Longitudinal predictors of driving cessation among older adults from the ACTIVE clinical trial.

We examined the physical, visual, health, and cognitive abilities of 1,656 older adults as prospective predictors of self-reported driving cessation over a 5-year period. We examined the time to driving cessation across 5 years after we controlled for days driven per week at baseline and any cognitive intervention participation. Older age, congestive heart failure, and poorer physical performance (according to the Turn 360 Test) were statistically significant risk factors for driving cessation. Slower speed of processing (according to the Digit Symbol Substitution and Useful Field of View tests) was a significant risk factor even after we took baseline driving, age, health, vision, and physical performance into consideration. Implications are that assessments of cognitive speed of processing can provide valuable information about the subsequent risk of driving cessation.

[1]  S. Marshall,et al.  Systematic Review of Driving Risk and the Efficacy of Compensatory Strategies in Persons with Dementia , 2007, Journal of the American Geriatrics Society.

[2]  K. Ball,et al.  Long-term effects of cognitive training on everyday functional outcomes in older adults. , 2006, JAMA.

[3]  Karlene K Ball,et al.  Predictors of driving exposure and avoidance in a field study of older drivers from the state of Maryland. , 2006, Accident; analysis and prevention.

[4]  B. Munoz,et al.  Driving status and risk of entry into long-term care in older adults. , 2006, American journal of public health.

[5]  Kaarin J Anstey,et al.  Predicting Driving Cessation over 5 Years in Older Adults: Psychological Well‐Being and Cognitive Competence Are Stronger Predictors than Physical Health , 2006, Journal of the American Geriatrics Society.

[6]  Gayla M. Cissell,et al.  Can High‐Risk Older Drivers Be Identified Through Performance‐Based Measures in a Department of Motor Vehicles Setting? , 2006, Journal of the American Geriatrics Society.

[7]  J. Mclean,et al.  Self-Regulation of Driving and Older Drivers' Functional Abilities , 2006 .

[8]  P. Atchley,et al.  The role of visual attention in predicting driving impairment in older adults. , 2005, Psychology and aging.

[9]  Beatriz Muñoz,et al.  Measures of Visual Function and Time to Driving Cessation in Older Adults , 2005, Optometry and vision science : official publication of the American Academy of Optometry.

[10]  D. Roth,et al.  Cumulative Meta-analysis of the Relationship Between Useful Field of View and Driving Performance in Older Adults: Current and Future Implications , 2005, Optometry and vision science : official publication of the American Academy of Optometry.

[11]  Karlene K. Ball,et al.  Reliability and Validity of Useful Field of View Test Scores as Administered by Personal Computer , 2005, Journal of clinical and experimental neuropsychology.

[12]  D L Roenker,et al.  The impact of speed of processing training on cognitive and everyday performance , 2005, Aging & mental health.

[13]  R. Fuller.  Towards a general theory of driver behaviour. , 2005, Accident; analysis and prevention.

[14]  Elizabeth Eckstrom,et al.  Tai Chi and fall reductions in older adults: a randomized controlled trial. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[15]  C. Owsley,et al.  Association Between Visual Attention and Mobility in Older Adults , 2004, Journal of the American Geriatrics Society.

[16]  William A Satariano,et al.  Reasons given by older people for limitation or avoidance of driving. , 2004, The Gerontologist.

[17]  Lisa Riolo,et al.  Attention Contributes to Functional Reach Test Scores in Older Adults with History of Falling , 2004 .

[18]  Steven L Wolf,et al.  Selected As the Best Paper in the 1990s: Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training , 2003, Journal of the American Geriatrics Society.

[19]  J. Brabyn,et al.  Vision and Driving Self‐Restriction in Older Adults , 2003, Journal of the American Geriatrics Society.

[20]  Karlene K. Ball,et al.  Speed-of-Processing and Driving Simulator Training Result in Improved Driving Performance , 2003, Hum. Factors.

[21]  Liisa Hakamies-Blomqvist,et al.  Deconstructing a gender difference: driving cessation and personal driving history of older women. , 2003, Journal of safety research.

[22]  Loren Staplin,et al.  MaryPODS revisited: updated crash analysis and implications for screening program implementation. , 2003, Journal of safety research.

[23]  George W Rebok,et al.  Effects of cognitive training interventions with older adults: a randomized controlled trial. , 2002, JAMA.

[24]  B. Freund,et al.  Effects of cognition on driving involvement among the oldest old: variations by gender and alternative transportation opportunities. , 2002, The Gerontologist.

[25]  Brian P. Flaherty,et al.  Understanding Ageing: Further Commentary on the Limitations of Cross-Sectional Designs for Ageing Research , 2002, Gerontology.

[26]  K. Anstey.  The Interpretation of Shared Age-Related Variance among Factors in Cross-Sectional Cognitive Aging Studies , 2002, Gerontology.

[27]  Stephanie J. Fonda,et al.  Changes in driving patterns and worsening depressive symptoms among older adults. , 2001, The journals of gerontology. Series B, Psychological sciences and social sciences.

[28]  J N Morris,et al.  ACTIVE: a cognitive intervention trial to promote independence in older adults. , 2001, Controlled clinical trials.

[29]  G McGwin,et al.  Mobility Impairments in Crash-Involved Older Drivers , 2001, Journal of aging and health.

[30]  D. Sleet,et al.  Driving Cessation: What Older Former Drivers Tell Us , 2001, Journal of the American Geriatrics Society.

[31]  Michael Kirby,et al.  Older Drivers, Driving Practices and Health Issues , 2000 .

[32]  G McGwin,et al.  Visual risk factors for driving difficulty among older drivers. , 2000, Accident; analysis and prevention.

[33]  Christianna S. Williams,et al.  Consequences of driving cessation: decreased out-of-home activity levels. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[34]  Cynthia Owsley,et al.  The Life Space Questionnaire: A Measure of the Extent of Mobility of Older Adults , 1999 .

[35]  Beth T. Stalvey,et al.  Older drivers and cataract: driving habits and crash risk. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[36]  E. Steinhagen-Thiessen,et al.  Morbidity, medication, and functional limitations in very old age , 1999 .

[37]  J. Stutts.  Do Older Drivers with Visual and Cognitive Impairments Drive Less? , 1998, Journal of the American Geriatrics Society.

[38]  Beth T. Stalvey,et al.  Driving avoidance and functional impairment in older drivers. , 1998, Accident; analysis and prevention.

[39]  Carol A. Trujillo,et al.  The MOS 36-Item Short Form Health Survey: reliability, validity, and preliminary findings in schizophrenic outpatients. , 1998, Medical care.

[40]  M. Sloane,et al.  Visual processing impairment and risk of motor vehicle crash among older adults. , 1998, JAMA.

[41]  Paul B. Baltes,et al.  The Berlin aging study : aging from 70 to 100 , 1998 .

[42]  K. Ball,et al.  Vision impairment, eye disease, and injurious motor vehicle crashes in the elderly. , 1998, Ophthalmic epidemiology.

[43]  J. Cauley,et al.  Driving Patterns and Medical Conditions in Older Women , 1997, Journal of the American Geriatrics Society.

[44]  J. Larson.  The MOS 36-Item Short form Health Survey , 1997, Evaluation & the health professions.

[45]  Christianna S. Williams,et al.  Driving Cessation and Increased Depressive Symptoms: Prospective Evidence from the New Haven EPESE , 1997, Journal of the American Geriatrics Society.

[46]  S. Wolf,et al.  Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training , 1996, Journal of the American Geriatrics Society.

[47]  A. Ostfeld,et al.  Driving cessation and changes in mileage driven among elderly individuals. , 1993, Journal of gerontology.

[48]  M. K. Campbell,et al.  Medical conditions associated with driving cessation in community-dwelling, ambulatory elders. , 1993, Journal of gerontology.

[49]  C. Sherbourne,et al.  The MOS 36-Item Short-Form Health Survey (SF-36) , 1992 .

[50]  A M Jette,et al.  A Ten-Year Follow-Up of Driving Patterns among the Community-Dwelling Elderly , 1992, Human factors.

[51]  J. Brandt.  The Hopkins Verbal Learning Test: Development of a new memory test with six equivalent forms. , 1991 .

[52]  L. Radloff.  The CES-D Scale , 1977 .

[53]  H. Harman,et al.  Kit of factor-referenced cognitive tests , 1976 .

[54]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[55]  A. Rey.  L'examen psychologique dans les cas d'encéphalopathie traumatique. (Les problems.). , 1941 .

[56]  A. Rey.  Lexamen psychologique : Dans les cas d'encephalopathie traumatique (Les problemes) , 1941 .