Older driver retraining: An updated systematic review of evidence of effectiveness

Problem and Objective

The number of older drivers who might benefit from driver retraining is growing. A previous review on the effectiveness of older driver retraining included intervention studies up to 2004. The objective was to perform an updated systematic review of the effectiveness of older driver retraining for improving driving-related skills and reducing crash rates.

Method

Articles published from 2004-2008 were grouped according to the intervention provided and outcome studied. Randomized clinical trials (RCTs) were appraised using the Physiotherapy Evidence Database (PEDro) Scale and scored for quality according to their internal validity. Each intervention's effectiveness was then rated and assigned a level of evidence by combining pre- and post- 2004 findings.

Results

Three RCTs and one matched-pairs cohort design met the inclusion criteria. There is strong evidence (Level 1a) that education combined with on-road training improves driving performance and moderate evidence (Level 1b) that it improves knowledge. There is moderate evidence (Level 1b) that physical retraining improves driving performance. There is moderate evidence (Level 1b) that an educational intervention curriculum alone is not effective in reducing crashes.

Summary

The updated evidence on the effectiveness of retraining aimed at older drivers is sufficiently encouraging to merit assertive health promotion actions regarding intervention and program planning.

Impact on Industry

These positive findings warrant a comprehensive plan that has both behavioral and monetary incentives encouraging older driver participation in programs aimed at driver safety.     

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.     

Validation of the propensity for angry driving scale

Problem: This study examined the validity of the Propensity for Angry Driving Scale (PADS; DePasquale, J. P., Geller, E. S., Clarke, S. W., and Littleton, L. C. (2001). Measuring road rage: Development of the Propensity for Angry Driving Scale. Journal of Safety Research, 32, 1–16) in predicting aggressive driving. Method: The PADS and the Driving Anger Scale (DAS; Deffenbacher, J. L., Oetting, E. R., and Lynch, R. S. (1994). Development of a driving anger scale. Psychological reports, 74, 83–91.) were administered to 232 college student volunteers with measures of aggressive and risky driving. Results: Convergent and discriminant validity of the PADS were supported through relationships among measures of similar constructs. The PADS significantly (p<.05) predicted moving tickets, minor accidents, aggressive driving, risky driving, and maladaptive driving anger expression, above and beyond gender, miles driven per week, and trait anger. Discussion: Findings suggest that the PADS is a useful predictor of aggressive driving and has some advantages over the DAS. Impact on Industry: The PADS is an effective predictor of aggressive driving that complements established measures like the DAS and provides researchers with another valuable tool for the assessment of aggressive driving.     

Improving older driver knowledge and self-awareness through self-assessment: the driving decisions workbook

PURPOSE: This study aims to assess whether the Driving Decisions Workbook, a self-assessment instrument for older drivers, increased self-awareness and general knowledge. This study also assessed perceptions regarding its usefulness, particularly as a tool for facilitating discussions within families of older drivers. A secondary purpose of the study was to determine if problems identified by drivers in the workbook related to problems they had with actual driving. DESIGN AND METHODS: The Driving Decisions Workbook was administered along with a questionnaire and a road test. A convenience sample of 99 licensed drivers aged 65 and above was used. RESULTS: After completing the workbook, about three fourths of the participants reported being more aware of changes that could affect driving. Fourteen percent reported that they had discovered a change in themselves of which they had not been previously aware. All respondents found the workbook to be at least a little useful and thought the workbook could help facilitate family discussions. Workbook responses were positively correlated with overall road test scores. Significant correlations were also noted between the road test and a majority of workbook subsection responses. IMPLICATIONS: This study indicates that the workbook may be a useful first-tier assessment instrument and educational tool for the older driver. It may encourage an older driver to drive more safely and/or to seek clinical assessment, and help in facilitating discussions about driving within their families.     

三峡库区城镇建设用地驱动因子路径分析

随着三峡大坝的修建．三峡经济飞速发展．带动了利用三峡库区城镇建设用地的变化。本文以三峡库区21个县市1995—2005年城镇建设用用地的变化量为主要研究对象。结合1995-2005年期间第二产业与第三产业的集中指数与区位商的空间分布变化。采用路径分析建模的方法。奠立了城镇建设用地与固定资产投资、社会商品零售总额、第二产值、第三产值及城镇人口的路径模型．确定了备影响因子对蜮镇建设用地变化的影响程度。其中第二产值对城镇建设用地的变化影响最大．影响力最小的是城镇人口。此项研究进一步验证了路径分析模型在土地利用变化驱动力分析研究中的可行性．同时也为库区城镇建设用地的控制提供了参考。     

上喷式矿井排风热回收装置内液滴运动模型及其优化计算

为了减小常见下喷式装置风吹水损失大的问题,设计了上喷式矿井排风热回收装置.通过液滴受力及运动分析,将上喷式液滴的运动划分为2个阶段.根据牛顿第二定律,建立了简化的液滴动量方程;在该方程的基础上,结合运动阶段划分,得到临界条件下的力平衡关系式;利用该式,在10个不同相对速度下,得到了上喷式与下喷式的保证液滴不被吹飞的临界直径.应用变量替换,将液滴动量方程变换为液滴运动距离的微分式;继而,根据液滴及空气之间的雷诺数组合,导出了液滴最大上升高度的5个积分计算式.应用这些积分式,数值计算了不同迎面风速、液滴粒径及液滴初速度下,上喷式中液滴最大上升高度、下喷式中液滴最大下降高度.对比计算结果,相比下喷式,上喷式具有节水、液滴选择范围宽和低耗高效的优势.     

Flash point of biodiesel/glycerol/alcohol mixtures for safe processing and storage

Mixtures of biodiesel, glycerol, and ethanol/methanol are commonly processed and stored in biodiesel production. In this work, non-ideal models are used to calculate the Flash Points (FPs) of binary and ternary mixtures, using data available from different feedstocks. Despite the fact that biodiesel is considered safer than common diesel fuels, results show a synergistic effect of biodiesel/methanol and biodiesel/ethanol mixtures, resulting in a reduction of the flash point of mixtures to values lower than the ones of pure compounds. Most soluble ternary mixtures were found flammable, the only exception being mixtures with a relatively lower alcohol content (45% mol. ethanol or 42% methanol) at temperature lower than 303 K. Accidental increase in temperature can cause domino effect, due to the higher solubility and the formation of new flammable ternary mixtures.     

Making sense of invulnerability at work—a qualitative study of police drivers

This paper reports a qualitative study of 54 police drivers who were interviewed about their views on police driver training, driving strategies and their accident involvement. Study of the transcribed interviews indicated that officers constructed narratives of themselves as being highly aware of hazards presented by other road users and they used a variety of discursive devices to minimise their own culpability and attribute risk elsewhere. Rather than maintaining a straightforward ‘illusion of invulnerability’ they were formulating a ‘topography of risk’ in which they were responding to hazards presented by suspects or other road users. Their meticulously detailed accounts of the circumstances surrounding accidents serve to place them as knowledgeable and impartial participants and create a sense of expertise and authority. Training initiatives could profitably seek to challenge this ‘topography of risk’ and sense of authority so that drivers more fully appreciate the hazard they may present to themselves and the public.     

1980—2015年京津冀地区雁鸭类潜在栖息地连接度变化及驱动因素

近几十年来,京津冀地区湿地面积萎缩,生态功能下降,严重影响了湿地水鸟的栖息地质量及栖息地间的连接,对水鸟类的迁徙、繁殖产生较大干扰,为了从整体上定量分析近几十年来湿地栖息地质量及连接度的变化,采用MaxEnt模型（maximum entropy model,最大熵模型）,基于京津冀地区雁鸭类的出现点和环境因子反演其潜在栖息地,并根据图论法原理,利用ECA指数（equivalent connected area,等效连接指数）,度量1980-2015年潜在栖息地连接度的变化.结果表明:①1980-2015年京津冀雁鸭类潜在栖息地面积总体呈下降趋势,由1980年的6 898 km2减至2015年的3 764 km2,减少了45.0%,其中,低适宜区面积降幅最为明显,为50.5%;2009-2015年高适宜区有增加趋势.②1980-2015年雁鸭类潜在栖息地连接度呈持续下降趋势,2000年以后的连接度下降速率大于2000年以前;潜在栖息地连接结构的空间分布有向环渤海地区转移的趋势,连接结构变化最为明显的区域为京津冀中部平原地区.研究显示,区域气候趋暖变干、水资源的供需失衡、水利工程设施建设以及人口增加与经济发展带来的土地利用变化是潜在栖息地面积与连接度下降的主要影响因子,而近些年保护区的建立及生态补水措施等生态保护政策对高适宜区的退化有一定缓解作用.      

Driving performance while using cell phones: an observational study

INTRODUCTION: Through spontaneous driving observations, this study sought to examine the impact of using a hands-free cell phone while driving on speed and safe gap keeping behaviors. The study also examined the association between the measure of disturbance created by using a cell phone and the driver's awareness of the disturbance. METHOD: Twenty-three male adults were observed while driving for an hour and a half each; drivers were unaware of being observed. During the session, each of the participants received a phone call, initiated by an associate of the observer. The experiment was divided into two periods during which the experimental parameters were monitored: 10 minutes during conversation on a cell phone and 10 minutes of non-conversation on a hands-free cell phone. After the experiment, the driver was questioned concerning the extent to which his/her driving was disturbed by the cell phone conversation. RESULTS: T-test for matched samples revealed that the gaps between the drivers' cars and those in front of them diminished when drivers were engaged in the cell phone conversations. Repeated measures ANOVA revealed that drivers that had short conversations did not change their speed, while drivers who were engaged in long (over 16 minutes) conversations drove faster. No effect of drivers' awareness toward cell phone-related disturbance on actual driving behavior monitored in the present study was found.