Spatial navigation ability and gaze switching in older drivers: A driving simulator study.
Masafumi Kunishige, Hiroshi Fukuda, Tadayuki Iida and 3 others
PMID 31217759WHAT IT FOUND
Older drivers had lower scores on a spatial navigation test and different gaze patterns than young drivers in a simulator.
In older drivers, lower Card-Placing scores went with longer gaze time.
Key findings
01Older participants scored significantly lower than young participants on line orientation, Card-Placing Part B, Trail Making A and B, and Raven's Colored Progressive Matrices.
02In older participants, gaze time was significantly negatively correlated with Card-Placing Part A and Part B scores.
03Older and young participants differed significantly in saccade switching during right turns, and in distance per saccade and total saccade distance during right turns and lane changes.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study used a driving simulator, not real-road driving, so it did not measure real-world accidents or on-road driving performance. The authors state that the findings do not show how simulator driving skills relate to dangerous driving behaviours in daily traffic. The simulator traffic scenes were restricted to several types of events, so they may not capture the full range of real driving demands. Participants were healthy adults with no cognitive impairment, so the results may not apply to people with dementia, stroke, or other driving-relevant conditions. One older participant was excluded because the driving screening test predicted failure, which may narrow the older drivers represented. The age groups differed in licence years and annual mileage, so differences cannot be attributed to age or spatial navigation alone. The study did not measure physiological behaviour, visual sensitivity, or self-reported driving ability.
The easy way to misread this
Do not conclude that older drivers are unsafe or that these tests predict real crashes. The study compared healthy older and young adults in a simulator, and it did not measure real-world accidents or on-road driving.