Evidence map›Paper›PMID 33463728›Full record

ArticleJournal of the American Geriatrics Society2021

Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers.

Shefang Wang, Anuj Sharma, Jeffrey Dawson, Matthew Rizzo, Jennifer Merickel

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Shefang WangBASF Corporation, Iselin, New Jersey, USA.ORCID 0000-0002-6178-7447
Anuj SharmaInstitute for Transportation, Iowa State University, Ames, Iowa, USA.
Jeffrey DawsonDepartment of Biostatistics, University of Iowa College of Public Health, Iowa City, Iowa, USA.
Matthew RizzoDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Jennifer MerickelDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.
University of Nebraska Medical Center · USBASF (United States) · USIowa State University · USUniversity of Iowa · US

Funding

PREDICTIONS OF DRIVER SAFETY IN ADVANCING AGER01AG017177 · NIA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI RIZZO, MATTHEW · 1999 to 2024
$9.9M
NIA NIH HHS R01 AG017177NIA NIH HHS R01AG017177
6 · The paper itself

Abstract

objectivesWe test the hypothesis that clinical measures of age-related cognitive, visual, and mobility impairments negatively impact older driver speed limit compliance to advance method developments that improve older patient care and screen, identify, and advise at-risk older drivers.

designReal-world driver behaviors of older adults who had a range of cognitive, visual, and mobility abilities (measured with standardized, clinical tests) were assessed in environmental context (e.g., speed limit, traffic density, roadway type). Older driver speed limit compliance was measured in constant speed limit zones and at transition zones, where speed limits changed.

settingA naturalistic driving study of older adults living around Omaha, Nebraska.

participantsSeventy-seven, legally licensed, active, and typically aging older drivers (65-90 years) who had a range of cognitive and visual abilities. MEASUREMENTS: Drivers typical, daily driving was continuously monitored for 3 months using sensor instrumentation installed in their own vehicles. At study start, each participant completed a comprehensive, standardized, clinical assessment of cognitive, visual, and mobility abilities relevant to aging and driving.

resultsOlder drivers with greater cognitive impairment (P = .10) drove slower than drivers with less cognitive impairment, linking cognitive impairment to speed control. Drivers with greater visual impairment overall complied less with speed limit changes at transition zones (P = .01) and were more likely to comply with speed limit transitions when they occurred concurrently with changes in roadway features (P < .01).

conclusionResults link clinical measures of age-related cognitive and visual impairment to impaired driver safety in real-world contexts. Real-world sensor data coupled with detailed, personalized older driver profiles can inform patients, caregivers, interventions, policy, and the design of supportive in-vehicle technology for at-risk older drivers.

Indexed as

AgedAged, 80 and overAutomobile DrivingCognitive DysfunctionFemaleHumansMaleNebraskaVision Disordersagingmedicinenaturalistic drivingolder driversspeed limit compliancetransportation

Identifiers

PMID33463728
PMCPMC8274407
OpenAlexW3124100178

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.