Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial.
Ontology highlight
ABSTRACT: Introduction
This clinical trial aimed to determine whether in-car video feedback about unsafe driving events (UDE) to cognitively impaired older drivers and family members leads to a reduction in such driving behaviors.Methods
We randomized 51 cognitively impaired older drivers to receive either (1) a weekly progress report with recommendations and access to their videos, or (2) video monitoring alone without feedback over 3 months.Results
UDE frequency/1000 miles was reduced by 12% in feedback (rate ratio [RR] = 0.88, 95% confidence interval [CI] = .58-1.34), while remaining constant with only monitoring (RR = 1.01, 95% CI = .68-1.51). UDE severity/1000 miles was reduced by 37% in feedback (RR = 0.63, 95% CI = .31-1.27), but increased by 40% in monitoring (RR = 1.40, 95% CI = .68-2.90). Cognitive impairment moderated intervention effects (P = .03) on UDE frequency.Discussion
Results suggest the potential to improve driving safety among mild cognitively impaired older drivers using a behavior modification approach aimed at problem behaviors detected in their natural driving environment.
SUBMITTER: Ott BR
PROVIDER: S-EPMC7927162 | biostudies-literature | 2021
REPOSITORIES: biostudies-literature
Publications
Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial.
Ott Brian R BR Papandonatos George D GD Burke Erin M EM Erdman Donna D Carr David B DB Davis Jennifer D JD
Alzheimer's & dementia (New York, N. Y.) 20210303 1
<h4>Introduction</h4>This clinical trial aimed to determine whether in-car video feedback about unsafe driving events (UDE) to cognitively impaired older drivers and family members leads to a reduction in such driving behaviors.<h4>Methods</h4>We randomized 51 cognitively impaired older drivers to receive either (1) a weekly progress report with recommendations and access to their videos, or (2) video monitoring alone without feedback over 3 months.<h4>Results</h4>UDE frequency/1000 miles was re ...[more]
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