Evidence map›Paper›PMID 40179047›Full record

ArticlePLOS digital health2025

GPS navigation assistance is associated with driving mobility in older drivers.

Sol Morrissey, Stephen Jeffs, Rachel Gillings, Mizanur Khondoker, Anuraj Varshney, Mary Fisher-Morris, Ed Manley, Michael Hornberger

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Sol MorrisseyNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID https://orcid.org/0000-0002-2850-7570
Stephen JeffsDepartment of Psychology, University of Exeter, Exeter, United Kingdom.
Rachel GillingsNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
Mizanur KhondokerNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
Anuraj VarshneyOxford Brookes University, Oxford, United Kingdom.
Mary Fisher-MorrisMemCheck Memory Clinic, Chester Wellness Centre, Chester, United Kingdom.
Ed ManleySchool of Geography, University of Leeds, Leeds, United Kingdom.
Michael HornbergerNorwich Medical School, University of East Anglia, Norwich, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maintaining driving mobility is essential for maintaining independence and wellbeing within older age. However, cognitive decline caused by age-related neurophysiological changes typically causes older drivers to self-regulate their driving and reduce their driving mobility. Electronic navigation assistance technologies, such as Sat-Nav, are increasingly popular amongst older drivers and can potentially alleviate cognitive demands amongst older drivers to enhance driving mobility. Yet despite the growing usage of navigation assistance technologies amongst older drivers, little research has been conducted to establish how and when they are used by older drivers, and it is not known whether they can offset cognitive decline to promote driving mobility. 895 older drivers (mean age: 71.04) were recruited for a prospective cohort study. Participants self-reported their navigation assistance usage as well as their driving mobility (frequency, space), before completing objective cognitive assessments (allocentric and egocentric orientation, recognition and source memory) and a subjective spatial orientation ability questionnaire. We establish profiles of older driver navigation assistance usage, showing that a considerable majority of older drivers use navigation assistance - with the majority using it for some journeys, and most commonly for the entire journey to a new destination. We show that navigation assistance usage is associated with worse subjective orientation ability, but not objective cognitive performance, and is positively associated with greater driving mobility. Importantly, we demonstrate that within individuals with poor wayfinding ability, navigation assistance usage is associated with increased driving mobility. In conclusion, navigation assistance usage is associated with increased driving mobility within healthy older drivers and is relied upon more by individuals with lower wayfinding confidence. As navigation assistance devices can specifically enhance driving frequency in individuals with worse wayfinding ability, who are more likely to reduce their driving, they should be recommended to older adults and integrated into comprehensive strategies for promoting driving independence in the older adult population.

Identifiers

PMID40179047
PMCPMC11967921

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Registered trials

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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.