Cognitive, sensory and physical factors enabling driving safety in older adults

We reviewed literature on cognitive, sensory, motor and physical factors associated with safe driving and crash risk in older adults with the goal of developing a model of factors enabling safe driving behaviour. Thirteen empirical studies reporting associations between cognitive, sensory, motor and...

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Bibliographic Details
Published in:Clinical psychology review 2005, Vol.25 (1), p.45-65
Main Authors: Anstey, Kaarin J., Wood, Joanne, Lord, Stephen, Walker, Janine G.
Format: Article
Language:English
Subjects:
Accidents, Traffic - statistics & numerical data
Aged
Aged, 80 and over
Aging - physiology
Aging - psychology
Automobile Driving - psychology
Cognition - physiology
Cognitive aging
Crash risk
Driving
Female
Hearing - physiology
Humans
Male
Middle Aged
Models, Theoretical
Motor Activity - physiology
Motor Skills - physiology
Physiological aging
Psychomotor Performance - physiology
Sensorimotor function
Vision, Ocular - physiology
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Summary:We reviewed literature on cognitive, sensory, motor and physical factors associated with safe driving and crash risk in older adults with the goal of developing a model of factors enabling safe driving behaviour. Thirteen empirical studies reporting associations between cognitive, sensory, motor and physical factors and either self-reported crashes, state crash records or on-road driving measures were identified. Measures of attention, reaction time, memory, executive function, mental status, visual function, and physical function variables were associated with driving outcome measures. Self-monitoring was also identified as a factor that may moderate observed effects by influencing driving behavior. We propose that three enabling factors (cognition, sensory function and physical function/medical conditions) predict driving ability, but that accurate self-monitoring of these enabling factors is required for safe driving behaviour.
ISSN:0272-7358
1873-7811
DOI:10.1016/j.cpr.2004.07.008