German taxi drivers' experiences and expressions of driving anger: Are the driving anger scale and the driving anger expression inventory valid measures?

Objective: The objective of this article was 2-fold: firstly, we wanted to examine whether the original Driving Anger Scale (DAS) and the original Driving Anger Expression Inventory (DAX) apply to German professional taxi drivers because these scales have previously been given to professional and particularly to nonprofessional drivers in different countries. Secondly, we wanted to examine possible differences in driving anger experience and expression between professional German taxi drivers and nonprofessional German drivers.

Methods: We applied German versions of the DAS, the DAX, and the State–Trait Anger Expression Inventory (STAXI) to a sample of 138 professional German taxi drivers. We then compared their ratings to the ratings of a sample of 1,136 nonprofessional German drivers (Oehl and Brandenburg n.d. Oehl M, Brandenburg S. Driving anger in Germany: validation of the Driving Anger Scale (DAS). Saf Sci. n.d. submitted.  [Google Scholar]).

Results: Regarding our first objective, confirmatory factor analysis shows that the model fit of the DAS is better for nonprofessional drivers than for professional drivers. The DAX applies neither to professional nor to nonprofessional German drivers properly. Consequently, we suggest modified shorter versions of both scales for professional drivers. The STAXI applies to both professional and nonprofessional drivers. With respect to our second objective, we show that professional drivers experience significantly less driving anger than nonprofessional drivers, but they express more driving anger.

Conclusions: We conclude that the STAXI can be applied to professional German taxi drivers. In contrast, for the DAS and the DAX we found particular shorter versions for professional taxi drivers. Especially for the DAX, most statements were too strong for German drivers to agree to. They do not show behaviors related to driving anger expression as they are described in the DAX. These problems with the original American DAX items are in line with several other studies in different countries. Future investigations should examine whether (professional) drivers from further countries express their anger as proposed by the DAX. In addition, professional drivers experience less driving anger (DAS) and less general trait anger (STAXI) than nonprofessional drivers, but they report more driving anger expression (DAX) and more current general state anger (STAXI). Subsequent studies should therefore focus on different types of anger within the group of professional drivers.     

State all-driver distracted driving laws and high school students' texting while driving behavior

Objective: Texting while driving is highly prevalent among adolescents and young adults in the United States. Texting while driving can significantly increase the risk of road crashes and is associated with other risky driving behaviors. Most states have enacted distracted driving laws to prohibit texting while driving. This study examines effects of different all-driver distracted driving laws on texting while driving among high school students.

Methods: High school student data were extracted from the 2013 National Youth Risk Behavior Survey. Distracted driving law information was collected from the National Conference of State Legislatures. The final sample included 6,168 high school students above the restricted driving age in their states and with access to a vehicle. Logistic regression was applied to estimate odds ratios of laws on texting while driving.

Results: All-driver text messaging bans with primary enforcement were associated with a significant reduction in odds of texting while driving among high school students (odds ratio = 0.703; 95% confidence interval, 0.513–0.964), whereas all-driver phone use bans with primary enforcement did not have a significant association with texting while driving (odds ratio = 0.846; 95% confidence interval, 0.501–1.429).

Conclusions: The findings indicate that all-driver distracted driving laws that specifically target texting while driving as opposed to all types of phone use are effective in reducing the behavior among high school students.     

Do recommended driving limits affect teen-reported traffic violations and crashes during the first 12 months of independent driving?

OBJECTIVES: Motor vehicle crashes are highly elevated among newly licensed teenage drivers. Limits on high-risk driving conditions by driver licensing policies and parents can protect novice teens from negative driving outcomes, while they experience and driving proficiency. The purpose of this research was to evaluate the effects of strict parent-imposed driving limits on driving outcomes during the first year of licensure. METHODS: A sample of 3,743 Connecticut teens was recruited and randomized to the Checkpoints Program or comparison condition. Assessments conducted at baseline, licensure, 3-, 6-, and 12-months postlicensure included parent-imposed driving limits, traffic violations, and crashes. Bivariate and multivariate analyses were conducted to assess the effects of strict parent limits on traffic violations and crashes during the first year of licensure. RESULTS: Thirty percent of teens reported at least one traffic violation and 40% reported at least one crash. More strict parent-imposed limits at licensure, 3-, 6-, and 12-months postlicensure, were associated with fewer violations and crashes in multivariate analyses. Notably, adherence to recommended night curfew was consistently associated with fewer violations and crashes. CONCLUSIONS: The findings indicate that strict parent-imposed limits may protect novice teen drivers from negative driving outcomes.     

Leading indicators of system safety – Monitoring and driving the organizational safety potential

An indicator can be considered any measure – quantitative or qualitative – that seeks to produce information on an issue of interest. Safety indicators can play a key role in providing information on organizational performance, motivating people to work on safety and increasing organizational potential for safety. We will describe the challenges of monitoring and driving system safety. Currently, the same lead indicators are used – explicitly or implicitly – for both purposes. The fact that the selection and use of safety performance indicators is always based on a certain understanding (a model) of the sociotechnical system and safety is often forgotten. We present a theoretical framework for utilizing safety performance indicators in safety–critical organizations that incorporates three types of safety performance indicators – outcome, monitor and drive indicators. We provide examples of each type of indicator and discuss the application of the framework in organizational safety management. We argue that outcome indicators are lag indicators since outcomes always follow something; they are the consequences arising from multiple other situational and contextual factors. Monitor and drive indicators are lead indicators. The main function of the drive indicators is to direct the sociotechnical activity in the organization by motivating certain safety-related activities. Monitor indicators provide a view on the dynamics of the organization: the practices, abilities, skills and motivation of the personnel – the organizational potential for safety. We conclude that organizations should better acknowledge the significance of monitor and drive indicators in safety management.     

Literature review on risky driving videos on YouTube: Unknown effects and areas for concern?

Objective: Entry of terms reflective of extreme risky driving behaviors into the YouTube website yields millions of videos. The majority of the top 20 highly subscribed automotive YouTube websites are focused on high-performance vehicles, high speed, and often risky driving. Moreover, young men are the heaviest users of online video sharing sites, overall streaming more videos, and watching them longer than any other group. The purpose of this article is to review the literature on YouTube videos and risky driving.

Methods: A systematic search was performed using the following specialized database sources—Scopus, PubMed, Web of Science, ERIC, and Google Scholar—for the years 2005–2015 for articles in the English language. Search words included “YouTube AND driving,” “YouTube AND speeding,” “YouTube AND racing.”

Results: No published research was found on the content of risky driving videos or on the effects of these videos on viewers. This literature review presents the current state of our published knowledge on the topic, which includes a review of the effects of mass media on risky driving cognitions; attitudes and behavior; similarities and differences between mass and social media; information on the YouTube platform; psychological theories that could support YouTube's potential effects on driving behavior; and 2 examples of risky driving behaviors (“sidewalk skiing” and “ghost riding the whip”) suggestive of varying levels of modeling behavior in subsequent YouTube videos.

Conclusions: Every month about 1 billion individuals are reported to view YouTube videos (ebizMBA Guide 2015 ebizMBA Guide. Top 15 most popular websites. 2015. Available at: http://www.ebizmba.com/articles/most-popular-websites [Google Scholar]) and young men are the heaviest users, overall streaming more YouTube videos and watching them longer than women and other age groups (Nielsen 2011 Nielsen. State of the media: the social media report. Q3. 2011. Available at: http://www.nielsen.com/us/en/insights/reports/2011/social-media-report-q3.html [Google Scholar]). This group is also the most dangerous group in traffic, engaging in more per capita violations and experiencing more per capita injuries and fatalities (e.g., Parker et al. 1995 Parker D, Reason J, Manstead ASR, Stradling SG. Driving errors, driving violations and accident involvement. Ergonomics. 1995;38:1036–1048.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; Reason et al. 1990 Reason J, Manstead A, Stradling S, Baxter J, Campbell K. Errors and violations on the roads: a real distinction? Ergonomics. 1990;33:1315–1332.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; Transport Canada 2015 Vingilis E, Yilderim-Yenier Z, Fischer P, et al. Self-concept as a risky driver: Mediating the relationship between racing video games and on-road driving violations in a community-based sample. Transp Res Part F Traffic Psychol Behav. 2016;43:15–23. [Google Scholar]; World Health Organization 2015 World Health Organization. Road traffic injuries. Fact sheet no. 358. 2015. Available at: http://www.who.int/mediacentre/factsheets/fs358/en/# Accessed March 14, 2016. [Google Scholar]). YouTube also contains many channels depicting risky driving videos. The time has come for the traffic safety community to begin exploring these relationships.     

Drink driving and risky behavior among university students in southwestern Nigeria—Implications for policy development

Background: Drink driving contributes significantly to road traffic injuries. Little is known about the relationship between drink driving and other high-risk behaviors in non-Western countries. The study aimed to assess the relationship between drink driving and other risky behaviors including making phone calls, sending text messages, nonuse of protective gear, and driving against traffic.

Methods: A cross-sectional survey of risky behavior among undergraduates was conducted. A stratified random sampling method was used to identify young undergraduates who had driven a motorized vehicle in the past year. The Alcohol Use Disorder Identification Test (AUDIT) and other tools developed by researchers were used to identify the risky behaviors.

Results: Of 431 respondents, 10.7% had engaged in drink driving in the past 12 months. The most common risky behavior was making phone calls (63.7%), followed by nonuse of helmets (54.7%), driving against traffic (49.2%), nonuse of seat belts (46.8%), and sending text messages (26.1%). Alcohol use was significantly associated with making phone calls (U = 1.148; P < .0001), sending text messages (U = 1.598; P = .021), nonuse of helmets (U = 1.147; P < .0001), driving against traffic (U = 1.234; P < .0001), and nonuse of seat belts (U = 3.233; P = .001). Drink driving was associated with all risky behaviors except nonuse of seat belts (U = 1.842; P = .065).

Conclusion: Alcohol use and drink driving were associated with multiple risky driving behaviors. This provides useful insight for policy development and presents additional challenges for traffic injury prevention.     

Drivers’ visual scanning behavior at signalized and unsignalized intersections: A naturalistic driving study in China

Introduction: Intersections are the most dangerous locations in urban traffic. The present study aims to investigate drivers’ visual scanning behavior at signalized and unsignalized intersections. Method: Naturalistic driving data at 318 green phase signalized intersections and 300 unsignalized ones were collected. Drivers’ glance allocations were manually categorized into 10 areas of interest (AOIs), based on which three feature subsets were extracted including glance allocation frequencies, durations and AOI transition probabilities. The extracted features at signalized and unsignalized intersections were compared. Features with statistical significances were integrated to characterize drivers’ scanning patterns using the hierarchical clustering method. Andrews Curve was adopted to visually illustrate the clustering results of high-dimensional data. Results: Results showed that drivers going straight across signalized intersections had more often glances at the left view mirror and longer fixation on the near left area. When turning left, drivers near signalized intersections had more frequent glances at the left view mirror, fixated much longer on the forward and rearview mirror area, and had higher transition probabilities from near left to far left. Compared with drivers’ scanning patterns in left turning maneuver at signalized intersections, drivers with higher situation awareness levels would divide more attention to the forward and right areas than at unsignalized intersections. Conclusions: This study revealed that intersection types made differences on drivers’ scanning behavior. Practical applications: These findings suggest that future applications in advanced driver assistance systems and driver training programs should recommend different scanning strategies to drivers at different types of intersections.     

Young people driving after drinking and riding with drinking drivers: drinking locations--what do they tell us?

OBJECTIVE: The present study investigated the extent to which drinking in specific locations and heavy drinking mediated the effects of overall alcohol use on driving after drinking (DD) and riding with drinking drivers (RWDD) among young people. Additionally, this study examined the relationships among ethnicity, gender, drinking in specific locations, and DD and RWDD. METHOD: Using random-digit dialing procedures, participants were recruited to take part in a telephone survey in California, United States of America. Participants were 1,534 youth, ages 15-20 years (mean age = 17.6). Latinos, African Americans, and Asian Americans were over-sampled to allow cross-group comparisons. Along with background characteristics, overall alcohol use, heavy drinking, drinking in specific locations, DD, and RWDD were measured. RESULTS: Latent variable structural equation modeling showed that European Americans, males, older adolescents, those who have a driver license, and those who drive more often were more likely to report drinking alcohol in the past year. Heavy episodic drinking and drinking in cars increased both DD and RWDD. Drinking in restaurants also increased DD. The effects of overall alcohol consumption on DD were entirely mediated through heavy episodic drinking and drinking in restaurants and cars. Alcohol consumption had both direct and indirect effects on RWDD. With the exception of being Latino and frequency of driving, the effects of the background variables on RWDD were all entirely mediated through alcohol consumption. CONCLUSIONS: Heavy drinking and drinking in specific locations appeared to be important unique predictors of both DD and RWDD. In light of the relationship between drinking in restaurants and in cars, and DD, prevention programs and policies aimed at underage drinking should focus on developing more effective responsible beverage service programs, increasing compliance with laws limiting alcohol sales to youth, and enforcing graduated driver licensing and zero tolerance laws.     

How do drivers avoid collisions? A driving simulator-based study

Introduction: Drivers' collision avoidance performance in an impending collision situation plays a decisive role for safety outcomes. This study explored drivers' collision avoidance performances in three typical collision scenarios that were right-angle collision, head-on collision, and collision with pedestrian. Method: A high-fidelity driving simulator was used to design the scenarios and conduct the experiment. 45 participants took part in the simulator experiment. Drivers' longitudinal/lateral collision avoidance performances and collision result were recorded. Results: Experimental results showed that brake only was the most common response among the three collision scenarios, followed by brake combining swerve in head-on and pedestrian collision scenarios. In right-angle collision scenario with TTC (time to collision) largest among three scenarios, no driver swerved, and meanwhile drivers who showed slow brake reaction tended to compensate the collision risk by taking a larger maximum deceleration rate within a shorter time. Swerve-toward-conflict was a prevalent phenomenon in head-on and pedestrian collision scenarios and significantly associated with collision risk. Drivers that swerved toward the conflict object had a shorter swerve reaction time than drivers that swerved away from conflict. Conclusions: Long brake reaction time and wrong swerve direction were the main factors leading to a high collision likelihood. The swerve-toward-conflict maneuver caused a delay in brake action and degraded subsequent braking performances. The prevalent phenomenon indicated that drivers tended to use an intuitive (heuristic) way to make decisions in critical traffic situations. Practical applications: The study generated a better understanding of collision development and shed lights on the design of future advanced collision avoidance systems for semi-automated vehicles. Manufactures should also engage more efforts in developing active steering assistance systems to assist drivers in collision avoidance.     

Injury prevention programs against distracted driving: Are they effective?

Introduction: Distracted driving (talking and/or texting) is a growing public safety problem, with increasing incidence among adult drivers. The aim of this study was to identify the incidence of distracted driving (DD) among health care providers and to create awareness against DD. We hypothesized that distracted driving is prevalent among health care providers and a preventive campaign against distracted driving would effectively decrease distracted driving among health care providers.

Methods: We performed a 4-phase prospective interventional study of all health care providers at our level 1 trauma center. Phase 1: one week of pre-intervention observation; phase 2: one week of intervention; phase 3: one week of postintervention observation; and phase 4: one week of 6 months of postintervention observation. Observations were performed outside employee parking garage at the following time intervals: 6:30–8:30 a.m., 4:40–5:30 p.m., and 6:30–7:30 p.m. Intervention included an e-mail survey, pamphlets and banners in the hospital cafeteria, and a postintervention survey. Hospital employees were identified with badges and scrubs, employees exiting through employee gate, and parking pass on the car. Outcome measure was incidence of DD pre, post, and 6 months postintervention.

Results: A total of 15,416 observations (pre: 6,639, post: 4,220, 6 months post: 4,557) and 520 survey responses were collected. The incident of DD was 11.8% among health care providers. There was a significant reduction in DD in each time interval of observation between pre- and postintervention. On subanalysis, there was a significant decrease in talking (P = .0001) and texting (P = .01) while driving postintervention compared to pre-intervention. In the survey, 35.5% of respondents admitted to DD and 4.5% respondents were involved in an accident due to DD. We found that 77% respondents felt more informed after the survey and 91% respondents supported a state legislation against DD. The reduction in the incidence of DD postintervention was sustained even at 6-month follow-up.

Conclusion: There was a 32% reduction in the incidence of distracted driving postintervention, which remained low even at 6-month follow-up. Implementation of an effective injury prevention campaign could reduce the incidence of distracted driving nationally.     

Can real-life driving ability be predicted by the Maintenance of Wakefulness Test?

Objective: Drowsy driving is a profound road safety issue. In patients with excessive daytime sleepiness (EDS), the Maintenance of Wakefulness Test (MWT) is commonly used to evaluate driving ability. However, there is little evidence that MWT predicts driving performance, and several sleep latency cutoffs have been suggested.

Methods: Based on a retrospective chart analysis of patients with an MWT and a driving ability assessment between January 2006 and November 2014, we identified 63 studies in 60 patients. The driving ability assessment judged the patients as qualified or disqualified for commercial driving. MWT latencies to 3?s of alpha activity, 3?s of drowsiness (microsleep), and sleep onset were compared between qualified and disqualified patients and their validity to identify driving qualification was evaluated.

Results: Disqualified patients had shorter alpha, microsleep, and sleep latencies, but the latency distributions were widely overlapping. MWT accuracy to predict driving performance was poor: two thirds of short sleep latencies were false positives. Adding information from alpha and microsleep latencies added little extra accuracy.

Conclusions: MWT results correlate poorly with driving performance in a 2-h test irrespective of sleep latency cutoff or added alpha/microsleep latency data. Better diagnostic tools are needed to evaluate driving performance in patients with EDS.     

Exposure-based assessment of the effectiveness of Michigan’s graduated driver licensing nighttime driving restriction

The objective of the study is to assess the effectiveness of Michigan’s graduated driver licensing (GDL) program in terms of nighttime driving restriction. The research uses the quasi-induced exposure technique to capture and represent the exposure and accident risk change of the impacted driver groups due to the implementation of the GDL program. Six years of Michigan accident data were used, including three years before the GDL implementation and three years after. The effectiveness of Michigan’s GDL program in terms of nighttime driving is reflected in several dimensions: for the impacted drivers (16- and 17-year-olds), there is a significant reduction of exposure compared to the reference group and a decrease in the relative accident involvement ratio (thus a reduced accident risk); and examination of time of day distributions of impacted teenage drivers shows that there is a conspicuous percentage drop of impacted teenage drivers at the point where the nighttime curfew starts. With the implementation of the GDL program, the affected group tends to drive increasingly more in the several hours prior to the restricted time period to avoid violating the curfew law. As opposed to the traditional exposure measurements such as population or licensed drivers, quasi-induced exposure technique has the capability of depicting the accident propensity and quantifying exposure change from different age groups.     

“They’re lunatics on the road”: Exploring the normative influences of parents,friends, and police on young novices’ risky driving decisions

PurposeYoung novice drivers experience significantly greater risk of being injured or killed in car crashes than older more experienced drivers. This research utilised a qualitative approach guided by the framework of Akers’ social learning theory. It explored young novice drivers’ perspectives on risky driving including rewards and punishments expected from and administered by parents, friends, and police, imitation of parents’ and friends’ driving, and advantages and disadvantages of risky driving.MethodsTwenty-one young drivers (12 females, 9 males) aged 16–25 years (M = 17.71 years, SD = 2.15) with a Learner (n = 11) or Provisional (n = 10) driver licence participated in individual or small group interviews.Findings and conclusionsContent analysis supported four themes: (1) rewards and (2) punishments for risky driving, and the influence of (3) parents and (4) friends. The young novice drivers differed in their vulnerability to the negative influences of friends and parents, with some novices advising they were able to resist risky normative influences whilst others felt they could not. The authority of the police as enforcers of road rules was either accepted and respected or seen as being used to persecute young novices. These findings suggest that road safety interventions should consider the normative influence of parents and friends on the risky and safe behaviour of young novices. Police were also seen as influential upon behaviour. Future research should explore the complicated relationship between parents, friends, the police, young novices, and their risky driving behaviour.     

The Swedish joint action method against drink driving—a study of suspected drink drivers' own experiences

Objective: In Sweden, a joint action method called SMADIT is in use, where the police quickly offer help from the social services or the dependency care and treatment service to suspected drink drivers. The objective of this article is to analyze the experiences of suspected drink drivers who accepted the offer of help and what it meant for them. The knowledge can be used to improve procedures and consultations. Furthermore, it can allow the basic premises of the method to be examined; for example, the importance of offering help quickly.

Methods: To enable comparisons over time, in-depth interviews were conducted with 12 suspected drink drivers on 2 occasions with 1 year between.

Results: To varying degrees the informants knew about their alcohol problems but were unsure whether they would have sought help by themselves. Therefore, the original ideas of the method with an initial contact with the social services or the dependency care and treatment service within 24 h was found to be important. However, the results also showed that some of the informants needed some time before the first meeting because they were in shock from the drink driving incident or in need of sleep. Therefore, the drink driver's situation and individual wishes always have to be considered. The article also shows that an encouraging attitude among the police, the social services, and the dependency care and treatment service is important for the success of the SMADIT method.

The informants are satisfied with the method and in retrospect the incident and the SMADIT offer of help are described as a turning point in their lives. One year after being offered help the informants were no longer focused solely on the personal consequences of drink driving, as they were shortly after the incident. Instead, they had gained insights into the harm they could have done to other road users when they drove while drunk.

Conclusions: One conclusion from this article is that SMADIT, as an innovative method that can be deployed more rapidly than other alcohol-impaired driving countermeasures, should be considered as a good complement to conventional methods to deal with drink driving. Based on the results, we recommend a trial of the joint action method against drink driving in other jurisdictions.     

“Are you still driving?” Metasynthesis of patient preferences for communication with health care providers

Aim: The aim of this study was to synthesize published qualitative studies to identify older adults' preferences for communication about driving with health care providers.

Background: Health care providers play a key role in addressing driving safety and driving retirement with older adults, but conversations about driving can be difficult. Guides exist for family members and providers, but to date less is known about the types of communication and messages older drivers want from their health care providers.

Design: A qualitative metasynthesis of studies published on or before October 10, 2014, in databases (PubMed, CINAHL, PsycINFO, and Web of Science) and grey literature was performed.

Review Methods: Twenty-two published studies representing 518 older adult drivers met the following inclusion criteria: the study (1) was about driving; (2) involved older drivers; (3) was qualitative (rather than quantitative or mixed methods); and (4) contained information on older drivers' perspectives about communication with health care providers.

Results: We identified 5 major themes regarding older adults' communication preferences: (1) driving discussions are emotionally charged; (2) context matters; (3) providers are trusted and viewed as authority figures; (4) communication should occur over a period of time rather than suddenly; and (5) older adults desire agency in the decision to stop driving.

Conclusion: Various stakeholders involved in older driver safety should consider older drivers' perspectives regarding discussions about driving. Health care providers can respect and empower older drivers—and support their family members—through tactful communication about driving safety and mobility transitions during the life course.     

Analysis of effects of driver’s evasive action time on rear-end collision risk using a driving simulator

Introduction: Driver’s evasive action is closely associated with collision risk in a critical traffic event. To quantify collision risk, surrogate safety measures (SSMs) have been estimated using vehicle trajectories. However, vehicle trajectories cannot clearly capture presence and time of driver’s evasive action. Thus, this study determines the driver’s evasive action based on his/her use of accelerator and brake pedals, and analyzes the effects of the driver’s evasive action time (i.e., duration of evasive action) on rear-end collision risk. Method: Fifty drivers’ car-following behavior on a freeway was observed using a driving simulator. An SSM called “Deceleration Rate to Avoid Crash (DRAC)” and the evasive action time were determined for each driver using the data from the driving simulator. Each driver tested two traffic scenarios – Cars and Trucks scenarios where conflicting vehicles were cars and trucks, respectively. The factors related to DRAC were identified and their effects on DRAC were analyzed using the Generalized Linear Models and random effects models. Results: DRAC decreased with the evasive action time and DRAC was closely related to drivers’ gender and driving experience at the road sections where evasive action to avoid collision was required. DRAC was also significantly different between Cars and Trucks scenarios. The effect of the evasive action time on DRAC varied among different drivers, particularly in the Trucks scenario. Conclusions: Longer evasive action time can significantly reduce crash risk. Driver characteristics are more closely related to effective evasive action in complex driving conditions. Practical Applications: Based on the findings of this study, driver warning information can be developed to alert drivers to take specific evasive action that reduces collision risk in a critical traffic event. The information is likely to reduce the variability of the driver’s evasive action and the speed variations among different drivers.     

Can variations in visual behavior measures be good predictors of driver sleepiness? A real driving test study

Objective: The primary purpose of this study was to examine the association between variations in visual behavior measures and subjective sleepiness levels across age groups over time to determine a quantitative method of measuring drivers' sleepiness levels.

Method: A total of 128 volunteer drivers in 4 age groups were asked to finish 2-, 3-, and 4-h continuous driving tasks on expressways, during which the driver's fixation, saccade, and blink measures were recorded by an eye-tracking system and the subjective sleepiness level was measured through the Stanford Sleepiness Scale. Two-way repeated measures analysis of variance was then used to examine the change in visual behavior measures across age groups over time and compare the interactive effects of these 2 factors on the dependent visual measures.

Results: Drivers' visual behavior measures and subjective sleepiness levels vary significantly over time but not across age groups. A statistically significant interaction between age group and driving duration was found in drivers' pupil diameter, deviation of search angle, saccade amplitude, blink frequency, blink duration, and closure duration. Additionally, change in a driver's subjective sleepiness level is positively or negatively associated with variation in visual behavior measures, and such relationships can be expressed in regression models for different period of driving duration.

Conclusions: Driving duration affects drivers' sleepiness significantly, so the amount of continuous driving time should be strictly controlled. Moreover, driving sleepiness can be quantified through the change rate of drivers' visual behavior measures to alert drivers of sleepiness risk and to encourage rest periods. These results provide insight into potential strategies for reducing and preventing traffic accidents and injuries.