Research Article  |   January 2017
Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment
Author Affiliations
  • Brian R. Ott, MD, is Professor, Department of Neurology, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence; bott@lifespan.org
  • Jennifer D. Davis, PhD, is Associate Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence
  • Kimberly Bixby is Research Assistant, Department of Neurology, Rhode Island Hospital, Providence
Article Information
Community Mobility and Driving / Geriatrics/Productive Aging / Occupation, Participation, and Health
Research Article   |   January 2017
Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment
American Journal of Occupational Therapy, January 2017, Vol. 71, 7102260020p1-7102260020p7. doi:10.5014/ajot.2017.020404
American Journal of Occupational Therapy, January 2017, Vol. 71, 7102260020p1-7102260020p7. doi:10.5014/ajot.2017.020404
Abstract

OBJECTIVE. To demonstrate that g-force technology can be used to help older adults with cognitive impairment improve their driving safety as part of an in-car video feedback intervention.

METHOD. Unsafe driving events triggered g-forces leading to capture of video clips. The program included 3 mo of monitoring without intervention, 3 mo of intervention (weekly written progress reports, a DVD of unsafe driving events, and weekly telephone contacts), and 3 mo of postintervention monitoring.

RESULTS. Mean total unsafe driving events per 1,000 miles were reduced from baseline by 38% for 9 of 12 participants during the intervention and by 55% for 7 participants during postintervention monitoring. Mean total unsafe driving severity scores per 1,000 miles were reduced from baseline by 43% during the intervention and by 56% during postintervention monitoring.

CONCLUSION. Preliminary results suggest that driving safety among older drivers with cognitive impairment can be improved using a behavior modification approach aimed at problem behaviors detected in their natural driving environment.