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The combined effects of on-road and simulator training with feedback on older drivers' on-road performance: Evidence from a randomized controlled trial |
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| Authors: | Erica Sawula Jan Polgar Michel M Porter Sylvain Gagnon Bruce Weaver Satoru Nakagawa |
| Institution: | 1. Centre for Research on Safe Driving, Lakehead University, Thunder Bay, Ontario, Canada;2. School of Occupational Therapy, Western University, London, Ontario, Canada;3. Centre on Aging, University of Manitoba, Winnipeg, Manitoba, Canada;4. School of Psychology, University of Ottawa, Ontario, Canada;5. Division of Human Sciences, Northern Ontario Schools of Medicine, Thunder Bay, Ontario, Canada |
| Abstract: | Objective: A number of training programs that seek to improve driving performance among older drivers are available accompanied by a growing interest in their effectiveness. The purpose of the present investigation was to examine the combined effect of (1) basic in-class training (BT); (2) on-road training with individualized feedback (OR); and (3) training on a driving simulator (S). Methods: Using a randomized controlled trial study design, 78 older drivers were randomly assigned to one of 3 groups (BT, BT + OR, or BT + OR + S). All participants completed a pre- and postintervention on-road driving evaluation on a standardized route. The driving evaluations were recorded using video and Global Positioning System (GPS) equipment and were scored by a blind assessor. Results: The results indicated a significant reduction of approximately 30% in overall number of driving errors/omissions among participants in the BT + OR and the BT + OR + S groups in comparison to participants in the BT group. Conclusions: This study adds to the mounting evidence demonstrating the effectiveness of individualized driver training in improving safe driving among older adults. |
| Keywords: | Driving aging older drivers driver training simulation seniors randomized controlled trials |