Stress State of Driver: Mobile Phone Use While Driving

"It's okay because I'm just driving": an exploration of self-reported mobile phone use among Mexican drivers

Introduction

Technological advancements have the potential to enhance people's quality of life, but their misuse can have a detrimental impact on safety. A notable example is the escalating issue of distracted driving resulting from the use of mobile phones behind the wheel, leading to severe crashes and injuries. Despite these concerns, both drivers' usage patterns and their risk-related associations remain scarcely documented in Mexico. Therefore, this descriptive study aimed to examine the mobile phone usage of Mexican drivers, its relationships to risk awareness and near-miss/crash involvement, and the self-reported underlying reasons for this behavior.

Methods

This cross-sectional study utilized a sample of 1,353 licensed Mexican drivers who took part in a nationwide series of interviews regarding their onboard phone use settings.

Results

A significant percentage of drivers (96.8%) recognize using a mobile phone while driving as high-risk behavior. However, only 7.4% reported completely avoiding its use while driving, with 22.4% identified as high-frequency users. Frequency was also found positively associated with the self-reported rate of near-misses and crashes. Furthermore, qualitative data analysis highlights the emergence of a 'sense of urgency' to attend to phone-related tasks in response to daily demands and life dynamics, offering a potential explanation for this behavior.

Conclusion

The results of this study suggest common patterns of onboard mobile use among Mexican drivers concerning driving situations and associated risks. This underscores the need for increased efforts to discourage onboard phone use in the country.

Drivers' self-regulatory behaviors in active and responsive scenarios

OBJECTIVE

Drivers usually appear to self-regulate their driving behaviors in situations considered to be challenging, such as mobile phone-distracted driving. It is important to clarify how drivers self-regulate their actual behaviors. In addition, few studies investigated driver distraction in active and responsive scenarios. Therefore, the present study aimed to gain a better understanding of drivers' actual self-regulation of driving behaviors and phone use behaviors while mobile phone-distracted driving in active and responsive scenarios. The contribution of compensatory beliefs to self-regulation was also explored.

METHODS

This study was conducted using a 2 (mobile phone use behaviors: phone calling vs. WeChat messaging) × 2 (scenarios: active vs. responsive) within-group design. A total of 34 participants completed a driving simulation experiment. The dependent variables of drivers' driving behaviors, phone use behaviors, and physiological data were collected. Participants' compensatory belief was also measured.

RESULTS

The results showed that the speed reduction in the stages with WeChat messaging was significantly greater than that in the stages with phone calls, and the speed reduction in the responsive scenario was significantly greater than that in the active scenario. Participants would adopt relatively equal phone-use-related self-regulatory behaviors in active and responsive scenarios. Participants with higher compensatory beliefs had relatively greater speed reduction in most scenarios, but fewer phone-use-related self-regulatory behaviors. In addition, the respiratory rate could contribute to evaluating the changes in drivers' physiological status during phone calling-distracted driving.

CONCLUSIONS

Participants would self-regulate driving behaviors and phone use behaviors according to different distracted driving tasks and scenarios. The driving-related self-regulation in WeChat messaging scenarios and responsive scenarios was greater. There was a trend in the effect of compensatory beliefs on actual self-regulatory behaviors, which needs to be further verified in the future. This study contributes to the verification of the different actual driving-related and phone-use-related self-regulatory behavior of drivers in active and responsive mobile phone distracted driving scenarios.

Intelligent Interruption Management System to Enhance Safety and Performance in Complex Surgical and Robotic Procedures

Procedural flow disruptions secondary to interruptions play a key role in error occurrence during complex medical procedures, mainly because they increase mental workload among team members, negatively impacting team performance and patient safety. Since certain types of interruptions are unavoidable, and consequently the need for multitasking is inherent to complex procedural care, this field can benefit from an intelligent system capable of identifying in which moment flow interference is appropriate without generating disruptions. In the present study we describe a novel approach for the identification of tasks imposing low cognitive load and tasks that demand high cognitive effort during real-life cardiac surgeries. We used heart rate variability analysis as an objective measure of cognitive load, capturing data in a real-time and unobtrusive manner from multiple team members (surgeon, anesthesiologist and perfusionist) simultaneously. Using audio-video recordings, behavioral coding and a hierarchical surgical process model, we integrated multiple data sources to create an interactive surgical dashboard, enabling the identification of specific steps, substeps and tasks that impose low cognitive load. An interruption management system can use these low demand situations to guide the surgical team in terms of the appropriateness of flow interruptions. The described approach also enables us to detect cognitive load fluctuations over time, under specific conditions (e.g. emergencies) or in situations that are prone to errors. An in-depth understanding of the relationship between cognitive overload states, task demands, and error occurrence will drive the development of cognitive supporting systems that recognize and mitigate errors efficiently and proactively during high complex procedures.