Philipp Schulz1, Thomas Beblo1, Stefan Spannhorst2, Kirsten Labudda3, Thomas Wagner4, Volkmar Bertke5, Sebastian Boedeker1,2, Martin Driessen1, Stefan H Kreisel1,2, Max Toepper1,2. 1. Research Division, Department of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), Bielefeld, Germany. 2. Division of Geriatric Psychiatry, Department of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), Bielefeld, Germany. 3. Department of Psychology, Bielefeld University, Germany. 4. Head of Business Unit Assessment Centers for Driving Fitness, DEKRA Automobil GmbH, Dresden, Germany. 5. Assessment Center for Driving Fitness, DEKRA Automobil GmbH, Detmold, Germany.
Abstract
OBJECTIVES: The aim of the current work was to investigate the relationship between avoidance of specific driving situations and on-road driving skills in older drivers considering factors found to be related to both avoidance behavior and driving skills. METHOD: Seventy-two older drivers (M = 76 years) from the general population were included in this study. Self-reported avoidance behavior, driving practice, perceived driving difficulties, driving-related cognitive functions, as well as medical conditions were assessed within two sessions. Standardized on-road assessments served for assessing on-road driving skills in a third session. RESULTS: Self-reported avoidance behavior was associated with reduced driving skills (r = -.41), and this relationship remained significant beyond the influence of cognitive skills, self-reported health, driving practice, and perceived driving difficulties. Specifically, avoidance of driving in bad weather, poor visibility and complicated parking was found to be associated with reduced driving skills. DISCUSSION: This study suggest that avoidance behavior is an independent indicator of impaired driving skills in older drivers. Our results argue against the assumption that avoidance behavior may be a reasonable strategy for safe traffic participation. Longitudinal studies are urgently needed to get more evidence on safety aspects of avoidance behavior.
OBJECTIVES: The aim of the current work was to investigate the relationship between avoidance of specific driving situations and on-road driving skills in older drivers considering factors found to be related to both avoidance behavior and driving skills. METHOD: Seventy-two older drivers (M = 76 years) from the general population were included in this study. Self-reported avoidance behavior, driving practice, perceived driving difficulties, driving-related cognitive functions, as well as medical conditions were assessed within two sessions. Standardized on-road assessments served for assessing on-road driving skills in a third session. RESULTS: Self-reported avoidance behavior was associated with reduced driving skills (r = -.41), and this relationship remained significant beyond the influence of cognitive skills, self-reported health, driving practice, and perceived driving difficulties. Specifically, avoidance of driving in bad weather, poor visibility and complicated parking was found to be associated with reduced driving skills. DISCUSSION: This study suggest that avoidance behavior is an independent indicator of impaired driving skills in older drivers. Our results argue against the assumption that avoidance behavior may be a reasonable strategy for safe traffic participation. Longitudinal studies are urgently needed to get more evidence on safety aspects of avoidance behavior.
Authors: Sharon L Sabapathypillai; Monica S Perlmutter; Peggy Barco; Bradley Wilson; Mae Gordon; David Carr; Anjali M Bhorade Journal: Am J Ophthalmol Date: 2022-04-30 Impact factor: 5.488