Validation of Rehabilitation Training Programs for Older Drivers
This project studied the effectiveness of four interventions designed to bolster safe performance among healthy older drivers: (1) Classroom driver education with supplemental behind-the-wheel instruction; (2) Computer-based exercises to improve speed of processing and divided attention; (3) Clinical occupational therapy-based exercises to improve visual skills and attention; and (4) Physical conditioning to improve strength, flexibility, and movement. Seventy-eight drivers 65 and older were randomly assigned to one of the four treatment groups or to a control group that completed activities unrelated to driver improvement. Training effects for each intervention were gauged in relation to the common control group using two types of measures. First, measures of effectiveness emphasized tactical driving skills demonstrated through on-road assessments conducted by a Certified Driver Rehabilitation Specialist (CDRS). Next, performance on a driving simulator was measured for various attention and divided attention tasks. Both types of measures were obtained before training, immediately following training, and three months post-training. For the on-road assessments, only the OT-Administered training group and the classroom + BTW training group demonstrated a significant gain relative to the control group, in the percentage of drivers with skill deficits at the pre-treatment assessment who improved their skills on the immediate post-treatment assessment. None of the treatments demonstrated significant gains on the three-month post-treatment assessment, relative to controls. There were no significant gains for any of the treatment groups on post- versus pre-training performance in the simulator tasks. The positive findings for the OT-Administered visual skills training points to a new opportunity for those professionals without the relatively scarce "driver rehabilitation specialist" certification to enhance seniors' safety behind the wheel. The development of on-road evaluation methods using scales with interval properties is also recommended.
- Record URL:
- Record URL:
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Corporate Authors:
TransAnalytics, LLC
336 West Broad Street
Quakertown, PA United States 18951Greenville Hospital System
701 Grove Road
Greenville, SC United States 29605University of North Carolina, Chapel Hill
Highway Safety Research Center
730 Martin Luther King Jr. Boulevard, CB 3430
Chapel Hill, NC United States 27599-3430National Highway Traffic Safety Administration
Office of Behavioral Safety Research, 1200 New Jersey Avenue, SE
Washington, DC United States 20590 -
Authors:
- Staplin, Loren
- Lococo, Kathy H
- Brooks, Johnell O
- Srinivasan, Raghavan
- Publication Date: 2013-4
Language
- English
Media Info
- Media Type: Digital/other
- Edition: Final Report
- Features: Appendices; Figures; References; Tables;
- Pagination: 264p
Subject/Index Terms
- TRT Terms: Aged drivers; Driver education; Driver improvement programs; Driver performance; Driver rehabilitation; Driver training; Driving simulators; Measures of effectiveness; Motor skills; Visual perception
- Uncontrolled Terms: Occupational therapy; Physical therapy
- Subject Areas: Highways; Safety and Human Factors; I83: Accidents and the Human Factor;
Filing Info
- Accession Number: 01483681
- Record Type: Publication
- Report/Paper Numbers: DOT HS 811 749
- Contract Numbers: DTNH22-07-D-00049, TO 05
- Files: HSL, NTL, TRIS, ATRI, USDOT
- Created Date: Jun 12 2013 10:42AM