Abstract
To assess to what extent specific cognitive functions contribute to pedal errors among older drivers. 180 subjects aged 65 and older completed a 30 min driving evaluation on a simulator as well as three cognitive tests, the Mini-Mental State Exam (MMSE), the Clock Drawing Test, and Trailmaking Part A and B. Analyses based on logistic regressions were performed using age, gender, MMSE, Trailmaking Part A and B, and Clock Drawing Test as independent variables. Results indicate that Clock Drawing is the best predictor of pedal errors (odds ratio=10.04, p<.0001, 95% CI: 3.80, 26.63) followed by age > or =84 (odds ratio 6.10, p<.05, 95% CI: 1.77, 21.03). In contrast, Trailmaking Part A and B, gender, and the MMSE were not significantly related to pedal errors. Executive dysfunction may be an important contributor to pedal errors and thus unsafe driving. Practitioners may wish to consider measures of executive function when evaluating patients for driving safety.
References
Mar 1, 1989·American Journal of Public Health·A F Williams, O Carsten
Nov 1, 1988·Journal of Gerontology·R W PondsP C van Wolffelaar
Jan 1, 1967·Acta Psychologica·J L Horn, R B Cattell
Mar 15, 1995·Annals of Internal Medicine·C M CallahanW M Tierney
Mar 12, 1997·JAMA : the Journal of the American Medical Association·G W RossL R White
Jul 15, 1998·Accident; Analysis and Prevention·J C StuttsC Martell
Aug 27, 1998·The Journal of the American Board of Family Practice·D J CoxG Hanna
Mar 17, 1999·Journal of the American Geriatrics Society·D J CoxB Kovatchev
Apr 15, 1999·Age and Ageing·W C QuillianC Phillips
Oct 21, 2000·Archives of Internal Medicine·V G ValcourP L Blanchette
Mar 10, 2001·Alzheimer Disease and Associated Disorders·M RizzoS N Anderson
Mar 18, 2005·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·William M WhelihanRobert H Paul
Jun 14, 2005·Accident; Analysis and Prevention·Barbara FreundRebecca McLeod
Jan 24, 2006·Accident; Analysis and Prevention·Jim LangfordLiisa Hakamies-Blomqvist
Citations
May 23, 2012·Traffic Injury Prevention·Sigal Kaplan, Carlo Giacomo Prato
Apr 16, 2015·Traffic Injury Prevention·Dafne PiersmaWiebo Brouwer
Jul 6, 2012·Accident; Analysis and Prevention·Ides Y WongKaren A Sullivan
Oct 6, 2012·Accident; Analysis and Prevention·Inês S FerreiraJoão Marôco
Oct 6, 2012·Accident; Analysis and Prevention·Anna DevlinVirginie Etienne
Nov 19, 2011·Journal of Safety Research·Jean M GainesJohn M Parrish
May 6, 2010·Accident; Analysis and Prevention·David D ClarkeWendy Truman
Sep 1, 2009·International Journal of Geriatric Psychiatry·Nadina B LincolnKathryn A Radford
May 24, 2016·Ergonomics·Dong-Yuan Debbie WangJoseph Schmuller
Jun 20, 2015·Human Factors·Yuqing WuJames Foley
Jul 18, 2014·Human Factors·Jinglong WuMasayuki Yoshitake
Apr 18, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Nurit HellingerNavah Z Ratzon
Jul 3, 2020·Human Factors·Kunihiro HasegawaYuji Takeda
May 26, 2017·Journal of Autism and Developmental Disorders·Daniel J CoxRon Reeve