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      The challenge of safe driving among elderly drivers

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          Abstract

          The challenge of ageing has two key aspects with regard to driving: mobility and safety. It is necessary for elderly adults to preserve independent mobility and activity; however, physical frailty and cognitive limitations have negative effects on their safety. Therefore, the issue of driving, and more specifically, the fostering of safe driving of old people, is crucial, especially due the increasing number of elderly people holding a driving license. The purpose of this Letter is to point out the complexity of elderly driving and to suggest countermeasures by acknowledging that obtaining the correct balance between safety and mobility of older drivers is a complicated and sensitive task. To address this issue, the authors suggest accommodating their driving behaviour and patterns, in light of the deteriorating driving skills, by integrating social and policy procedures and use of emerging technologies. Policy steps to support elderly drivers and their loved ones by gradually controlling driving of elderly population when this becomes risky to them may serve as a desired countermeasure according to a proved tool such as technology. Utilisation of advanced technologies can help to monitor travel and driver behaviour and ability to make the necessary alterations, based on elderly driving skills.

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          Most cited references20

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          A review of physical and cognitive interventions in aging.

          Maintaining a healthy brain is a critical factor for the quality of life of elderly individuals and the preservation of their independence. Challenging aging brains through cognitive training and physical exercises has shown to be effective against age-related cognitive decline and disease. But how effective are such training interventions? What is the optimal combination/strategy? Is there enough evidence from neuropsychological observations, animal studies, as well as, structural and functional neuroimaging investigations to interpret the underlying neurobiological mechanisms responsible for the observed neuroplasticity of the aging brain? This piece of work summarizes recent findings toward these questions, but also highlights the role of functional brain connectivity work, an emerging discipline for future research in healthy aging and the study of the underlying mechanisms across the life span. The ultimate aim is to conclude on recommended multimodal training, in light of contemporary trends in the design of exergaming interventions. The latter issue is discussed in conjunction with building up neuroscientific knowledge and envisaged future research challenges in mapping, understanding and training the aging brain.
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            Driving cessation and increased depressive symptoms.

            To understand the consequences of driving cessation in older adults, the authors evaluated depression in former drivers compared with active drivers. Depression (as assessed using the Center for Epidemiological Studies Depression Scale), driving status, sociodemographic factors, health status, and cognitive function were evaluated for a cohort of 1953 residents of Sonoma County, California, aged 55 years and older, as part of a community-based study of aging and physical performance. The authors re-interviewed 1772 participants who were active drivers at baseline 3 years later. At baseline, former drivers reported higher levels of depression than did active drivers even after the authors controlled for age, sex, education, health, and marital status. In a longitudinal analysis, drivers who stopped driving during the 3-year interval (i.e., former drivers) reported higher levels of depressive symptoms than did those who remained active drivers, after the authors controlled for changes in health status and cognitive function. Increased depression for former drivers was substantially higher in men than in women. With increasing age, many older adults reduce and then stop driving. Increased depression may be among the consequences associated with driving reduction or cessation.
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              The relationship between neuropsychological functioning and driving ability in dementia: a meta-analysis.

              A meta-analysis of 27 primary studies was conducted to examine the relationship between neuropsychological functioning and driving ability for adults with dementia. When studies using a control group were included, the relationship between cognitive measures and on-road or non-road driving measures was significant for all reported domains; mean correlations ranged from.35 to.65. Caregiver reports of driving ability and cognitive variables were correlated significantly only on measures of mental status and visuospatial skills. When studies using a control group were excluded, moderate mean correlations were observed for visuospatial skills and on-road or non-road measures, and for mental status with non-road tests. Other effects were small or nonsignificant. Implications for basing driving recommendations on neuropsychological testing are discussed. ((c) 2004 APA, all rights reserved)
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                Author and article information

                Contributors
                Journal
                Healthc Technol Lett
                Healthc Technol Lett
                HTL
                Healthcare Technology Letters
                The Institution of Engineering and Technology
                2053-3713
                26 January 2018
                February 2018
                26 January 2018
                : 5
                : 1
                : 45-48
                Affiliations
                [1 ]Faculty of Management of Technology, HIT – Holon Institute of Technology , Holon, Israel
                [2 ]Or Yarok Association for Safer Driving in Israel , Israel
                [3 ]Rabin Medical Center , Beilinson Campus, Israel
                [4 ]Transportation Research Institute, Technion – Israel Institute of Technology , Israel
                Article
                HTL.2017.0002 HTL.SI.2017.0002.R1
                10.1049/htl.2017.0002
                5830885
                29515816
                6b885dd2-dcda-4d04-9028-29ed6a876027

                This is an open access article published by the IET under the Creative Commons Attribution-NonCommercial-NoDerivs License ( http://creativecommons.org/licenses/by-nc-nd/3.0/)

                History
                : 7 January 2017
                : 29 June 2017
                : 4 July 2017
                Categories
                Article

                geriatrics,road safety,elderly driver,drive safety,physical frailty,cognitive limitation,elderly people,elderly driving skill

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