The on-road difficulties of older drivers and their relationship with self-reported motor vehicle crashes

Joanne M. Wood; Kaarin J. Anstey; Philippe F. Lacherez; Graham K. Kerr; Kerry Mallon; Stephen R. Lord

doi:10.1111/j.1532-5415.2009.02498.x

The on-road difficulties of older drivers and their relationship with self-reported motor vehicle crashes

Joanne M. Wood, Kaarin J. Anstey, Philippe F. Lacherez, Graham K. Kerr, Kerry Mallon, Stephen R. Lord

Research output: Contribution to journal › Article › peer-review

36 Citations (Scopus)

Abstract

Objectives: To quantify the driving difficulties of older adults using a detailed assessment of driving performance and to link this with self-reported retrospective and prospective crashes. Design: Prospective cohort study. SETTING: On-road driving assessment. Participants: Two hundred sixty-seven community-living adults aged 70 to 88 randomly recruited through the electoral roll. Measurements: Performance on a standardized measure of driving performance. RESULTS: Lane positioning, approach, and blind spot monitoring were the most common error types, and errors occurred most frequently in situations involving merging and maneuvering. Drivers reporting more retrospective or prospective crashes made significantly more driving errors. Driver instructor interventions during self-navigation (where the instructor had to brake or take control of the steering to avoid an accident) were significantly associated with higher retrospective and prospective crashes; every instructor intervention almost doubled prospective crash risk. Conclusion: These findings suggest that on-road driving assessment provides useful information on older driver difficulties, with the self-directed component providing the most valuable information.

Original language	English
Pages (from-to)	2062-2069
Number of pages	8
Journal	Journal of the American Geriatrics Society
Volume	57
Issue number	11
DOIs	https://doi.org/10.1111/j.1532-5415.2009.02498.x
Publication status	Published - Nov 2009

Access to Document

10.1111/j.1532-5415.2009.02498.x

Cite this

@article{cd18d46dcbf442e3b1157d9864947048,

title = "The on-road difficulties of older drivers and their relationship with self-reported motor vehicle crashes",

abstract = "Objectives: To quantify the driving difficulties of older adults using a detailed assessment of driving performance and to link this with self-reported retrospective and prospective crashes. Design: Prospective cohort study. SETTING: On-road driving assessment. Participants: Two hundred sixty-seven community-living adults aged 70 to 88 randomly recruited through the electoral roll. Measurements: Performance on a standardized measure of driving performance. RESULTS: Lane positioning, approach, and blind spot monitoring were the most common error types, and errors occurred most frequently in situations involving merging and maneuvering. Drivers reporting more retrospective or prospective crashes made significantly more driving errors. Driver instructor interventions during self-navigation (where the instructor had to brake or take control of the steering to avoid an accident) were significantly associated with higher retrospective and prospective crashes; every instructor intervention almost doubled prospective crash risk. Conclusion: These findings suggest that on-road driving assessment provides useful information on older driver difficulties, with the self-directed component providing the most valuable information.",

keywords = "Crashes, Driving assessment, Driving errors, Older drivers",

author = "Wood, {Joanne M.} and Anstey, {Kaarin J.} and Lacherez, {Philippe F.} and Kerr, {Graham K.} and Kerry Mallon and Lord, {Stephen R.}",

year = "2009",

month = nov,

doi = "10.1111/j.1532-5415.2009.02498.x",

language = "English",

volume = "57",

pages = "2062--2069",

journal = "Journal of the American Geriatrics Society",

issn = "0002-8614",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "11",

}

TY - JOUR

T1 - The on-road difficulties of older drivers and their relationship with self-reported motor vehicle crashes

AU - Wood, Joanne M.

AU - Anstey, Kaarin J.

AU - Lacherez, Philippe F.

AU - Kerr, Graham K.

AU - Mallon, Kerry

AU - Lord, Stephen R.

PY - 2009/11

Y1 - 2009/11

N2 - Objectives: To quantify the driving difficulties of older adults using a detailed assessment of driving performance and to link this with self-reported retrospective and prospective crashes. Design: Prospective cohort study. SETTING: On-road driving assessment. Participants: Two hundred sixty-seven community-living adults aged 70 to 88 randomly recruited through the electoral roll. Measurements: Performance on a standardized measure of driving performance. RESULTS: Lane positioning, approach, and blind spot monitoring were the most common error types, and errors occurred most frequently in situations involving merging and maneuvering. Drivers reporting more retrospective or prospective crashes made significantly more driving errors. Driver instructor interventions during self-navigation (where the instructor had to brake or take control of the steering to avoid an accident) were significantly associated with higher retrospective and prospective crashes; every instructor intervention almost doubled prospective crash risk. Conclusion: These findings suggest that on-road driving assessment provides useful information on older driver difficulties, with the self-directed component providing the most valuable information.

AB - Objectives: To quantify the driving difficulties of older adults using a detailed assessment of driving performance and to link this with self-reported retrospective and prospective crashes. Design: Prospective cohort study. SETTING: On-road driving assessment. Participants: Two hundred sixty-seven community-living adults aged 70 to 88 randomly recruited through the electoral roll. Measurements: Performance on a standardized measure of driving performance. RESULTS: Lane positioning, approach, and blind spot monitoring were the most common error types, and errors occurred most frequently in situations involving merging and maneuvering. Drivers reporting more retrospective or prospective crashes made significantly more driving errors. Driver instructor interventions during self-navigation (where the instructor had to brake or take control of the steering to avoid an accident) were significantly associated with higher retrospective and prospective crashes; every instructor intervention almost doubled prospective crash risk. Conclusion: These findings suggest that on-road driving assessment provides useful information on older driver difficulties, with the self-directed component providing the most valuable information.

KW - Crashes

KW - Driving assessment

KW - Driving errors

KW - Older drivers

UR - http://www.scopus.com/inward/record.url?scp=70350439831&partnerID=8YFLogxK

U2 - 10.1111/j.1532-5415.2009.02498.x

DO - 10.1111/j.1532-5415.2009.02498.x

M3 - Article

SN - 0002-8614

VL - 57

SP - 2062

EP - 2069

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

IS - 11

ER -

The on-road difficulties of older drivers and their relationship with self-reported motor vehicle crashes

Abstract

Access to Document

Other files and links

Fingerprint

Cite this