Citation

Anstey KJ, Wood J, Lord SR, Walker JG. Clin. Psychol. Rev. 2005; 25(1): 45-65.

Affiliation

Centre for Mental Health Research, Australian National University, Canberra, ACT 0200, Australia. Kaarin.Anstey@anu.edu.au

Copyright

(Copyright © 2005, Elsevier Publishing)

DOI

10.1016/j.cpr.2004.07.008

PMID

15596080

Abstract

We reviewed literature on cognitive, sensory, motor and physical factors associated with safe driving and crash risk in older adults with the goal of developing a model of factors enabling safe driving behaviour. Thirteen empirical studies reporting associations between cognitive, sensory, motor and physical factors and either self-reported crashes, state crash records or on-road driving measures were identified. Measures of attention, reaction time, memory, executive function, mental status, visual function, and physical function variables were associated with driving outcome measures. Self-monitoring was also identified as a factor that may moderate observed effects by influencing driving behavior. We propose that three enabling factors (cognition, sensory function and physical function/medical conditions) predict driving ability, but that accurate self-monitoring of these enabling factors is required for safe driving behaviour.