Driver distraction by smartphone use (WhatsApp) in different age groups

Gap acceptance behaviour and crash risks of mobile phone distracted young drivers at roundabouts: A random parameters survival model

Navigating through complex road geometries, such as roundabouts, poses significant challenges and safety risks for drivers. These challenges may be exacerbated when drivers are distracted by mobile phone conversations. The interplay of road geometry, driving state, and driver characteristics in creating compound risks remains an underexplored area in existing literature. Proper understanding of such compound crash risk is not only crucial to improve road geometric design but also to educate young drivers, who are particularly risk-takers and to devise strict penalties for mobile phone usage whilst driving. To fill this gap, this study examines crash risks associated with gap acceptance manoeuvres at roundabouts in the simulated environment of the CARRS-Q driving simulators, where 32 licenced young drivers were exposed to a gap acceptance scenario in three phone conditions: baseline (no phone conversation), handheld, and hands-free. A parametric random parameters survival modelling approach is adopted to understand safety margins-characterised by gap times-during gap acceptance scenarios at roundabouts, concurrently uncover driver-level heterogeneity with mobile phone distraction and capture repeated measures of experiment design. The model specification includes the handheld phone condition as a random parameter and hands-free phone condition, acceleration noise, gap size, crash history, and gender as non-random parameters. Results suggest that the majority of handheld distracted drivers have smaller safety margins, reflecting the negative consequences of engaging in handheld phone conversations. Interestingly, a group of drivers in the same handheld phone condition have been found to exhibit cautious/safer behaviour, as evidenced by longer gap times, reflecting their risk compensation behaviour. Female distracted drivers are also found to exhibit safer gap acceptance behaviour compared to distracted male drivers. The findings of this study shed light on the compound risk of mobile phone distraction and gap acceptance at roundabouts, requiring policymakers and authorities to devise strict penalties and laws for distracted driving.

Driving-Related Glucose Patterns Among Older Adults with Type 1 Diabetes

Older adults with type 1 diabetes may face challenges driving safely. Glucose "above-5-to-drive" is often recommended for insulin-treated diabetes to minimize hypoglycemia while driving. However, the effectiveness of this recommendation among older adults has not been evaluated. Older drivers with type 1 diabetes were assessed while using sensor-augmented insulin pumps during a 2-week clinical trial run-in. Twenty-three drivers (median age 69 years [interquartile range; IQR 65-72]; diabetes duration 37 years [20-45]) undertook 618 trips (duration 10 min [5-21]). Most trips (n = 535; 87%) were <30 min duration; 9 trips (1.5%) exceeded 90 min and 3 trips (0.5%) exceeded 120 min. Pre-trip continuous glucose monitoring (CGM) was >5.0 mmol/L for 577 trips (93%) and none of these had CGM <3.9 mmol/L during driving (including 8 trips >90 min and 3 trips >120 min). During 41 trips with pre-trip CGM ≤5.0 mmol/L, 11 trips had CGM <3.9 mmol/L. Seventy-one CGM alerts occurred during 60 trips (10%), of which 54 of 71 alerts (76%) were unrelated to hypoglycemia. Our findings support a glucose "above-5-to-drive" recommendation to avoid CGM-detected hypoglycemia among older drivers, including for prolonged drives, and highlight the importance of active CGM low-glucose alerts to prevent hypoglycemia during driving. Driving-related CGM usability and alert functionality warrant investigation. Clinical trial ACTRN1261900515190.

The effects of distraction on younger drivers: A neurophysiological perspective

Distracted driving remains a significant cause of traffic accidents globally, including in Australia. However, many younger drivers still admit to using a phone while driving. A simulated driving study investigated the neurophysiological effects of visual, auditory, and higher-order cognitive (i.e., requiring the use of executive functions) distraction on young drivers. In total, 24 young adults aged 18-25 years completed four 8 min simulated driving sessions while concurrently engaging in various distractor tasks. Neurophysiological arousal was measured via EEG. Additionally, subjective workload and objective driving performance were assessed. Frontal beta and gamma power exhibited their highest levels during tasks involving higher-order cognitive and visual demands. The higher-order cognitive condition was rated as the most mentally demanding. In comparison, the visual condition had the most significant impact on both the standard deviation of speed and standard deviation of lateral positioning. This study has significant implications for all road users, particularly those aged 18-25 years, and it reinforces the importance of not using a phone while driving.

Self-Regulation of Driving Behavior Under the Influence of Cannabis: The Role of Driving Complexity and Driver Vision

OBJECTIVE

This study analyzed the self-regulation behaviors of drivers under the influence of cannabis and its relationship with road complexity and some driver traits, including visual deterioration.

BACKGROUND

Cannabis is the illicit drug most often detected in drivers; its use results in significant negative effects in terms of visual function. Self-regulation behaviors involve the mechanisms used by drivers to maintain or reduce the risk resulting from different circumstances or the driving environment.

METHODS

Thirty-one young, occasional cannabis users were assessed both in a baseline session and after smoking cannabis. We evaluated the visual function (visual acuity and contrast sensitivity) and driver self-regulation variables of both longitudinal and lateral control as the speed adaptation and standard deviation of lateral position (SDLP).

RESULTS

Visual function was significantly impaired after cannabis use. Recreational cannabis use did not result in self-regulation, although some road features such as curved roads did determine self-regulation. Male participants adopted mean faster driving speeds with respect to the speed limit. Driver age also determined better lateral control with lower SDLPs. In addition, visual impairment resulting from cannabis use (contrast sensitivity) was linked with self-regulation by changes in longitudinal and lateral control.

CONCLUSION

Contrast sensitivity could be a good indicator of individual visual status to help determine how drivers self-regulate their driving both in normal conditions and while under the influence of cannabis.

APPLICATION

The findings provide new insights about driver self-regulation under cannabis effects and are useful for policy making and awareness campaigns.

Monitoring Distracted Driving Behaviours with Smartphones: An Extended Systematic Literature Review

Driver behaviour monitoring is a broad area of research, with a variety of methods and approaches. Distraction from the use of electronic devices, such as smartphones for texting or talking on the phone, is one of the leading causes of vehicle accidents. With the increasing number of sensors available in vehicles, there is an abundance of data available to monitor driver behaviour, but it has only been available to vehicle manufacturers and, to a limited extent, through proprietary solutions. Recently, research and practice have shifted the paradigm to the use of smartphones for driver monitoring and have fuelled efforts to support driving safety. This systematic review paper extends a preliminary, previously carried out author-centric literature review on smartphone-based driver monitoring approaches using snowballing search methods to illustrate the opportunities in using smartphones for driver distraction detection. Specifically, the paper reviews smartphone-based approaches to distracted driving behaviour detection, the smartphone sensors and detection methods applied, and the results obtained.

The effect of mobile phone task and age on gait: A systematic review and meta-analysis

Objective: Mobile phone usage while performing postural-locomotor tasks is everyday activity across persons of all ages in various environmental contexts and health conditions. However, it is also an important factor contributing to accidents. To lower the risk of pedestrian accidents, this meta-analysis aimed to examine how mobile phones affect pedestrian gait and identify how mobile phone tasks and participant age affect gait differently.

Methods: Electronic database searches were performed in The Cochrane Library, PubMed, and Medline. Two examiners evaluated the eligibility and quality of included studies using the Downs and Black checklist. The mean differences (MD) or standardized mean differences (SMD) were calculated for each outcome. Subgroup analyses were used to compare the differential effects of mobile phone task and participant age on gait.

Results: Among 22 eligible studies, 592 participants in 10 countries were analyzed in this meta-analysis. The overall meta-analysis showed that using a mobile phone significantly decreased pedestrian gait velocity (SMD = −1.45; 95% CI: −1.66 to −1.24; p &lt; 0.00001; I2 = 66%), step length (SMD = −1.01; 95% CI: −1.43 to −0.59; p &lt; 0.00001; I2 = 82%), and stride length (SMD = −0.9; 95% CI: −1.19 to −0.60; p &lt; 0.00001; I2 = 79%), significantly increased pedestrian step time (SMD = 0.77; 95% CI: 0.45 to 1.08; p &lt; 0.00001; I2 = 78%), stride time (SMD = 0.87; 95% CI: 0.69 to 1.06; p &lt; 0.00001; I2 = 24%), step width (SMD = 0.79; 95% CI: 0.34 to 1.24; p = 0.0006. I2 = 75%), double support time (SMD = 1.09; 95% CI: 0.86 to 1.31; p &lt; 0.00001; I2 = 42%), and double support (%gait cycle, %GC) (MD = 2.32; 95% CI: 1.75 to 2.88; p &lt; 0.00001; I2 = 26%).

Conclusion: In summary, the effects of mobile phone tasks and participant age on gait were inconsistent. Our study found that resource-intensive tasks (texting and reading) significantly reduced gait velocity, and step time; however, small resource-intensive tasks (calling, talking, and dialing) did not affect these outcomes. In contrast to young adults, step length and step time were not affected by mobile phone use in older adults. Tips: Pedestrians should consider using a mobile phone in their daily lives according to the application scenarios (walking environment, the complexity of mobile phone tasks, pedestrians’ task processing abilities, etc.) as appropriate to avoid dangerous accidents.

Systematic Review Registration: identifier CRD42022358963.

Problematic internet use and safety behavior: The moderating role of safety climate

Problematic internet use (PIU) can cause mental and physical harm to individuals and may be an emerging factor contributing to unsafe work behavior. In this study, the relationship between PIU and safety behavior was investigated. Moreover, it was hypothesized that safety climate can moderate the relationship between PIU and safety behavior. Participants were employees from a mining industry in Iran. Three validated questionnaires were distributed to gather the required data regarding PIU, safety climate, and safety behavior. Hierarchical regression analysis was used to assess the moderating effect of safety climate on the relationship between PIU and safety behavior. The size of moderation effect was assessed using f2 index. Four hundred eighty-five employees participated in this study. The results demonstrated a negative relationship between PIU and safety behavior. The moderating effect of safety climate on the relationship between PIU and safety behavior was supported. The f2 index was 0.027 which demonstrates a small moderation effect. In conclusion, PIU has a significant negative effect on the safety behavior of employees. Providing a strong safety climate can be a long-term solution for reducing the negative effect of PIU on safety behavior.

Identifying regions of excess injury risks associated with distracted driving: A case study in Central Ohio, USA

This study examines the latent influence of spatial locations on the relative risks of crash injuries associated with distracted driving (DD) and identifies regions of excess risks for policy intervention. Using a sample of aggregated injury and fatal DD crash records for the period 2015–2019 across 1,024 census block groups in Central Ohio (i.e., the Columbus Metropolitan Area) in the United States, we investigate the role of latent effects along with several covariates such as land-use mix, sociodemographic features, and the built environment. To this end, we specifically leverage a full Bayesian hierarchical formulation with conditional autoregressive priors to account for uncertainty (i.e., spatially structured random effects) stemming from adjacent census block groups. Furthermore, we consider uncorrelated random effects from upper-level administrative units within which each block group is nested (i.e., census tracts and counties). Our analysis reveals that (1) addressing spatial correlation improves the model's performance, (2) block-group-level variability substantially explains the residual random fluctuation, and (3) intersection density appears negatively associated with the relative risks of crash injuries, while more diversified land use can increase injury risk. Based on these findings, we present spatial clusters with twice the relative risks compared to other block groups, suggesting that policies be devised to mitigate severe injuries due to DD and therefore enhance public health.

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Crash injuries associated with distracted driving are investigated.

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Spatial correlation accounts for residual variation in relative injury risks.

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Intersection density appears to reduce the risks of crash injuries.

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Diversified land use leads to an elevated injury risk.

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We identify small areas with excess injury risks.

Effect of peripheral refractive errors on driving performance

The effect of peripheral refractive errors on driving while performing secondary tasks at 40° of eccentricity was studied in thirty-one young drivers. They drove a driving simulator under 7 different induced peripheral refractive errors (baseline (0D), spherical lenses of +/- 2D, +/- 4D and cylindrical lenses of +2D and +4D). Peripheral visual acuity and contrast sensitivity were also evaluated at 40°. Driving performance was significantly impaired by the addition of myopic defocus (4D) and astigmatism (4D). Worse driving significantly correlated with worse contrast sensitivity for the route in general, but also with worse visual acuity when participants interacted with the secondary task. Induced peripheral refractive errors may negatively impact driving when performing secondary tasks.

Comparison of the effects of alcohol and cannabis on visual function and driving performance. Does the visual impairment affect driving?

BACKGROUND

Alcohol and cannabis are the most widely consumed psychoactive substances worldwide. This study compared the effects of alcohol and cannabis on visual function and driving performance, as well as self-perceived effects. Also, the relationship between visual effects under the influence and driving performance was studied.

METHODS

Sixty-four young drivers, with a history of alcohol and/or cannabis use were included. Of these, 33 were allocated to the alcohol group and 31 to the cannabis group. All participants were evaluated in a baseline session. The alcohol group underwent two sessions: after drinking 300 ml and 450 ml of red wine (A1 and A2). The cannabis group attended one session after smoking cannabis (C). Visual function was evaluated at the contrast sensitivity, stereoacuity, and intraocular straylight level. Participants drove a driving simulator. A general score (overall visual score, OVS; overall driving performance score, ODPS) was obtained for both visual functioning and driving performance.

RESULTS

The evaluation of visual function demonstrated a significant impairment in OVS for all conditions studied (A1, p = 0.005; A2, p < 0.001; C, p < 0.001) with respect to the baseline session. General driving performance (ODPS) demonstrated a significant worsening for the A2 condition (p = 0.003). Finally, a significant relationship between driving performance and visual function was found (rho=0.163, p = 0.039 and χ² = 4.801, p = 0.028).

CONCLUSIONS

Cannabis and alcohol use negatively impact visual function. However, driving performance was only significantly affected by the higher alcohol dose. This impairment in visual function was significantly associated with worse driving performance.

Lifestyle Matters: Effects of Habitual Physical Activity on Driving Skills in Older Age

Research on multitasking driving has suggested age-related deterioration in driving performance. It has been shown that physical and cognitive functioning, which are related to driving performance and decline with aging, are positively associated with physical activity behavior. This study aimed to explore whether driving performance decline becomes severe with advancing age and whether physical activity behavior modifies age-related deterioration in driving performance. A total of one hundred forty-one healthy adults were categorized into three groups based on their age; old-old (74.21 ± 2.33 years), young-old (66.53 ± 1.50 years), and young adults (23.25 ± 2.82 years). Participants completed a realistic multitasking driving task. Physical activity and cardiorespiratory fitness levels were evaluated. Older groups drove more slowly and laterally than young adults, and old-old adults drove slower than young-old ones across the whole driving course. Physical activity level did not interact with the aging effect on driving performance, whereas cardiovascular fitness interacted. Higher-fitness young-old and young adults drove faster than higher-fitness old-old adults. Higher-fitness old adults drove more laterally than higher-fitness young adults. The present study demonstrated a gradual decline in driving performance in old adults, and cardiorespiratory fitness interacted with the aging effect on driving performance. Future research on the interaction of aging and physical activity behavior on driving performance in different age groups is of great value and may help deepen our knowledge.

Temporal analysis of cellphone-use-involved crash injury severities: Calling for preventing cellphone-use-involved distracted driving

With the popularity of smartphones and the increasing dependence on cellphones, cellphone-use-involved distracted driving has become a global traffic safety concern. Calling, texting, or watching videos while driving could have harmful impacts on driving abilities and increase crash-injury severities. To investigate the temporal stability and the heterogeneity of cellphone-involved crash injury severity determinants, a series of likelihood ratio tests and random parameters logit models with heterogeneity in means and variances are estimated. Cellphone-involved single-vehicle crash datasets of Pennsylvania from 2004 to 2019 are utilized. Marginal effects are also applied to investigate the impact of explanatory variables on injury severity outcomes. The results indicate an overall temporal instability of cellphone-involved crashes across different periods. However, driving without seatbelts and overturns are observed to produce relatively stable and positive influence on the increased injury severities of cellphone-involved crashes. Besides, it is noteworthy that a combination of cellphone usage with risky driving behaviors (aggressive driving, alcohol- or drug-related driving, speeding, or fatigue driving) significantly increase driver injury-severities. This finding highlights the necessity of identifying drivers with multiple risk-taking behaviors and enacting laws to prohibit these drivers from using cellphones while driving. Applications of smartphones provide another feasible approach to prevent using cellphones while driving. Insights and suggestions of this study would be valuable to mitigate the negative outcomes of cellphone-involved crashes and prevent the crashes caused by cellphone-involved distracted driving in the future.

Speed management across road environments of varying complexities and self-regulation behaviors in drivers with cataract

Evidence suggests that drivers with cataract self-regulate their driving, but there is a lack of objective information. This study compared speed behavior in older drivers with and without cataract and how the parameter is influenced by road traffic complexity and driver characteristics. The study included 15 drivers with cataract and a control group of 20 drivers. Visual status was assessed using visual acuity, contrast sensitivity, and intraocular straylight. Speed management was studied using a driving simulator. Driving difficulty and self-regulation patterns were evaluated by means of the Driver Habits Questionnaire (DHQ). The cataract group showed a significant decrease in visual function in all the parameters evaluated (p < 0.05). These drivers tended to drive at lower speeds than the control group. Road characteristics, gender, and intraocular straylight in the better eye were identified as significant predictors of speed management. Drivers with cataract experience greater driving difficulty, particularly when driving at night (p < 0.05). Drivers with cataract reduce their driving speed more than older drivers without visual impairment. The straylight parameter may be a good indicator of each driver's subjective perception of their own visual ability to drive. This work helps shed light on the mechanisms through which age-related visual impairment influences driving behavior.

How are different sources of distraction associated with at-fault crashes among drivers of different age gender groups?

INTRODUCTION

Distracted driving has been well researched, however the comparison between different age-gender groups on the impact of distracted driving has not been explored. Most crash analysis research does not distinguish driver responsibility, so the role that distractions has in at-fault crashes is unknown. Without distinguishing at-fault crashes from all-cause crashes, distracted driving's detrimental effects could be underestimated.

OBJECTIVE

This study aims to systematically assess the risk of at-fault crashes associated with different sources of distraction among six groups by driver age (Teens 16-19, Adults 20-64, Seniors 65+) and gender.

METHODS

Crashes where a study participant was deemed at fault were identified using human expert annotated variables from the Strategic Highway Research Program 2 (SHRP2) Naturalistic Driving Study dataset. Generalized linear mixed models were performed to assess the adjusted odds ratios of 10 distraction types associated with the at-fault crashes while controlling for environmental factors.

RESULTS

The main findings are (1) The highest contributing distraction types in at-fault crashes were In-Cabin Objects, Mobile Device, External Scenes, and In-Vehicle Information Systems (IVIS) as indicated by their influence on multiple age-gender groups and the magnitude of odds ratios; (2) Teens and adults were more distraction-prone than seniors, although seniors had the greatest at-fault crash risks associated with In-Cabin Objects, Mobile Device, and IVIS; (3) Distractions impacted females and males similarly; (4) At-fault crashes were more likely to have the significant distraction types present than all-cause crashes.

CONCLUSION

This study adds to the limited literature on at-fault crashes particularly as it explores the role of driver demographics and distracted driving. Analyzing the risks of distracted driving by age-gender group shows that specific activities can be riskier for a certain population. The effects of distractions may be overlooked without fault determination. Distractions by external scenes, in-vehicle technologies, and in-cabin objects should not be overlooked, in addition to mobile device use.

Distracting tasks have persisting effects on young and older drivers' braking performance

It is well established that car driving performance suffers when the driver concurrently engages in a distracting activity, such as talking on a cell phone. The present study investigates whether the effects of driver distraction are short-lived, or rather persist for some time. Age-related differences are evaluated as well. Sixty-three young and 61 older adults were tested in a driving simulator. They were asked to follow a lead car that drove at a constant speed, and to concurrently engage in a pseudorandom sequence of distracting tasks (typing, reasoning, memorizing). When the lead car braked, participants had to brake as well to prevent a collision. The stimulus onset asynchrony between the braking task and the last preceding distraction was 11.49 ± 1.99 s. Each person was tested once in a multitasking condition (as described above), and once in a control condition without distracting tasks. Outcome measures quantified distance keeping and lane keeping while participants braked to the lead car. We found that braking responses differed significantly between conditions; this difference could be interpreted as a combination of performance deficits and compensatory strategies in the multitasking condition compared to the control condition. We also found significant differences between age groups, which could be interpreted similarly. Differences between age groups were less pronounced in the multitasking than in the control condition. All observed effects were associated with participants' executive functioning. Our findings confirm that distractions have an impact on braking responses, and they document for the first time that this impact can persist for about 11.5 s. We attribute this persistence to a task set effect, and discuss the practical relevance of our findings.

Safety and health perceptions of location-based augmented reality gaming app and their implications

This study seeks to understand the potential safety and health implications of location-based augmented reality gaming apps ("LAR apps") through studying people perception of Pokémon GO, a popular LAR gaming app. These perceptions can affect app usage behavior, app retention rate, and market share which can be critical to policymakers and app developers. An online survey is conducted to capture the impacts of Pokémon GO regarding: (i) perceived risk of using the app and opinion of prohibiting its usage while driving and cycling, (ii) frequency of app-related distracted driving and cycling, (iii) frequency of app-induced driving and potentially unsafe driving behavior, (iv) average daily steps before and after using the app, and (v) perceived physical and mental health benefits. Multivariate binary probit models and random parameters ordered probit models were estimated to capture users' and non-users' characteristics that affect these perceptions, attitude, and behavior. The results suggest that LAR gaming apps can potentially promote physical activity by encouraging people to walk more, increase social interactions such as app-related discussions, but also contribute to increased app-related distracted driving and cycling, app-induced driving, and unsafe driving behavior. The study findings and insights can provide valuable feedback to legislators and LAR gaming app developers for designing policies and app mechanisms that can address the safety concerns of using such apps, and provide physical and mental health benefits to its users.

Fear of Missing Out Predicts Distraction by Social Reward Signals Displayed on a Smartphone in Difficult Driving Situations

Smartphones are particularly likely to elicit driver distraction with obvious negative repercussions on road safety. Recent selective attention models lead to expect that smartphones might be very effective in capturing attention due to their social reward history. Hence, individual differences in terms of Fear of Missing Out (FoMO) – i.e., of the apprehension of missing out on socially rewarding experiences – should play an important role in driver distraction. This factor has already been associated with self-reported estimations of greater attention paid to smartphones while driving, but the potential link between FoMO and smartphone-induced distraction has never been tested empirically. Therefore, we conducted a preliminary study to investigate whether FoMO would modulate attentional capture by reward distractors displayed on a smartphone. First, participants performed a classical visual search task in which neutral stimuli (colored circles) were associated with high or low social reward outcomes. Then, they had to detect a pedestrian or a roe deer in driving scenes with various levels of fog density. The social reward stimuli were displayed as distractors on the screen of a smartphone embedded in the pictures. The results showed a significant three-way interaction between FoMO, social reward distraction, and task difficulty. More precisely, under attention-demanding conditions (i.e., high-fog density), individual FoMO scores predicted attentional capture by social reward distractors, with longer reaction times (RTs) for high rather than low social reward distractors. These results highlight the importance to consider reward history and FoMO when investigating smartphone-based distraction. Limitations are discussed, notably regarding our sample characteristics (i.e., mainly young females) that might hamper the generalization of our findings to the overall population. Future research directions are provided.

Effects of Mobile Phone Use on Driving Performance: An Experimental Study of Workload and Traffic Violations

The use of communication technologies, e.g., mobile phones, has increased dramatically in recent years, and their use among drivers has become a great risk to traffic safety. The present study assessed the workload and road ordinary violations, utilizing driving data collected from 39 young participants who underwent a dual-task while driving a simulator, i.e., respond to a call, text on WhatsApp, and check Instagram. Findings confirmed that there are significant differences in the driving performance of young drivers in terms of vehicle control (i.e., lateral distance and hard shoulder line violations) between distracted and non-distracted drivers. Furthermore, the overall workload score of young drivers increases with the use of their mobile phones while driving. The obtained results contribute to a better understanding of the driving performance of distracted young drivers and thus they could be useful for further improvements to traffic safety strategies.

Mobile phone use while driving: Development and validation of knowledge, attitude, and practice survey instruments

INTRODUCTION

Instruments that assess the knowledge, attitude, and practice (KAP) of mobile phone use serve as a primary assessment tool on which mobile phone distracted driving interventions can be designed. The objective of this study is to develop and validate KAP-modeled survey instruments that measure the knowledge of mobile phone hazards while driving (KMPHD), the attitude of drivers towards mobile phone use while driving (AMPUD), and the practice of mobile phone use while driving (PMPUD).

METHOD

This study was a cross-sectional analytical survey conducted in Ibadan, Nigeria. Three instruments were designed to measure KMPHD, AMPUD, and PMPUD. Content validity, item analysis, exploratory factor analysis were conducted, and items were excluded based on the collective results of the analysis. The domains of the constructs and the reliability of the instruments are reported. A confirmatory factor analysis was used to assess the regression weights of each item and the model fit.

RESULTS

From an original list of 13, 12, and 10 items in the KMPHD, AMPUD, and PMPUD instruments, a final list of 7, 5, and 7 items were generated in each survey instrument, respectively. Two domains of the knowledge of hazards and practice of mobile phone use were obtained, and attitude to phone use while driving was a single domain. The reliabilities (Cronbach alpha) of the KMPHD (0.881), AMPUD (0.954), and PMPUD (0.920) were sufficiently high. Also, all items in the three instruments had moderate-to-high regression coefficients, and the model fits of the instruments were good.

CONCLUSIONS

This study provides KAP-modeled survey instruments that can be used to assess a population-based knowledge, attitude, and practice of mobile phone use while driving. Practical Applications: This survey instrument can be used in assessing baseline knowledge, attitude, and practice of phone use while driving and determine the focus and effectiveness of mobile phone-induced distracted driving interventions.

Visual performance after the deterioration of retinal image quality: induced forward scattering using Bangerter foils and fog filters

We induced and evaluated different levels of retinal-image degradation using Bangerter foils and fog filters. We found increased straylight and an important deterioration in visual performance, assessed by means of visual acuity, contrast threshold, and visual discrimination capacity. Bangerter foils induced forward scattering levels comparable to those observed in mature to severe cataracts, with an important impact of halos and starbursts. Fog filters induced lower levels of intraocular scattering, although luminous veils and circular halos were reported. The visual disturbance index positively correlated with intraocular scattering and straylight. Our results show retinal-image quality has an important influence on night-vision performance.

Deterioration of binocular vision after alcohol intake influences driving performance

In this study, we assessed the influence of moderate alcohol intake on binocular vision, vergence system and simulated driving performance by analyzing the interactions between visual deterioration and driving variables. Thirty young healthy subjects were recruited. For the analysis, we measured: visual function (visual acuity and stereoacuity), phorias and fusional reserves. Also, we checked Sheard's and Percival's criteria at near and far. The accommodative convergence/accommodation (AC/A) ratio was calculated and vergence facility was also obtained at near. A driving simulator was used to assess driving performance under natural conditions and after alcohol consumption with a breath alcohol content of 0.40 mg/l. Alcohol intake significantly reduced binocular visual performance and vergence function, except for vertical phorias, horizontal phoria at near and Sheard's and Percival's criteria at near. Driving performance parameters also presented a statistically significant deterioration after alcohol consumption. A statistically significant correlation was found between the deterioration in overall visual function and overall driving performance, highlighting the influence of the visual deterioration on the driving performance. Moderate alcohol consumption impairs binocular visual and simulated driving performances, implying a greater safety hazard. In addition, deteriorations in binocular visual function and vergence correlated with simulated driving impairment, which indicates that the deterioration of binocular vision due to alcohol consumption affects driving, thus reducing road safety.

Aggressive Driving Behaviours in Cannabis Users. The Influence of Consumer Characteristics

This study analysed dangerous driving behaviours in twenty young occasional cannabis users through objective and self-reported data, studying the relationship between the two aspects. Visual function was assessed in a baseline session and after smoking cannabis, as well as speed-related behaviour in a driving simulator. The participants responded to questionnaires on sociodemographic factors, their consumption profile, and the incidence of dangerous behaviours (Dula Dangerous Driving Index; DDDI). After cannabis use, the results revealed a significant deterioration in visual function. In terms of speed management, they showed significantly greater acceleration force in the two different sections of the route, and they drove significantly faster. Our correlations indicate that males and heavier users display more risky speed management. Likewise, the heavier cannabis users admitted to increased dangerous driving behaviour, and an accident in the preceding year was associated with a trend towards aggressive driving behaviour according to the DDDI questionnaire. The findings of this study suggest that cannabis users adopt dangerous behaviours when driving, despite the effect this drug has on certain important functions, such as vision. The results suggest a need for awareness-raising and information campaigns.

Factors affecting behavior of mobile phone use while driving and effect of mobile phone use on driving performance

This study analyzed factors affecting behavior of mobile phone use while driving and its effects on driving performance, in terms of speed, lateral position, steer deviation, steer speed, following distance, perception-reaction time, and occurrence of a near miss situation. To investigate the factors affecting behavior of mobile phone use while driving, 1106 respondents from four different regions in Thailand participated in the questionnaire survey study. Theory of Planned Behavior (TPB) was used to explain these factors including two additional extended factors which are risk perception and law enforcement knowledge. The outcome of this part shows that attitude, norm, and law enforcement knowledge significantly affect the intention and behavior of the drivers. Even though approximately 90 percent of drivers realized that using a mobile phone while driving was dangerous and against the law, they have reported that they still use mobile phone while driving. To determine the effect of mobile phone use on driving performance, a 2-lane, straight rural highway, with a leading vehicle and an unexpected "STOP" sign, were simulated in order to examine the driving performance of drivers "without a phone", "talking on a phone call", and "texting a message" conditions. The results found that using mobile phone while driving can reduce speed and following distance, but increase lateral deviation, steer deviation, steer speed, perception-reaction time, and number of near misses leading to higher risks for road crashes.

Mobile phone applications use while driving in Ukraine: Self-reported frequencies and psychosocial factors underpinning this risky behaviour

Despite the fact that mobile phones have been transformed over the last decade into information and communication hubs that are fundamental to modern life, there is little information on how this has impacted on mobile phone use while driving. The present study was conducted in Ukraine, where this risky behaviour remains a common driving practice, despite legislative bans. A total of 220 (male = 82%; mean age = 35.53; SD = 10.54) drivers completed an online survey assessing frequency of engaging in a range of mobile phone applications while driving. Four variables of the theory of planned behaviour (general attitude and intention towards phone use while driving, social norms towards mobile phone use, perceived behavioural control, the specific beliefs about being able to engage in distracting activities and drive safely), and type A behaviour pattern were also collected. The results showed that, during the last year, 65% of drivers had read a text message and 49% had written a text using mobile phone applications. Likewise, a substantial proportion of the sample reported using social media while driving, by checking (34%), sending or typing a post (25%) on social network applications. Hierarchical stepwise regressions showed that a positive attitude towards mobile phone use while driving and beliefs about being able to drive safely and write or read a text message were significantly associated with the mobile phone applications use while driving. No associations were found between the type A behaviour pattern and mobile phone applications use.

Effects of Smoking Cannabis on Visual Function and Driving Performance. A Driving-Simulator Based Study

Cannabis is the most widely used illegal drug in the world. Limited information about the effects of cannabis on visual function is available, and more detail about the possible impact of visual effects on car driving is required. This study investigated the effects of smoking cannabis on vision and driving performance, and whether these effects are correlated. Twenty drivers and occasional users were included (mean (SE) age, 23.3 (1.0) years; five women). Vision and simulated driving performance were evaluated in a baseline session and after smoking cannabis. Under the influence of cannabis, certain visual functions such as visual acuity (p < 0.001), contrast sensitivity (p = 0.004) and stereoacuity (far, p < 0.001; near, p = 0.013) worsened. In addition, there was an overall deterioration of driving performance, with the task of keeping the vehicle in the lane proving more difficult (p < 0.05). A correlation analysis showed significant associations between driving performance and visual function. Thus, the strongest correlations were found between the distance driven onto the shoulder and stereoacuity, for near (ρ = 0.504; p = 0.001) and far distances (ρ = 0.408; p = 0.011). This study provides the first evidence to show that the visual effects of cannabis could impact driving performance, compromising driving safety. The results indicate that information and awareness campaigns are essential for reducing the incidence of driving under the influence of cannabis.

The impact of smartphone use on gait in young adults: Cognitive load vs posture of texting

Many researches have reported that the use of smartphones has a negative impact on gait variability and speed of pedestrians by dispersion of cognition, but the influence of factors other than cognitive function on gait is still unclear. The purpose of this study was to investigate the impact of smartphone use on spatiotemporal gait parameters in healthy young people while walking. 42 healthy young adults were recruited and instructed to walk in four conditions (walking without using a smartphone, typing on a smartphone with both hands, typing on a smartphone with one hand, and texting posture with non-task). All spatiotemporal gait parameters were measured using the GAITRite walkway. Compared to walking without using a smartphone, the subjects walked with a slower cadence and velocity and changed stride length and gait cycle and spent more time in contact with the ground when using a smartphone (p < 0.05). In addition, even if a texting posture was taken without performing a task, a similar change was observed when using a smartphone (p < 0.05). This study found that a cautious gait pattern occurred due to smartphone use, and that a change in gait appeared just by taking a posture without using smartphone.

Impact of Age-Related Vision Changes on Driving

Aging leads to impaired visual function, which can affect driving—a very visually demanding task—and has a direct impact on an individual’s quality of life if their license is withdrawn. This study examined the associations between age-related vision changes and simulated driving performance. To this end, we attempted to determine the most significant visual parameters in terms of evaluating elderly drivers’ eyesight. Twenty-one younger drivers (aged 25–40) were compared to 21 older drivers (aged 56–71). Study participants were assessed for visual acuity, contrast sensitivity, halos, and intraocular straylight, which causes veiling luminance on the retina and degrades vision. Driving performance was evaluated using a driving simulator. The relationships between simulated driving performance and the visual parameters tested were examined with correlation analyses and linear regression models. Older drivers presented impairment in most visual parameters (p < 0.05), with straylight being the most significantly affected (we also measured the associated effect size). Older drivers performed significantly worse (p < 0.05) in the simulator test, with a markedly lower performance in lane stability. The results of the multiple linear regression model evidenced that intraocular straylight is the best visual parameter for predicting simulated driving performance (R² = 0.513). Older drivers have shown significantly poorer results in several aspects of visual function, as well as difficulties in driving simulator performance. Our results suggest that the non-standardized straylight evaluation could be significant in driver assessments, especially at the onset of age-related vision changes.

Contrast sensitivity and retinal straylight after alcohol consumption: effects on driving performance

In this study, we aimed to investigate the effects of alcohol intake on visual function and driving performance, as well as on the relationship between these. A total of 40 healthy participants took part in three experimental sessions: one baseline session and two further sessions after consuming two different quantities of alcohol (300 ml and 450 ml of red wine). The breath alcohol content (BrAC) was measured using a breath analyzer. The contrast sensitivity and retinal straylight due to the forward intraocular scattering were measured to characterize visual function, and driving performance was assessed in three different scenarios using a driving simulator. The results showed a deterioration in contrast sensitivity and retinal straylight after drinking alcohol, in addition to an impaired ability to drive, especially for the highest alcohol intake. We also observed that the deteriorated driving performance was a function of the contrast sensitivity and retinal straylight under the effects of alcohol, indicating that these visual variables can partially predict driving performance in these conditions.

Factors determining speed management during distracted driving (WhatsApp messaging)

The objective of this work was to investigate self-regulation behaviours, particularly speed management, under distracted conditions due to WhatsApp use. We also studied the influence of different environments and driver characteristics, introducing visual status as one of them. Seventy-five drivers were evaluated in a simulator study involving two test sessions under baseline and texting conditions. A cluster analysis was used to identify two groups with different visual capacity .Lastly, possible predictors of speed management were studied developing a generalised linear mixed model. Our results show that drivers reduced their speeds in the presence of more demanding driving conditions; while replying to a WhatsApp message, on curved road segments and when parked cars are present. Driving speed also correlated with driver characteristics such as age or dual task experience and human factors such as self-perceived risk. Finally, although there were significant differences in visual capacity between the two groups identified, the model did not identify visual capacity membership as a significant predictor of speed management. This study could provide a better understanding of the mechanisms drivers use when WhatsApp messaging and which environments and driver conditions influence how speed is managed.

WiFi-Based Driver's Activity Monitoring with Efficient Computation of Radio-Image Features

Driver distraction and fatigue are among the leading contributing factors in various fatal accidents. Driver activity monitoring can effectively reduce the number of roadway accidents. Besides the traditional methods that rely on camera or wearable devices, wireless technology for driver’s activity monitoring has emerged with remarkable attention. With substantial progress in WiFi-based device-free localization and activity recognition, radio-image features have achieved better recognition performance using the proficiency of image descriptors. The major drawback of image features is computational complexity, which increases exponentially, with the growth of irrelevant information in an image. It is still unresolved how to choose appropriate radio-image features to alleviate the expensive computational burden. This paper explores a computational efficient wireless technique that could recognize the attentive and inattentive status of a driver leveraging Channel State Information (CSI) of WiFi signals. In this novel research work, we demonstrate an efficient scheme to extract the representative features from the discriminant components of radio-images to reduce the computational cost with significant improvement in recognition accuracy. Specifically, we addressed the problem of the computational burden by efficacious use of Gabor filters with gray level statistical features. The presented low-cost solution requires neither sophisticated camera support to capture images nor any special hardware to carry with the user. This novel framework is evaluated in terms of activity recognition accuracy. To ensure the reliability of the suggested scheme, we analyzed the results by adopting different evaluation metrics. Experimental results show that the presented prototype outperforms the traditional methods with an average recognition accuracy of 93.1% in promising application scenarios. This ubiquitous model leads to improve the system performance significantly for the diverse scale of applications. In the realm of intelligent vehicles and assisted driving systems, the proposed wireless solution can effectively characterize the driving maneuvers, primary tasks, driver distraction, and fatigue by exploiting radio-image descriptors.

Intraocular scattering as a predictor of driving performance in older adults with cataracts

Cataracts can limit a person’s ability to perform vision-dependent tasks safely, affecting the quality of life of older people. This study examines the relationship between visual function and driving, by studying which visual parameters might be important for predicting driving performance in older drivers with and without cataracts, ascertaining whether the objective measurement of intraocular scattering should be considered in assessment procedures for older drivers. This cross-sectional study involved a total of 20 older drivers (10 patients with bilateral cataracts and 10 control subjects). All participants were examined for visual acuity, contrast sensitivity, visual discrimination capacity, and intraocular scattering. Driving performance was also tested using a driving simulator. To study the relationship between visual parameters and driving performance, a correlation analysis and regression model were used. Drivers with cataracts showed a significantly impaired (p<0.05) visual function, with an Objective Scattering Index (OSI) 3.5 times greater than the control group. Driving performance was also significantly worse (p<0.05) in drivers with cataracts, reflected by a notable deterioration in lane keeping. The correlation analysis showed significant associations between driving performance and all the visual parameters studied. Finally, the regression model revealed that the OSI was the best predictor of driving performance, accounting for 51.3% of its variance. Visual function and driving performance are markedly deteriorated when cataracts are present. Our results demonstrate that the objective scattering index (OSI) has a high predictive power when it comes to simulated driving performance in older drivers, both with and without cataracts, suggesting that scatter measurements could be important in helping better understand visual limitations in older drivers.