In my car the brake is on the right: pedal errors among older drivers

Accident; Analysis and Prevention
Barbara FreundRebecca McLeod

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.

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Jun 14, 2005·Accident; Analysis and Prevention·Barbara FreundRebecca McLeod
Jan 24, 2006·Accident; Analysis and Prevention·Jim LangfordLiisa Hakamies-Blomqvist

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Citations

Apr 16, 2015·Traffic Injury Prevention·Dafne PiersmaWiebo Brouwer
Oct 6, 2012·Accident; Analysis and Prevention·Inês S FerreiraJoão Marôco
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
Jun 20, 2015·Human Factors·Yuqing WuJames Foley
Apr 18, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Nurit HellingerNavah Z Ratzon
Jul 3, 2020·Human Factors·Kunihiro HasegawaYuji Takeda

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