Cognitive, sensory and physical factors enabling driving safety in older adults

Kaarin J. Anstey*, Joanne Wood, Stephen Lord, Janine G. Walker

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    740 Citations (Scopus)

    Abstract

    We reviewed literature on cognitive, sensory, motor and physical factors associated with safe driving and crash risk in older adults with the goal of developing a model of factors enabling safe driving behaviour. Thirteen empirical studies reporting associations between cognitive, sensory, motor and physical factors and either self-reported crashes, state crash records or on-road driving measures were identified. Measures of attention, reaction time, memory, executive function, mental status, visual function, and physical function variables were associated with driving outcome measures. Self-monitoring was also identified as a factor that may moderate observed effects by influencing driving behavior. We propose that three enabling factors (cognition, sensory function and physical function/medical conditions) predict driving ability, but that accurate self-monitoring of these enabling factors is required for safe driving behaviour.

    Original languageEnglish
    Pages (from-to)45-65
    Number of pages21
    JournalClinical Psychology Review
    Volume25
    Issue number1
    DOIs
    Publication statusPublished - Jan 2005

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