Prolonged exposure to glare and driving time: effects on performance in a driving simulator.

Twelve experienced truck drivers drove a fixed-base driving simulator for two 8 h sessions, including: (1) no glare and (2) intermittent glare presented in the exterior rear-view mirrors to simulate headlights from following vehicles. The driving task combined vehicle control on straight and curved road segments with detection of pedestrians appearing alongside the road and targets appearing in the rear-view mirrors. The results provided no evidence to support the hypothesis that prolonged exposure to glare impairs driving performance. However, we found time-related changes in target-detection and critical tracking performance, some of which were consistent with established patterns of diurnal variation. Subjective sleepiness ratings also increased over time. The results were interpreted within a model according to which drivers are able to maintain effective performance at early levels of impairment, thus compensating for increasing feelings of subjective tiredness.     

Revisiting the concept of the ‘problem young driver’ within the context of the ‘young driver problem’: Who are they?

For decades there have been two young driver concepts: the ‘young driver problem’ where the driver cohort represents a key problem for road safety; and the ‘problem young driver’ where a sub-sample of drivers represents the greatest road safety problem. Given difficulties associated with identifying and then modifying the behaviour of the latter group, broad countermeasures such as graduated driver licensing (GDL) have generally been relied upon to address the young driver problem. GDL evaluations reveal general road safety benefits for young drivers, yet they continue to be overrepresented in fatality and injury statistics. Therefore it is timely for researchers to revisit the ‘problem young driver’ concept to assess its potential countermeasure implications. This is particularly relevant within the context of broader countermeasures that have been designed to address the ‘young driver problem’ Personal characteristics, behaviours and attitudes of 378 Queensland novice drivers aged 17–25 years were explored during their pre-, Learner and Provisional 1 (intermediate) licence as part of a larger longitudinal project. Self-reported risky driving was measured by the Behaviour of Young Novice Drivers Scale (BYNDS), and five subscale scores were used to cluster the drivers into three groups (high risk n = 49, medium risk n = 163, low risk n = 166). High risk ‘problem young drivers’ were characterised by greater self-reported pre-Licence driving, unsupervised Learner driving, and speeding, driving errors, risky driving exposure, crash involvement, and offence detection during the Provisional period. Medium risk drivers were also characterised by more risky road use than the low risk group. Interestingly problem young drivers appear to have some insight into their high-risk driving, since they report significantly greater intentions to bend road rules in future driving. The results suggest that tailored intervention efforts may need to target problem young drivers within the context of broad countermeasures such as GDL which address the young driver problem in general. Experiences such as crash-involvement could be used to identify these drivers as a preintervention screening measure.     

Risk factors for a farm vehicle public road crash

Driver, vehicle, public road, and farm enterprise characteristics were examined for their combined association with farm vehicle public road crash group membership. North Carolina farms experiencing a public road crash from 1992 to 2003 (n = 200) were compared with a non-crash control group (n = 185) for a 1:1 case:control ratio. Five characteristics were associated with increased odds of crash group membership in the combined model (likelihood ratio = 175.95; d.f. = 15; p < .001): use of non-English speaking drivers (OR = 3.71); use of non-family hired help drivers (OR = 4.25); types of non-farm vehicle public road use (OR = 1.39); farm injury history (OR = 1.33); and, use of younger farm vehicle drivers (OR = 1.02). Farms reporting older farm vehicle drivers (OR = 0.97), and low farm income (OR = 0.29) were less likely crash group members. Recommendations are discussed for incorporating findings into farm vehicle crash prevention research and interventions.     

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.     

Video-based road commentary training improves hazard perception of young drivers in a dual task

This study used a video-based hazard perception dual task to compare the hazard perception skills of young drivers with middle aged, more experienced drivers and to determine if these skills can be improved with video-based road commentary training. The primary task required the participants to detect and verbally identify immediate hazard on video-based traffic scenarios while concurrently performing a secondary tracking task, simulating the steering of real driving. The results showed that the young drivers perceived fewer immediate hazards (mean = 75.2%, n = 24, 19 females) than the more experienced drivers (mean = 87.5%, n = 8, all females), and had longer hazard perception times, but performed better in the secondary tracking task. After the road commentary training, the mean percentage of hazards detected and identified by the young drivers improved to the level of the experienced drivers and was significantly higher than that of an age and driving experience matched control group. The results will be discussed in the context of psychological theories of hazard perception and in relation to road commentary as an evidence-based training intervention that seems to improve many aspects of unsafe driving behaviour in young drivers.     

Safety in numbers? Investigating Australian driver behaviour,knowledge and attitudes towards cyclists

A key tenet of the safety in numbers theory is that as the number of people cycling increases, more drivers will also be cyclists and therefore will give greater consideration to cyclists when driving. We tested this theory in relation to self-reported behaviour, attitudes and knowledge in relation to cycling. An online survey was conducted of Australian drivers (n = 1984) who were also cyclists (cyclist-drivers) and drivers who did not cycle (drivers). Cyclist-drivers were 1.5 times more likely than drivers to report safe driving behaviours related to sharing the roads with cyclists (95% CI: 1.1–1.9, p < 0.01). Cyclist-drivers had better knowledge of the road rules related to cycling infrastructure than drivers; however knowledge of road rules related to bike lanes was low for both groups. Drivers were more likely than cyclist-drivers to have negative attitudes (e.g. cyclists are unpredictable and repeatedly overtaking cyclists is frustrating). Findings from this study highlight the need for increased education and awareness in relation to safe driving behaviour, road rules and attitudes towards cyclists. Specific recommendations are made for approaches to improve safety for cyclists.     

Comparison of teen and adult driver crash scenarios in a nationally representative sample of serious crashes

Motor vehicle crashes are the leading cause of death and acquired disability during the first four decades of life. While teen drivers have the highest crash risk, few studies examine the similarities and differences in teen and adult driver crashes. We aimed to: (1) identify and compare the most frequent crash scenarios—integrated information on a vehicle's movement prior to crash, immediate pre-crash event, and crash configuration—for teen and adult drivers involved in serious crashes, and (2) for the most frequent scenarios, explore whether the distribution of driver critical errors differed for teens and adult drivers. We analyzed data from the National Motor Vehicle Crash Causation Survey, a nationally representative study of serious crashes conducted by the U.S. National Highway Traffic Safety Administration from 2005 to 2007. Our sample included 642 16- to 19-year-old and 1167 35- to 54-year-old crash-involved drivers (weighted n = 296,482 and 439,356, respectively) who made a critical error that led to their crash's critical pre-crash event (i.e., event that made the crash inevitable). We estimated prevalence ratios (PR) and 95% confidence intervals (CI) to compare the relative frequency of crash scenarios and driver critical errors. The top five crash scenarios among teen drivers, accounting for 37.3% of their crashes, included: (1) going straight, other vehicle stopped, rear end; (2) stopped in traffic lane, turning left at intersection, turn into path of other vehicle; (3) negotiating curve, off right edge of road, right roadside departure; (4) going straight, off right edge of road, right roadside departure; and (5) stopped in lane, turning left at intersection, turn across path of other vehicle. The top five crash scenarios among adult drivers, accounting for 33.9% of their crashes, included the same scenarios as the teen drivers with the exception of scenario (3) and the addition of going straight, crossing over an intersection, and continuing on a straight path. For two scenarios ((1) and (3) above), teens were more likely than adults to make a critical decision error (e.g., traveling too fast for conditions). Our findings indicate that among those who make a driver critical error in a serious crash, there are few differences in the scenarios or critical driver errors for teen and adult drivers.     

Substance use and social,health and safety-related factors among fatally injured drivers

Objective

The aim of this study was to examine different socio-demographic, health and safety-related factors, and psychoactive substance use among fatally injured drivers in road traffic accidents in Finland during 2006–2008.

Methods

An accident information register maintained by the Traffic Safety Committee of Insurance Companies (VALT) of the Finnish Motor Insurers’ Centre was used as basic data, and the basic data were complemented with further toxicological analytical information retrieved from autopsy reports from the Department of Forensic Medicine, Helsinki University. The data included all the drivers (n = 556) who were driving a motor vehicle and who died in a road traffic accident in Finland during 2006–2008.

Results

Of all the 556 fatally injured drivers 43% (n = 238) had psychoactive substance findings. 51% (n = 121) of substance positive drivers had a finding for alcohol only, the rest had a finding for one or more illicit/medicinal drugs impairing driving ability, and possibly also alcohol. Fatally injured drivers with alcohol findings were significantly younger (mean age 34 years) than sober drivers (mean age 44 years) or drivers with findings for drugs (mean age 45 years). Socio-demographic background did not differ substantially among drunken/drugged and sober drivers, although drivers with alcohol findings had a slightly lower education and socioeconomic position. Previous substance abuse problems were highly prevalent among drivers with substance findings and mental or both mental and physical health problems were more common among drivers with drug findings. The non-use of safety equipment and driving at a high speed were more common among fatally injured drivers with substance findings.

Conclusions

Substance abuse and mental health problems, as well as reckless driving behavior were more pronounced among fatally injured drivers with substance findings when compared to sober drivers. Thus, prevention and early intervention concerning substance abuse, mental health problems and DUI are essential. Improved traffic safety cannot be achieved by means of traffic policy only, but integration with other policies, such as health and social policy should be strengthened.     

Validation of selected temperament and personality questionnaires for diagnosing drivers’ aptitude for safe driving. A Polish study

This paper presents the results of a study aimed at validating psychological questionnaires evaluating temperamental and personality features. It discusses their usefulness in diagnosing drivers’ aptitude for safe driving and working as professional drivers. Three psychological questionnaires were validated: the Formal Characteristics of Behaviour – Temperament Inventory (FCB-TI), the Eysenck Personality Questionnaire – Revised and Short Scale (EPQ-R (S)) and the Impulsiveness Questionnaire (IVE). Three groups of drivers (n = 246) aged 19–75 participated in the study. Group I (professional drivers; n = 96) and Group II (nonprofessional drivers; n = 75) had never been involved in road crashes, whereas Group III (nonprofessional drivers; n = 75) were offenders involved in fatal injury road crashes. Criterion-related validity, Cronbach's alpha and Guttman split-half reliability coefficient were in assessing the psychometric properties of the questionnaires. There were some significant differences between Groups II and III for most traits. However, contrary to expectations, higher Emotional Reactivity, Perseveration and lower Endurance as well as higher Neuroticism, Impulsiveness and Venturesomeness were determined for Group II than for Group III. Additionally, the temperament and personality profile of Group II turned out to be less fitted to the profile of safe drivers than that of Group III, whose profile was actually similar to that of Group I. This seems to result from a high tendency for a positive self-presentation among Group I and Group III (a significantly higher result on the Lie scale in comparison with Group II). The results suggest that if psychological tests are to decide on whether a person may be a professional driver or may drive vehicles, the three questionnaires (FCB-TI, EPQ-R(S) and IVE) do not provide a valid diagnosis of professional drivers’ aptitude because of drivers’ high tendency for positive self-presentation. However, they can be used in job counselling and in screening high-risk drivers.     

MMSE as a predictor of on-road driving performance in community dwelling older drivers

Screening tools such as the MMSE have been used extensively in driving research studies to determine mild cognitive impairment or dementia. While some studies have shown the MMSE to correlate with driving performance, few studies have shown the predictive validity of the MMSE in determining on-road performance. In a sample of 168 community dwelling older adults, including 20 with Parkinson's disease (PD), the primary objective was to determine the validity of the MMSE to predict pass/fail outcomes of an on-road driving test using receiver operating characteristics curves. The area under the curve (AUC), an index of discriminability, for the total sample was .654, 95% CI = 0.536–0.772, p = .009. Meanwhile, the AUC for the PD group was 0.791, 95% CI = 0.587–0.996, p = .036. The total sample showed statistically significant yet poor predictive validity. However, the PD group showed statistically significant and good predictive validity of the MMSE to predict pass/fail outcomes on the road test, but caution is warranted as the confidence intervals are wide (due to small sample) and the positive and negative predictive values are less than desirable due to the associated error. The findings show that using the current cut-off point of ≤24 on the MMSE is not adequately sensitive to predict on-road performance in both community dwelling older drivers and in drivers with PD. This study offers strong evidence to support the current best practice of not using the MMSE in isolation to predict on-road performance.     

Ocular parameters as an objective tool for the assessment of truck drivers fatigue

Ocular parameters are influenced by sleep derivation and the use of chemical substances which are two major causes for traffic accidents. We assessed the use of these parameters as an objective screening tool for a driver's fitness for duty. Pupillary diameter, pupil reaction to light and saccadic velocity were measured in 29 army truck drivers every morning for two months and compared to baseline measurements taken while the subjects were alert. An index which expressed the difference between study and baseline measurements was calculated, and drivers with significant deviation from baseline were disqualified and interviewed. Non-disqualified drivers served as controls. Twenty-nine percent of disqualified drivers reported sleeping less than the minimum of 7 h required by army regulations compared with 8% of control drivers (p = 0.01). Disqualified drivers had worse sleep quality the night before the test (Groningen Sleep Quality Scale, p = 0.03) and incurred more accidents per driving day during their service (0.023 vs. 0.015 accidents/day, p = 0.03). Two disqualified drivers admitted to using alcohol or sleeping pills. Thus, these ocular parameters may serve as a screening tool for drivers that are at high risk for driving. Drivers who were disqualified even once, tend to be involved in more motor vehicle accidents than their peers.     

Beam-spot temperature monitoring on the production target at the BigRIPS separator

Since 2007, a water-cooled high-power rotating disk target has been in operation at the in-flight radioactive-isotope beam separator (BigRIPS), RIKEN. The target should withstand a goal beam intensity of 1 particle μA (pμA) ²³⁸U-beam at 350 AMeV with a spot size of 1 mm in diameter, resulting in a heat deposit of 22 kW in the target.A beam-spot temperature monitoring system using infrared devices in high-radiation environment was elaborately developed. The beam-spot temperature on a beryllium (Be) fixed target and on a rotating Be and tungsten (W) disk target was measured with the most intense beams presently available at our facility. The heat deposit achieved was 0.6 kW, that is 1/37 of the goal value. At the present beam intensity, the result supports our estimation that a water-cooled rotating disk target of 30 cm diameter can withstand an approximately tenfold beam intensity compared to a water-cooled fixed target.     

Evaluating a novice driver and pre-driver road safety intervention

Intervention or evaluation studies represent a small proportion of traffic psychology research. The current study evaluated the effectiveness of a road safety intervention by measuring attitudes toward unsafe driving behaviors and risk perception. A sample of high school students (n = 133) participated in a road safety intervention program focusing on attitudes and risk perceptions of young people as novice drivers, pre-drivers, and passengers. This sample was compared with a matched sample of students who did not take the program (n = 172) on their attitudes and perceived risk toward unsafe driving, both prior to the program (T1), immediately after the program (T2), and at 6-week follow-up (T3). While no changes in attitudes toward unsafe driving were found for the control group, the intervention group reported riskier attitudes toward unsafe driving behaviors from T1 to T2 and T3. No differences were found from T1 to T3 in perceived risk toward unsafe driving for either the intervention or control groups. Implications of the study include encouraging a higher rate of road safety program evaluations, leading to better understanding of the effectiveness of road safety intervention programs and how they may be designed and delivered to ensure lower engagement in unsafe driving behaviors by young drivers.     

Comparison between younger and older drivers of the effect of obstacle direction on the minimum obstacle distance to brake and avoid a motor vehicle accident

Our objectives were to determine the effects of age and direction of appearance of an obstacle on the minimum obstacle distance to brake and avoid a motor vehicle accident. Ten younger and 10 older drivers were tested in a custom-made driving simulator using an animation of a straight suburban road. Driving at 50 km/h, participants suddenly encountered pedestrians appearing at increasingly closer distances in front, from the left or from the right. They then had to brake as fast as possible and come to a complete stop before running over the pedestrian. Results showed that older drivers had 1.8 m greater minimum obstacle distance than younger drivers. This decreased ability with age appeared to be due to a decline in response initiation. Pedestrians appearing from the periphery also resulted in 2.1 m (left) and 2.8 m (right) greater minimum obstacle distance than those appearing directly in front. This decreased ability with obstacle direction appeared to be mostly due to declines in response initiation and response geometry. Finally, the difference with age was greater when pedestrians appeared from the right compared to the left or front. Therefore, it is important to include both temporal and geometrical performance measures in studies on motor vehicle accidents.     

The perceptions of young rural drivers in NSW,Australia of speeding and associated risk: A mixed methods study

The study, using mixed methodology, examined perceptions of risk associated with speeding in young rural people. Focus groups discussions (age range 16–24) in which speeding was identified as often being an involuntary driving behaviour, informed the development of a survey instrument. The survey was conducted with two groups of young people, one rural (n = 217) and another semi-rural (n = 235). The results from both the focus groups and surveys indicate that young rural drivers had specific attitudes to speeding, when compared with other risk factors for crashing. Speeding behaviour was viewed as both acceptable and inevitable. Males and those from a rural area viewed speeding, and reducing trip time when compared to that of a peer, to be less risky than did females and those who lived in a semi-rural area. Speeding was considered to be less risky than drink driving. These perceptions of speeding may contribute to the crash rates on rural roads involving young, local drivers and need to be considered in interventions or educational programmes which aim to reduce the rural road crash rate.     

Capturing the serial nature of older drivers’ responses towards challenging events: A simulator study

Older drivers’ ability to trigger simultaneous responses in reaction to simulated challenging road events was examined through crash risk and local analyses of acceleration and direction data provided by the simulator. This was achieved by segregating and averaging the simulator's primary measures according to six short time intervals, one before and five during the challenging events. Twenty healthy adults aged 25-45 years old (M = 29.5 ± 4.32) and 20 healthy adults aged 65 and older (M = 73.4 ± 5.17) were exposed to five simulated scenarios involving sudden, complex and unexpected maneuvres. Participants were also administered the Useful Field of View (UFOV), single reaction time and choice reaction time tests, a visual secondary task in the simulator, and a subjective workload evaluation (NASA-TLX). Results indicated that the challenging event that required multiple synchronized reactions led to a higher crash rate in older drivers. Acceleration and orientation data analyses confirmed that the drivers who crashed limited their reaction. The other challenging events did not generate crashes because they could be anticipated and one response (braking) was sufficient to avoid crash. Our findings support the proposal (Hakamies-Blomqvist, L., Mynttinen, S., Backman, M., Mikkonen, V., 1999. Age-related differences in driving: are older drivers more serial? International Journal of Behavioral Development 23, 575-589) that older drivers have more difficulty activating car controls simultaneously putting them at risk when facing challenging and time pressure road events.     

Configuring retroreflective markings to enhance the night-time conspicuity of road workers

This study investigated whether the night-time conspicuity of road workers can be enhanced by positioning retroreflective strips on the moveable joints in patterns that convey varying degrees of biological motion. Participants were 24 visually normal adults (12 young M = 26.8 years; 12 older M = 72.9 years). Visual acuity, contrast sensitivity and glare sensitivity were recorded for each participant. Experimenters acting as road workers walked in place on a closed road circuit within simulated road work sites, facing either the oncoming driver or the roadway (presenting sideways to the driver) and wearing one of four clothing conditions: (i) standard road worker vest; (ii) standard vest plus thigh-mounted retroreflective strips; (iii) standard vest plus retroreflective strips on ankles and knees; (iv) standard vest plus retroreflective strips positioned on the extremities in a configuration that conveyed biological motion (“biomotion”). As they drove along the closed road participants were instructed to press a button to indicate when they first recognized that a road worker was present. The results demonstrated that regardless of the direction of walking, road workers wearing biomotion clothing were recognized at significantly (p < 0.05) longer distances (3×), relative to the standard vest alone. Response distances were significantly shorter for the older drivers. Contrast sensitivity was a better predictor of the ability to recognize road workers than was visual acuity or glare sensitivity. We conclude that adding retroreflective strips in the biomotion configuration can significantly improve road worker conspicuity regardless of the road worker's orientation and the age of the driver.     

Individual driver risk assessment using naturalistic driving data

Driving risk varies substantially among drivers. Identifying and predicting high-risk drivers will greatly benefit the development of proactive driver education programs and safety countermeasures. The objective of this study is twofold: (1) to identify factors associated with individual driver risk and (2) predict high-risk drivers using demographic, personality, and driving characteristic data. The 100-Car Naturalistic Driving Study was used for methodology development and application. A negative binomial regression model was adopted to identify significant risk factors. The results indicated that the driver's age, personality, and critical incident rate had significant impacts on crash and near-crash risk. For the second objective, drivers were classified into three risk groups based on crash and near-crash rate using a K-mean cluster method. The cluster analysis identified approximately 6% of drivers as high-risk drivers, with average crash and near-crash (CNC) rate of 3.95 per 1000 miles traveled, 12% of drivers as moderate-risk drivers (average CNC rate = 1.75), and 84% of drivers as low-risk drivers (average CNC rate = 0.39). Two logistic models were developed to predict the high- and moderate-risk drivers. Both models showed high predictive powers with area under the curve values of 0.938 and 0.930 for the receiver operating characteristic curves. This study concluded that crash and near-crash risk for individual drivers is associated with critical incident rate, demographic, and personality characteristics. Furthermore, the critical incident rate is an effective predictor for high-risk drivers.     

The contribution of family climate for road safety and social environment to the reported driving behavior of young drivers

Two studies examined the contribution of the new concept of “family climate for road safety” and several aspects of the social environment to the driving behavior of young drivers. Study 1 (n = 120) investigated the effect of the seven dimensions of the family climate for road safety – Modeling, Feedback, Communication, Monitoring, Noncommitment, Messages, and Limits – as well as a general tendency to conform to authority, and peer pressure. Study 2 (n = 154) examined the dimensions of family climate for road safety and perceived popularity of reckless driving among peers. The findings indicate associations both between the familial and the social aspects, and between these variables and driving styles, willingness to take risks while driving, reckless driving habits, and personal commitment to safe driving. Positive aspects of the parent–child relationship and high levels of conformity to authority were related to greater endorsement of the careful driving style, whereas family's noncommitment to safety, higher peer pressure, and lower conformity to authority were associated with greater endorsement of the reckless driving style. In addition, positive aspects of the family climate for road safety and lower perceived popularity of reckless driving among friends were associated with more personal commitment to safe driving and a lower tendency for risky driving. The discussion stresses the need to look at the complex set of antecedents of reckless driving among young drivers and addresses the practical implications of the findings for road safety.     

The effect of a low and high resource intervention on older drivers’ knowledge,behaviors and risky driving

This study aimed to compare an in-class Seniors on the MOVE (Mature Operators Vehicular Education) interactive multi-session driving curriculum with a self-guided MOVE curriculum for older adults. Using a two group randomized design, we sought to determine if there are between-group differences in older drivers’ knowledge and safety behaviors among participants. Forty-four participants with an average age of 79 years (SD = 7.1) were randomly assigned to the original MOVE program (SOM-A) or a lower resource (SOM-B) self-guided intervention. SOM-A is a four session program designed to improve older drivers safety knowledge and better understand skills for safer driving. SOM-B is a self-guided program with one required in-class session and one optional session. Subsequent to completion of both curricula, participants were offered CarFit, a comprehensive check of how well a senior driver and their vehicle work together. Baseline, post-intervention and 6-month follow up questionnaires were completed by participants. We found significant differences (p = .01) in the mean driving safety knowledge scores when comparing participants in SOM-A (3.7, SD 2.0) to those in SOM-B (0.87, SD 2.6). With regard to behavioral outcomes, we focused on always wearing a seatbelt, talking with a health care provider about driving ability, and sitting 10–12 inches from the steering wheel. The vast majority of participants reported always wearing their seat belts (SOM-A 100%, SOM-B 92%, p = 1.0), and very few reported talking with their doctors (SOM-A Baseline – 0%, Follow up 1 – 0%, p = n/a). Mean behavior change scores for participants sitting 10–12 inches from the steering wheel were significantly more likely among SOM-A (mean = .65, SD = .5) participants than those in SOM-B (mean = .29, SD = .5, p = .01) at first follow-up. Taken together, these findings suggest that the more intensive program is more effective and that driving safety programs focused on behaviors to self evaluate driving abilities continue to be needed to help older drivers remain safer on the road as they age. The involvement of health care providers in such efforts may be an untapped potential.