expense of the task to be performed. The positive relation between aggressive violations and TA is sought to reflect low levels of emotional adjustment among high-anxious individuals.     

Self-reports of aberrant behaviour on the roads: errors and violations in a sample of Greek drivers

Recent studies have shown that unsafe driver acts can be classified into two distinct categories (i.e.. errors and violations) entailing different measures for reducing road traffic accidents. A survey of over 1,400 drivers in Greece is reported in which a variety of aberrant driving behaviours have been identified. The present study has confirmed the results of earlier studies in the driving populations of Britain. Australia and Sweden that errors and violations are the major determinants in the factor structure of aberrant behaviours. Three types of violations were identified including, highway code-, aggressive- and parking-violations (or situational violations). Mistakes and lapses were two major forms of errors. The factor analysis identified another two classes of behaviour that could not be accounted for very well by the error-violation distinction. One class of behaviours referred to a state of low preparedness and negligence while the other class referred to communication errors and 'social disregard' for the other road users. Each class of behaviour was found to have different demographic correlates. Finally, accident liability was predicted by self-reported tendency to commit highway-code violations, but not by tendency to make errors due to failures of judgement (i.e.. mistakes) or lapses. Aggressive violations were significantly related to involvement in speeding convictions and law-breaking whilst highway-code violations were related to speeding convictions only.