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Driving safety improves after individualized training: An RCT involving older drivers in an urban area.

Sylvain GagnonA StinchcombeM CurtisM KatebJanice Miller-PolgarM M PorterM Bédard
Published in: Traffic injury prevention (2019)
Objective: This study aimed to reproduce the results of a previous investigation on the safety benefits of individualized training for older drivers. We modified our method to address validity and generalizability issues. Methods: Older drivers were randomly assigned to one of the 3 arms: (1) education alone, (2) education + on road training, and (3) education + on road + simulator training. Older drivers were recruited from a larger urban community. At the pre- and posttests (separated by 4 to 8 weeks) participants followed driving directions using a Global Positioning System (GPS) navigation system. Results: Our findings support the positive influence of individualized on-road training for urban-dwelling older drivers. Overall, driving safety improved among drivers who received on-road training over those who were only exposed to an education session, F(1, 40) = 11.66, P = .001 (26% reduction in total unsafe driving actions [UDAs]). Statistically significant improvements were observed on observation UDAs (e.g., scanning at intersections, etc.), compliance UDAs (e.g., incomplete stop), and procedural UDAs (e.g., position in lane). Conclusion: This study adds to the growing evidence base in support of individualized older driver training to optimize older drivers' safety and promote continued safe driving.
Keyphrases
  • community dwelling
  • virtual reality
  • middle aged
  • healthcare
  • physical activity
  • quality improvement
  • mental health
  • high resolution
  • high intensity
  • working memory
  • preterm birth