Useful Field of View and Other Neurocognitive Indicators of Crash Risk in Older Adults

Kathryn T. Goode; Karlene K. Ball; Michael Sloane; Daniel L. Roenker; David L. Roth; Renee S. Myers; Cynthia Owsley

doi:10.1023/A:1026206927686

Useful Field of View and Other Neurocognitive Indicators of Crash Risk in Older Adults

Kathryn T. Goode, Karlene K. Ball, Michael Sloane, Daniel L. Roenker, David L. Roth, Renee S. Myers, Cynthia Owsley

Research output: Contribution to journal › Article › peer-review

102 Scopus citations

Abstract

Older adults represent a rapidly growing segment of the driving population. Although most older drivers are safe, research has shown that this group has more crashes per mile driven than most other age groups. The purpose of the present investigation was to examine the utility of a set of commonly used neuropsychological/cognitive tests in comparison to a newer measure of visual attention (Useful Field of View; UFOV®) in predicting state-recorded, at-fault crashes over the previous five years in a group of older adult drivers. Participants (N = 239) completed tests of mental status, visual attention, memory, and UFOV®. Results show that among all cognitive tests administered, UFOV® was most strongly related to crash involvement, with high levels of sensitivity (86.3%) and specificity (84.3%) at the standard cutoff score of 40% reduction. Practical implications for the assessment of crash risk are discussed.

Original language	English (US)
Pages (from-to)	425-440
Number of pages	16
Journal	Journal of Clinical Psychology in Medical Settings
Volume	5
Issue number	4
DOIs	https://doi.org/10.1023/A:1026206927686
State	Published - 1998
Externally published	Yes

Keywords

Driving
Neuropsychology
Older adults
Visual attention

ASJC Scopus subject areas

Clinical Psychology

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10.1023/A:1026206927686

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@article{dd3a22cde873485dbeb73d4faa0afafa,

title = "Useful Field of View and Other Neurocognitive Indicators of Crash Risk in Older Adults",

abstract = "Older adults represent a rapidly growing segment of the driving population. Although most older drivers are safe, research has shown that this group has more crashes per mile driven than most other age groups. The purpose of the present investigation was to examine the utility of a set of commonly used neuropsychological/cognitive tests in comparison to a newer measure of visual attention (Useful Field of View; UFOV{\textregistered}) in predicting state-recorded, at-fault crashes over the previous five years in a group of older adult drivers. Participants (N = 239) completed tests of mental status, visual attention, memory, and UFOV{\textregistered}. Results show that among all cognitive tests administered, UFOV{\textregistered} was most strongly related to crash involvement, with high levels of sensitivity (86.3%) and specificity (84.3%) at the standard cutoff score of 40% reduction. Practical implications for the assessment of crash risk are discussed.",

keywords = "Driving, Neuropsychology, Older adults, Visual attention",

author = "Goode, {Kathryn T.} and Ball, {Karlene K.} and Michael Sloane and Roenker, {Daniel L.} and Roth, {David L.} and Myers, {Renee S.} and Cynthia Owsley",

note = "Funding Information: This study was supported by the Edward R. Roybal Center for Research in Applied Gerontology at the University of Alabama at Birmingham, funded by the National Institute on Aging/NIH (AG11684), with additional support from NIH grant AG04212. We are grateful to the Alabama Department of Public Safety for providing crash data. Editor's note: In the interest of full disclosure, two of the authors of the present study have a financial interest in the product known as UFOV{\textregistered}.",

year = "1998",

doi = "10.1023/A:1026206927686",

language = "English (US)",

volume = "5",

pages = "425--440",

journal = "Journal of Clinical Psychology in Medical Settings",

issn = "1068-9583",

publisher = "Springer New York",

number = "4",

}

TY - JOUR

T1 - Useful Field of View and Other Neurocognitive Indicators of Crash Risk in Older Adults

AU - Goode, Kathryn T.

AU - Ball, Karlene K.

AU - Sloane, Michael

AU - Roenker, Daniel L.

AU - Roth, David L.

AU - Myers, Renee S.

AU - Owsley, Cynthia

N1 - Funding Information: This study was supported by the Edward R. Roybal Center for Research in Applied Gerontology at the University of Alabama at Birmingham, funded by the National Institute on Aging/NIH (AG11684), with additional support from NIH grant AG04212. We are grateful to the Alabama Department of Public Safety for providing crash data. Editor's note: In the interest of full disclosure, two of the authors of the present study have a financial interest in the product known as UFOV®.

PY - 1998

Y1 - 1998

N2 - Older adults represent a rapidly growing segment of the driving population. Although most older drivers are safe, research has shown that this group has more crashes per mile driven than most other age groups. The purpose of the present investigation was to examine the utility of a set of commonly used neuropsychological/cognitive tests in comparison to a newer measure of visual attention (Useful Field of View; UFOV®) in predicting state-recorded, at-fault crashes over the previous five years in a group of older adult drivers. Participants (N = 239) completed tests of mental status, visual attention, memory, and UFOV®. Results show that among all cognitive tests administered, UFOV® was most strongly related to crash involvement, with high levels of sensitivity (86.3%) and specificity (84.3%) at the standard cutoff score of 40% reduction. Practical implications for the assessment of crash risk are discussed.

AB - Older adults represent a rapidly growing segment of the driving population. Although most older drivers are safe, research has shown that this group has more crashes per mile driven than most other age groups. The purpose of the present investigation was to examine the utility of a set of commonly used neuropsychological/cognitive tests in comparison to a newer measure of visual attention (Useful Field of View; UFOV®) in predicting state-recorded, at-fault crashes over the previous five years in a group of older adult drivers. Participants (N = 239) completed tests of mental status, visual attention, memory, and UFOV®. Results show that among all cognitive tests administered, UFOV® was most strongly related to crash involvement, with high levels of sensitivity (86.3%) and specificity (84.3%) at the standard cutoff score of 40% reduction. Practical implications for the assessment of crash risk are discussed.

KW - Driving

KW - Neuropsychology

KW - Older adults

KW - Visual attention

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Useful Field of View and Other Neurocognitive Indicators of Crash Risk in Older Adults

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