The Useful Field of View(®) (UFOV) and Trail Making Test Part B (Trails B) are measures divided attention. We determined which measure was more accurate in predicting on-road outcomes among drivers (N = 198, mean age 73.86, standard deviation 6.05). Receiver operating characteristic curves for the UFOV (Risk Index [RI] Subtests 1-3) Trails significantly predicted outcomes. Contrasting with RI subtests, only difference found between B, indicating best predictor Misclassifications totaled 28...

We report on item development and validity testing of a self-report older adult safe driving behaviors measure (SDBM).

The Department of Veterans Affairs (VA) transportation system plays an important role in ensuring access to services for Veterans, particularly those rural or underserved areas. However, concerns remain regarding the effectiveness collaboration among various VA stakeholders. Persistent challenges hinder Veterans' essential healthcare and resources. Electric, Automated Ride-Sharing Services (ARSS) offer a promising opportunity enhance access, however their current limitations...

The Department of Veterans Affairs’ (VA’s) transportation system plays an important role in ensuring access to services for veterans, particularly those rural or underserved areas. However, concerns remain regarding the effectiveness collaboration among various VA stakeholders. Persistent challenges hinder veterans’ essential healthcare and resources. Electric autonomous ride-sharing (ARSSs) offer a promising opportunity enhance access; however, their current limitations perspectives...

Abstract We determined the concurrent criterion validity of Safe Driving Behavior Measure (SDBM) for on-road outcomes (passing or failing test as by a certified driving rehabilitation specialist) among older drivers and their family members–caregivers. On basis ratings from 168 members–caregivers, we calculated receiver operating characteristic curves. The drivers’ area under curve (AUC) was .620 (95% confidence interval [CI] = .514–.725, p .043). members–caregivers’ AUC .726 CI .622–.829, ≤...

We investigated the psychometric properties of 68-item Safe Driving Behavior Measure (SDBM) with 80 older drivers, caregivers, and 2 evaluators from two sites. Using Rasch analysis, we examined unidimensionality local dependence; rating scale; item- person-level psychometrics; item hierarchy driving who had completed SDBM. The evidence suggested SDBM is unidimensional, but pairs items showed dependency. Across three rater groups, data good person (≥3.4) (≥3.6) separation as well (≥.93)...

Abstract We used the Safe Driving Behavior Measure (SDBM) to determine rater reliability and effects (erratic responses, severity, leniency) in three groups: 80 older drivers (mean age = 73.26, standard deviation 5.30), family members or caregivers (age range 20–85 yr), two driving evaluators. Rater agreement was significant only between evaluators caregivers. Participants rated ability without erratic effects. observed an overall effect evaluator caregivers, with being more severe group....

A meta-synthesis approach was used to identify, assess, and synthesize six qualitative studies on older driver safety community mobility. Included had rich narrative results thematic findings adults' stakeholders' needs, factors influencing safety, goals. The authors performed iterative data analysis, coded deductively inductively, developed themes from the constant comparison method. core construct emerged: driving ability is innately connected their identities desire maintain independence....

Background. Older adults, family members, and professionals may benefit from a safe driving behaviour self-/proxy-report. Purpose. During development of the Safe Driving Behavior Measure (SDBM), we conducted focus groups to (1) generate items based on respondents' experiences, (2) obtain SDBM item-refinement feedback. Methods. Twenty-three older drivers (mean age 70.5, SD = 4.5) eight members 50, =20) Ontario Florida described (Focus Groups 1 2) critiqued Group 3). We coded responses using...

Veterans of Iraq and Afghanistan may experience driving-related challenges postdeployment, including more at-fault crashes. Causes include defensive driving tactics learned for combat zones consequences traumatic brain injuries (TBIs) posttraumatic stress disorder (PTSD). Tailoring driver interventions to meet Veterans' needs requires an understanding their perceptions. We explored the perceptions five (4 men, 1 woman) with mild TBI PTSD using grounded theory methods. participated in single,...

Polytrauma, including mild traumatic brain injury, posttraumatic stress disorder, and orthopedic conditions, is common among combat veterans (CVs) from Operations Enduring Freedom Iraqi Freedom. Medical coupled with deployment-related training, may affect CVs' fitness to drive contribute post-deployment crash injury risks. However, empirical interventions are lacking. Therefore, the study purpose was examine efficacy of an occupational therapy driving intervention (OT-DI) pre post testing...

Transportation disadvantaged (TD) populations, which include elderly people, people with disabilities, and who do not own a vehicle, face mobility challenges because alternative transportation services are limited. To identify specific service gaps for TD an assessment of both demand accessibility is necessary. Previous studies have focused on single aspect or studying geographic at the state county level. This study develops methodology aimed identifying populations major in services. Using...

Increased crash incidence following deployment and veterans’ reports of driving difficulty spurred traffic safety research for this population. We conducted an interim analysis on the efficacy a simulator-based occupational therapy intervention (OT-DI) compared with education (TSE) in randomized controlled trial. During baseline post-testing, OT-Driver Rehabilitation Specialists one OT-Certified Driver Specialist measured performance errors DriveSafety CDS-250 high-fidelity simulator. The...

Researchers are calling for increased studies with regard to differences between older men and women drivers. This literature review focuses on gender comparisons self-regulation of driving cessation. We reviewed 20 articles assigned levels evidence. Seven were level II (eg, prospective cohort) 13 III cross-sectional). Subsequently, 5 evidence-based recommendations made address gender-specific needs women. Additional research is needed clarify patterns cessation increase the evidence...

Many combat veterans are injured in motor vehicle crashes shortly after returning to civilian life, yet little evidence exists on effective driving interventions. In this single-subject design study, we compared clinical test results and errors a veteran before an occupational therapy intervention. A certified rehabilitation specialist administered baseline simulated assessments; conducted three intervention sessions that discussed errors, retrained visual search skills, invited commentary...

We employed item response theory (IRT), specifically using Rasch modeling, to determine the measurement precision of Fitness-to-Drive Screening Measure (FTDS), a tool that can be used by caregivers and occupational therapists help detect at-risk drivers. examined unidimensionality through factor structure (how items contribute central construct fitness drive), rating scale (use categories scale), item/person-level separation (distinguishing between with different difficulty levels or persons...

Using the Precede-Proceed Model of Health Promotion (PPMHP) and an etiological systematic literature review, we examined risk/protective factors older driver safety in United States. We described key features this review developed a structural model illustrating prevalence health domain (63%) other PPMHP domains (environment 20%; behavior lifestyle 10%; predisposing 1%; reinforcing 3%, enabling 2%; education 2%). This model, first step synopsizing quantifying these factors, informs...