Enhancing older driver safety: A driving survey and evaluation of the CarFit program

Objective

To evaluate CarFit, an educational program designed to promote optimal alignment of driver with vehicle.

Methods

A driving activity survey was sent to 727 randomly selected participants living in retirement communities. Drivers (n = 195) were assigned randomly to CarFit intervention (n = 83, M age = 78.1) or Comparison (n = 112, M age = 79.6) groups. After 6 months, participants completed a post-test of driving activity and CarFit recommendations.

Results

Nonconsenting drivers were older and participated in fewer driving activities. CarFit participation was moderate (71%) with 86% of the participants receiving recommendations. 60% followed the recommendations at the 6-month re-evaluation). The CarFit (67.6%) and Comparison (59.3%) groups reported at least one type of self-regulation of driving activity at baseline. There was no significant change in the driving behaviors at the six-month follow-up.

Conclusion

CarFit was able to detect addressable opportunities that may contribute to the safety of older drivers.

Impact on industry

CarFit recommendations may need stronger reinforcement in order to be enacted by a participant.     

The safety effect of open-median management on one-side widened freeways: A driving simulation evaluation

Introduction: Highway expansions and upgrades are often required to increase road network capacity. The widening of one side of a highway, referred to as ‘one-side widening,’ is sometimes implemented in these highway expansion projects. During one-side widening, to save costs, openings can be configured on existing medians (as opposed to removing the existing medians altogether). The median openings allow vehicles in the outer lanes to enter the inner lanes, but they also raise safety concerns and may require alternate open-median management strategies for traffic authorities. There is little existing research that has evaluated the safety effect of these open-median management strategies. Method: To bridge this gap, this study proposes a procedure that evaluates the safety of open-median management strategies for one-side widened highways. The proposed procedure was implemented through driving simulation experiments on a section of Binlai Freeway in Shandong, China. First, the minimum location requirements for median openings were determined by calculating the short length of the weaving segment. Then, simulation tests were carried out to observe driving performance and workload measures. Results: The results indicate that the procedure successfully evaluates the safety effect of open-median management strategies for one-side widened freeways. It was also found that driving performance and workload are sensitive to the opening length and traffic flow. Conclusions: Therefore, median opening placement should be carefully selected in consideration of not only driving performance and workload but also traffic volume predictions. Practical Applications: The findings in this study can guide open-median management strategies for traffic safety one-side widened highways.     

The effect of driver eye height on speed choice, lane-keeping, and car-following behavior: results of two driving simulator studies

OBJECTIVE: Two simulator studies were conducted that assessed the effect of driver eye height on speed choice, lane-keeping, and car-following behavior. The effect of eye height on the subjective variables of mental workload, frustration, and confidence was also investigated, as was the contribution of drivers' aggression. METHODS: A total of 43 participants drove a simulated route while seated at two different eye heights: one that represented the view of the road from a large SUV and one that represented the view of the road from a small sports car. Driving scenarios were comprised of both open road and car-following segments. Dependent variables included driver-selected speed, speed variability, lane position, following distance to a slower-moving lead vehicle, and the subjective variables of frustration, confidence, and mental workload. RESULTS: When viewing the road from a high eye height, drivers drove faster, with more variability, and were less able to maintain a consistent position within the lane than when viewing the road from a low eye height. Driver eye height did not influence following distance to a slower-moving lead vehicle. Driver aggression had no effect on any of the dependent variables except level of frustration. CONCLUSIONS: The two studies demonstrate that, when they are not able to reference a speedometer, drivers choose to drive faster when they view the road from an eye height that is representative of a large SUV compared to that of a small sports car. There is a need to educate drivers of SUVs and other tall vehicles of this perceptual phenomenon in order to prevent collisions that may occur in conditions where it is impossible for drivers to base their speed selection solely on posted speed limits, such as in inclement weather.     

Hardcore drinking drivers and other contributors to the alcohol-impaired driving problem: need for a comprehensive approach

OBJECTIVE: Understanding the hardcore drinking driver concept in the context of the alcohol-impaired driving problem. METHOD: Review of the relevant literature. RESULTS: As progress against alcohol-impaired driving slowed in the early 1990s, public and political attention turned to "hardcore" drinking drivers, and they have been a priority for the past 15 years. Though intuitive, the hardcore concept has been difficult to conceptualize. Its definition of hard-to-change chronic heavy drinking drivers focuses on a group that is not easily identifiable and ignores many who account for a large portion of alcohol-impaired driving crashes. These include drivers who drink heavily on occasion and drivers who drink at more moderate levels that elevate crash risk. Emphasis on the hardcore has focused attention on the small proportion of drinking drivers who have been detected and arrested, whereas the vast majority of drinking drivers go undetected. Some countermeasures aimed at the hardcore group have been effective in reducing recidivism, but attention and resources also need to be given to general deterrent initiatives (e.g., 0.08 g/dL, sobriety checkpoints, administrative license suspension). There has been no reduction in the overall alcohol-impaired driving problem since the mid-1990s. CONCLUSION: Reductions in the alcohol-impaired driving problem require that attention be focused on all relevant target groups. Some benefits could accrue by recognizing that countermeasures developed for hardcore drinking drivers, such as alcohol ignition interlocks and vehicle or plate impoundment, might also be effective with more numerous first-time offenders. However, such strategies are likely to be most effective against recidivism (specific deterrence). Greater gains could be achieved through general deterrent efforts (increasing the real and perceived risk of arrest and punishment to all drinking drivers), along with application of public health measures designed to reduce overall consumption. Additional ways need to be found to separate drinking and driving, either through cultural changes in drinking and/or driving behavior or, in the future, with the use of technology that can make vehicles inoperable by drivers with illegal blood alcohol concentrations.     

The effects of a joint range-of-motion physical fitness training program on the automobile driving skills of older adults

Previous attempts to sustain the automobile driving skills of older adults have centered on modifying the driving environment, improving the design of the vehicle, or introducing comprehensive educational programs. This research represents the first experimental investigation of the effects of a physical fitness training program on the automobile driving performance of older adults. Thirty-two older adults were assigned randomly, stratified by gender, to either an experimental group who participated in an 8 week range-of-motion exercise training program or a control group. A 2 (Experimental group/Control group) × 3 (Testing Session) repeated measures experimental design was used to examine the effects of the 8 week range-of-motion exercise training program on subject range of motion and a field-based assessment of automobile driving skill. The results indicated that the program was successful in improving subject shoulder flexibility and trunk rotation, as well as improving scores on the driving skill measure of observing.     

Seat belts pay off: The evaluation of a community-wide incentive program

This research explores the effectiveness of a seat-belt incentive program in an entire community. The project was conducted during 1983 in Chapel Hill/Carrboro, North Carolina, a community with a population of 50,000. The campaign, entitled “Seat Belts Pay Off,” comprised several steps: (a) planning and developing support, (b) developing data collection and other evaluative procedures, (c) implementing a public education/involvement campaign, and (d) giving modest economic incentives to belted occupants of vehicles passing checkpoints over a 6-month period. Belt use matching the highest level recorded in a U.S. community was achieved. Incentives, generally ranging in value from $3 to $5, were donated by many community businesses. The prizes, which included meals, containers of soft drinks, $5 cash coupons, T-shirts, and gift certificates, were given out for 6 months (April 19 to October 17, 1983). Additionally, six monthly $500 drawings were held, along with a $1,000 grand prize drawing. Eligible participants were those who had been stopped and rewarded for wearing their seat belt(s) and who then mailed in a preaddressed, postage-paid entry card. The drawings were conducted to stimulate public interest at selected intervals in the campaign. The effectiveness of the effort was measured by monitoring driver shoulder-belt use in passenger cars equipped with shoulder belts before, during, and after the education and incentive phases. A systematic, stratified sample was used to obtain weekly belt use data from 7 of 17 permanent data collection stations located around the community. Results indicate that driver overall belt use increased from 24 % in the baseline phase to a peak value of 41 % in the last week of the incentive phase. During the initial 6 months of the follow-up phase, weekly belt use held consistently around 36%. Over the next year, use rates increased slightly, although a small scale 2-month follow-up intervention introduced in the fall of 1984 had little, if any, impact.     

The effects of minimum legal drinking age 21 laws on alcohol-related driving in the United States

Objective

To examine trends in alcohol consumption and alcohol-related crashes among people younger than 21 in the United States and to review evidence on the effects of minimum legal drinking age (MLDA) laws.

Methods

Trends in alcohol-related crashes and alcohol consumption among young people were examined, and studies on the effects of lowering and raising the drinking age were reviewed.

Results

MLDA laws underwent many changes during the 20th century in the United States. Since July 1988, the MLDA has been 21 in all 50 states and the District of Columbia. Surveys tracking alcohol consumption among high school students and young adults found that drinking declined since the late 1970 s, and most of the decline occurred by the early 1990 s. These were the years when states were establishing, or reinstating, a MLDA-21. Among fatally injured drivers ages 16-20, the percentage with positive BACs declined from 61% in 1982 to 31% in 1995, a bigger decline than for older age groups; declines occurred among the ages directly affected by raising MLDAs (ages 18-20) and among young teenagers not directly affected (ages 16-17). Almost all studies designed specifically to gauge the effects of drinking age changes show MLDAs of 21 reduce drinking, problematic drinking, drinking and driving, and alcohol-related crashes among young people. Yet many underage people still drink, many drink and drive, and alcohol remains an important risk factor in serious crashes of young drivers, especially as they progress through the teenage years. Stepped-up enforcement of MLDA and drinking and driving laws can reduce underage drinking. Recent efforts to lower MLDAs to 18 and issue licenses to drink upon completion of alcohol education have gained local and national media attention. There is no evidence that alcohol education can even partially replace the effect of MLDA-21.

Conclusions

The cause and effect relationship between MLDAs of 21 and reductions in highway crashes is clear. Initiatives to lower the drinking age to 18 ignore the demonstrated public health benefits of MLDAs of 21.

Impact on Industry

Lowering the drinking age to 18 will increase highway crash deaths among young people.     

The effect of fatigue driving on injury severity considering the endogeneity

IntroductionFatigue driving is one of the most risky driving-related behaviors and represented a significant social and economic cost to the community. Several studies have already examined the relationship between fatigue driving behavior and traffic injury severity from different aspects. However, fatigue driving and injury severity in traffic crash may share some common influential factors. Ignoring the impact of these common factors will lead to endogeneity problem and result in biased parameter estimation.MethodBased on 38,564 crash records during 2006–2011 in Guangdong province, China, we apply a bivariate endogenous binary-ordered probit model to examine the relationship between fatigue driving and injury severity considering endogeneity of fatigue driving. We also explore the difference of influential factors between commercial and non-commercial vehicle drivers.ResultsThis study identifies several common observed influential factors of fatigue driving propensity and fatal injury propensity and reveals a substantial and significant negative correlation of unobserved factors between them.ConclusionsThe influence of fatigue driving on injury severity is significantly underestimated if the endogeneity of fatigue driving on fatal injury propensity is ignored. Factors such as vehicle insurance and road types not only affect fatal injury propensity, but also fatigue driving propensity.Practical applicationsThe findings in this study can help better understand how those factors affect fatigue driving and injury severity, and contributes to more efficient policy for preventing the harmfulness of fatigue-related crashes.     

The effect of age on cognitive performance under the impact of vibration in a driving environment.

The effect of organismic variable age on human cognitive performance was studied under the impact of vibration in different automobile driving environments, namely city streets, rural roads and highways. Reaction time was measured in milliseconds through a human response measurement system specifically designed for the purpose. Results of the study showed that age had a significant effect in city street and rural road conditions. It was also found that the level of equivalent acceleration of vibration and a difficulty index significantly affected cognitive performance in all driving conditions. The organismic variable age observed to have a significant effect on task performance implied that youngsters and older people are stressed differently in specific environments of driving so proper stress management strategies should be evolved for them in order to minimize the number of accidents.     

Structural equation model analysis for the evaluation of overall driving performance: A driving simulator study focusing on driver distraction

Objective: The present research relies on 2 main objectives. The first is to investigate whether latent model analysis through a structural equation model can be implemented on driving simulator data in order to define an unobserved driving performance variable. Subsequently, the second objective is to investigate and quantify the effect of several risk factors including distraction sources, driver characteristics, and road and traffic environment on the overall driving performance and not in independent driving performance measures.

Methods: For the scope of the present research, 95 participants from all age groups were asked to drive under different types of distraction (conversation with passenger, cell phone use) in urban and rural road environments with low and high traffic volume in a driving simulator experiment. Then, in the framework of the statistical analysis, a correlation table is presented investigating any of a broad class of statistical relationships between driving simulator measures and a structural equation model is developed in which overall driving performance is estimated as a latent variable based on several individual driving simulator measures.

Results: Results confirm the suitability of the structural equation model and indicate that the selection of the specific performance measures that define overall performance should be guided by a rule of representativeness between the selected variables. Moreover, results indicate that conversation with the passenger was not found to have a statistically significant effect, indicating that drivers do not change their performance while conversing with a passenger compared to undistracted driving. On the other hand, results support the hypothesis that cell phone use has a negative effect on driving performance. Furthermore, regarding driver characteristics, age, gender, and experience all have a significant effect on driving performance, indicating that driver-related characteristics play the most crucial role in overall driving performance.

Conclusions: The findings of this study allow a new approach to the investigation of driving behavior in driving simulator experiments and in general. By the successful implementation of the structural equation model, driving behavior can be assessed in terms of overall performance and not through individual performance measures, which allows an important scientific step forward from piecemeal analyses to a sound combined analysis of the interrelationship between several risk factors and overall driving performance.     

The INDICATE safety program: evaluation of a method to proactively improve airline safety performance

A number of recent and highly publicised fatal aircraft accidents, within the Australian regional airline industry, has highlighted the need for operators of regular public transport aircraft to be more proactive in identifying and addressing aviation safety hazards. Despite this need, there are currently few proactive safety management programs that are practical, simple, cost effective and which reliably demonstrate improvements in airline safety performance. This paper outlines a new proactive airline safety program called INDICATE (Identifying Needed Defences In the Civil Aviation Transport Environment) that has been applied within the Australian regional airline industry. To evaluate the INDICATE program, a major Australian regional airline agreed to implement the program in one of its operational bases while another base was used as a control group. Five evaluation criteria were applied to determine whether the program would have a positive influence on the airline's safety performance. These criteria included airline safety culture, staff risk perception of aviation safety hazards, willingness of staff to report safety hazards, action taken on identified safety hazards and staff comments about safety management within the airline. Results from the trial suggest that the program can have a positive influence on airline safety performance, specifically: improving staff confidence in how safety is managed, increasing staff willingness to report safety hazards and incidents, improving organisational safety culture and reducing staff perceptions of the severity and likelihood of safety hazards occurring within the airline. The success of the trial has resulted in a number of Australian and International airlines adopting the program.     

The development and evaluation of accident prevention routines: A case study

Information resulting from the occurrence of accidents and near-accidents is the basis for most accident prevention efforts. However, such information may not normally be incorporated into local safety activities. A group to assist supervisors in their investigations of accidents and a procedure to prompt the reporting of near-accidents by employees were tested at one company as means of improving local safety activities. The accident investigation group was in operation in all departments and was associated with improved accident reporting and prevention activities as well as a reduction in accident severity. The near-accident reporting procedure was tested in one department and led to improved knowledge about risks, although no reductions in accident frequency and severity were shown. On the basis of these results, the company safety committee decided at the end of the first year to extend the mandate of the investigation group but not to continue with near-accident reporting. Follow-ups after 2 and 3 years indicated that improvements in prevention activities had been maintained and that accident severity had been further reduced.     

Evaluation of a responsible beverage service and enforcement program: Effects on bar patron intoxication and potential impaired driving by young adults

Objective: Studies of alcohol-related harm (violence, injury, illness) suggest that the most significant risk factors are the amount of alcohol consumed and whether obviously intoxicated patrons continue to be served. This study's objective was to investigate the effects of a responsible beverage service (RBS)/enhanced alcohol enforcement intervention on bars, bar patrons, and impaired driving.

Method: Two communities—Monroe County, New York, and Cleveland, Ohio—participated in a demonstration program and evaluation. The intervention applied RBS training, targeted enforcement, and corrective actions by law enforcement to a random sample of 10 identified problem bars in each community compared to 10 matched nonintervention problem bars. Data were collected over 3 waves on bar serving practices, bar patron intoxication, drinking and driving, and other alcohol-related harm from intervention and control bars and treatment and comparison communities.

Results: In Monroe County, New York, of the 14 outcome measures analyzed, 7 measures showed statistically significant differences from pre- to postintervention. Six of those measures indicated changes in the desired or positive direction and 2 measures were in the undesired or negative direction. Of note in the positive direction, the percentage of intervention bar patrons who were intoxicated decreased from 44 to 27% and the average blood alcohol concentration of patrons decreased from 0.097 to 0.059 g/dL pre- to postintervention. In Cleveland, Ohio, 6 of the 14 measures showed statistically significant changes pre- to postintervention with 6 in the positive direction and 4 in the negative direction. Of note, the percentage of pseudo-intoxicated patrons denied service in intervention bars increased from 6 to 29%.

Conclusions: Of the 14 outcome measures that were analyzed in each community, most indicated positive changes associated with the intervention, but others showed negative associations. About half of the measures showed no significance, the sample sizes were too small, or the data were unavailable. Therefore, at best, the results of these demonstration programs were mixed. There were, however, some positive indications from the intervention. It appears that when bar managers and owners are aware of the program and its enforcement and when servers are properly trained in RBS, fewer patrons may become intoxicated and greater efforts may be made to deny service to obviously intoxicated patrons. Given that about half of arrested impaired drivers had their last drink at a licensed establishment, widespread implementation of this strategy has the potential to help reduce impaired driving.     

基于驾驶模拟的高速公路施工围挡位置熵权模糊综合评价

施工围挡是道路施工区常用的交通安全设施,合理设置施工区围挡位置对保障施工区交通安全和节约施工区用地资源具有重要作用.以典型改扩建的高速公路为研究对象,利用驾驶模拟技术,在硬路肩有限的工作面内,设计3种外侧车道与施工围挡间距的模拟场景(0.5 m、0.75 m、1.0 m),组织开展40人的驾驶模拟对比试验,采集驾驶行为、眼动特性和生理信号等数据,采用配对t检验分析试验数据的可靠性,并提出由7项指标组成的评价指标体系,构建了基于熵权法的模糊综合评价模型,提出高速公路施工围挡位置熵权模糊综合评价方法,对3种高速公路施工围挡场景进行了比较分析和安全评价.结果表明:驾驶模拟器和试验场景均不会对试验造成不利影响;外侧车道与施工围挡间距为0.5 m的方案计算分值最高,综合响应表现最好.高速公路路侧施工围挡与外侧车道为0.5 m的距离,有效兼顾了节约用地范围和保障行车安全,可为科学设置高速公路施工围挡提供决策参考.     

The effect of raising the legal minimum drinking age on fatal crashes in 10 states

Raising the legal minimum drinking age in 10 states reduced the fatal motor-vehicle accident involvement rate of licensed drivers affected by the law changes. The ratio of single-vehicle nighttime fatalities per 1,000 licensed drivers decreased significantly among drivers in the age group affected by the law, whereas no significant change in ratio was found among drivers in a com- parison group aged 25 to 29 years. Further, the before-after changes in ratios for drivers in the affected age group were significantly greater than the changes for drivers in the comparison group. The single-vehicle nighttime fatal crash involvement rate of drivers affected by the law change decreased an average of 21 % in the 10 states.     

Evaluating the Brazilian zero tolerance drinking and driving law: Time series analyses of traffic-related mortality in three major cities

Objective: A zero tolerance alcohol restriction law was adopted in Brazil in 2008. In order to assess the effectiveness of this intervention, the present study compares specific mortality in 2 time series: 1980–2007 and 2008–2013.

Methods: Data on mortality and population were gathered from official Brazilian Ministry of Health information systems. Segmented regression analyses were carried out separately for 3 major Brazilian capitals: Belo Horizonte, Rio de Janeiro, and São Paulo.

Results: In 2 cities (Belo Horizonte and Rio de Janeiro) there were no significant changes in mortality rate trends in 2 periods, 1980 to 2007 and 2008 to 2013, where the observed rates did not differ significantly from predicted rates. In São Paulo, a decreasing trend until 2007 unexpectedly assumed higher levels after implementation of the law.

Conclusion: There is no evidence of reduced traffic-related mortality in the 3 major Brazilian capitals 5.5 years after the zero tolerance drinking and driving law was adopted.