Errors in motion processing amongst older drivers may increase accident risk

Refractive error and abnormal stereopsis association with road traffic accidents in Saudi Arabian truck drivers

PURPOSE

To investigate the visual functions of truck drivers of the Kingdom of Saudi Arabia (KSA) in the region of Qassim and Dammam and to see if is there any association between these visual functions and self-reported road traffic accidents (RTA).

METHODS

It is a cross-sectional, descriptive study. LogMAR visual acuity, refractive error, color vision, stereopsis, and confrontation visual fields were measured in 300 truck drivers in the Qassim and Dammam regions of KSA. Driving-related history and incidence of RTA from the past 3 years, systemic history, and general eye compliance history were collected through a self-reporting questionnaire.

RESULTS

Among 300 truck drivers examined, 54 (18.4%) subjects have a refractive error, 14 (4.7%) subjects have color vision deficiency, 37 (12.2%) subjects have abnormal stereo acuity, and none of them have confrontation visual field defect. RTA was reported in 25 (8.3%) subjects. The current study has found RTA is significantly associated with refractive error (P = 0.01) and abnormal stereopsis (P < 0.01). Systemic history revealed that 11% of the subjects had diabetes mellitus.

CONCLUSION

The current study is the first to report on the visual functions of KSA truck drivers. Hence, the current study has found a significant association between visual functions and RTA among truck drivers, we recommend a comprehensive examination need to be part of issuing driver's licenses in KSA. More studies with larger samples from different regions of KSA are needed to extrapolate these findings.

Developmental differences across the lifespan in the use of perceptual information to guide action-based decisions

Perceptual information about unfolding events is important for guiding decisions about when and how to move in real-world action situations. As an exemplary case, road-crossing is a perceptual-motor task where age has been shown to be a strong predictor of risk due to errors in action-based decisions. The present study investigated age differences between three age groups (Children: 10-12 years old; Adults: 19-39 years old; Older Adults: 65 + year olds) in the use of perceptual information for selection, timing, and control of action when crossing a two-way street in an immersive, interactive virtual reality environment. Adults and children selected gaps to cross that were consistent with the use of a time-based information variable (tau), whereas older adults tuned less into the time-based variable (tau) to guide road-crossing decisions. For action initiation and control, children and adults also showed a strong ability to precisely time their entry with respect to the lead vehicle maximising the available time to cross and coordinating walking movements with the tail vehicle to ensure they were not on a collision course. In contrast, older adults delayed action initiation and showed difficulty coordinating self-movement with the approaching vehicle. This study and its results tie together age-based differences in the three components of action decision-making (selection, timing and control) within a unified framework based on perceptual information. The implications of these age-related differences in action decisions and crossing behaviours are discussed in the context of road safety.

Age-related differences in the perception of gap affordances: Impact of standardized action capabilities on road-crossing judgements

Recent road-crossing literature has found that older adults show performance differences between estimation and perception-action tasks suggesting an age-related difficulty in accurately calibrating the information picked up from the surrounding environment to their action capabilities (Lobjois and Cavallo, 2009). The present study investigated whether participants could accurately perceive gap affordances via information that specifies the time-to-arrival of the approaching cars. To ensure the opportunities for action were the same across different age groups, independent of the actor's action capabilities, the action of crossing the road was standardised. A total of 45 participants (15 children, aged 10-12, 15 adults aged 19-39, 15 older adults aged 65+) were asked to judge, by pressing a button in a head-mounted display, whether the gap between oncoming cars afforded crossing. When the participant pressed the button, they moved across the road at a fixed speed. Adherence to a time-based variable (namely tau) explained 85% and 84% of the variance in both the children and adults' choices, respectively. Older adults tuned less into the time-based variable (tau) with it only accounting for 59% of the variance in road-crossing decisions. These findings suggest that, the ability to use tau information which specifies whether a gap affords crossing or not, deteriorates with age.

Street-crossing workload in young and older pedestrians

Although several studies have sought to identify both gap-acceptance difficulties with aging and gait differences, few have examined the extent to which crossing the street is physically and cognitively demanding for older pedestrians, in such a way that street crossing can be seen as a dual task. To gain insight into this issue, this study reports an experiment with 15 young (ages 19-26), 19 younger-old (ages 60-72), and 21 older-old (ages 73-82) adults. The participants carried out three tasks: (i) a simple walking task, (ii) a dual task involving walking while scanning (walking while pressing a button as soon as a visual or sound stimulus appeared), and (iii) a street-crossing task with vehicles approaching from two directions. The results indicated more street-crossing collisions in older-old than in younger-old and young participants. Longer reaction times were observed in the dual walking-scanning task for both old groups, especially for visual stimuli. Walking-speed comparisons yielded nonsignificant differences between the dual task and the street-crossing task in young participants, suggesting a correspondence in terms of demands and task priority. In contrast, old participants walked significantly faster in the street-crossing task than in the dual task, suggesting that they placed priority on walking rapidly than on scanning traffic. Finally, whereas the participants estimated the perceived workload to be greater when they were crossing the street than while simply walking or responding to the dual task, young participants gave the highest rating to the mental and physical demands, perhaps due to a lack of awareness of task demands among old participants.

Optical illusions and life-threatening traffic crashes: A perspective on aerial perspective

Aerial perspective illusion is a feature of visual perception where landscapes appear relatively close in clear light and distant in dim light. We hypothesized that bright sunlight might cause drivers to perceive distant terrain as relatively close and misinterpret the approach speed of surrounding landscape as unduly slow. This hypothesis would mean, in turn, that drivers in bright sunlight may underestimate their progress on the road, compensate by traveling at a faster baseline speed, and ultimately increase the prevailing risk of a life-threatening traffic crash. We conducted three pilot studies to illustrate how the illusion might contribute to a life- threatening traffic crash. The first illustration used a questionnaire to demonstrate that most respondents were mistaken when judging the distance between simple balls in different positions. The second illustration involved an experimental manipulation to assess whether aerial perspective influenced judgments about the relative positions of vehicles in traffic. The third illustration analyzed a segment of high-volume fast-speed traffic and found an increased frequency of speeding under bright sunlight. Together with past work based on the visual arts, these examples illustrate how an aerial perspective illusion can affect distance perception, may appear in realistic traffic situations, and could potentially contribute to the risk of a life-threatening traffic crash. An awareness of this hypothesis might lead to applications on how optical illusions could extend to everyday traffic and might potentially inform safety warnings to prevent life- threatening crashes.

Training the elderly in pedestrian safety: Transfer effect between two virtual reality simulation devices

OBJECTIVES

A virtual-reality training program has been developed to help older pedestrians make safer street-crossing decisions in two-way traffic situations. The aim was to develop a small-scale affordable and transportable simulation device that allowed transferring effects to a full-scale device involving actual walking.

METHODS

20 younger adults and 40 older participants first participated in a pre-test phase to assess their street crossings using both full-scale and small-scale simulation devices. Then, a trained older group (20 participants) completed two 1.5-h training sessions with the small-scale device, whereas an older control group received no training (19 participants). Thereafter, the 39 older trained and untrained participants took part in a 1.5-h post-test phase again with both devices.

RESULTS

Pre-test phase results suggested significant differences between both devices in the group of older participants only. Unlike younger participants, older participants accepted more often to cross and had more collisions on the small-scale simulation device than on the full-scale one. Post-test phase results showed that training older participants on the small-scale device allowed a significant global decrease in the percentage of accepted crossings and collisions on both simulation devices. But specific improvements regarding the way participants took into account the speed of approaching cars and vehicles in the far lane were notable only on the full-scale simulation device.

DISCUSSION

The findings suggest that the small-scale simulation device triggers a greater number of unsafe decisions compared to a full-scale one that allows actual crossings. But findings reveal that such a small-scale simulation device could be a good means to improve the safety of street-crossing decisions and behaviors among older pedestrians, suggesting a transfer of learning effect between the two simulation devices, from training people with a miniature device to measuring their specific progress with a full-scale one.

A brief peripheral motion contrast threshold test predicts older drivers' hazardous behaviors in simulated driving

Our research group has previously demonstrated that the peripheral motion contrast threshold (PMCT) test predicts older drivers' self-report accident risk, as well as simulated driving performance. However, the PMCT is too lengthy to be a part of a battery of tests to assess fitness to drive. Therefore, we have developed a new version of this test, which takes under two minutes to administer. We assessed the motion contrast thresholds of 24 younger drivers (19-32) and 25 older drivers (65-83) with both the PMCT-10min and the PMCT-2min test and investigated if thresholds were associated with measures of simulated driving performance. Younger participants had significantly lower motion contrast thresholds than older participants and there were no significant correlations between younger participants' thresholds and any measures of driving performance. The PMCT-10min and the PMCT-2min thresholds of older drivers' predicted simulated crash risk, as well as the minimum distance of approach to all hazards. This suggests that our tests of motion processing can help predict the risk of collision or near collision in older drivers. Thresholds were also correlated with the total lane deviation time, suggesting a deficiency in processing of peripheral flow and delayed detection of adjacent cars. The PMCT-2min is an improved version of a previously validated test, and it has the potential to help assess older drivers' fitness to drive.

Crossing a two-way street: comparison of young and old pedestrians

INTRODUCTION

Choosing a safe gap in which to cross a two-way street is a complex task and only few experiments have investigated age-specific difficulties.

METHOD

A total of 18 young (age 19-35), 28 younger-old (age 62-71) and 38 older-old (age 72-85 years) adults participated in a simulated street-crossing experiment in which vehicle approach speed and available time gaps were varied. The safe and controlled simulated environment allowed participants to perform a real walk across an experimental two-way street. The differences between the results for the two lanes are of particular interest to the study of visual exploration and crossing behaviors.

RESULTS

The results showed that old participants crossed more slowly, adopted smaller safety margins, and made more decisions that led to collisions than did young participants. These difficulties were found particularly when vehicles approached in the far lane, or rapidly. Whereas young participants considered the time gaps available in both lanes to decide whether to cross the street, old participants made their decisions mainly on the basis of the gap available in the near lane while neglecting the far lane.

CONCLUSIONS

The present results point to attentional deficits as well as physical limitations in older pedestrians. Several practical and have implications in terms of road design and pedestrian training are proposed.