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Journal Article

Citation

Haghzare S, Campos JL, Delfi G, Stasiulis E, Rapoport M, Naglie G, Mihailidis A. Alzheimers Dement. 2021; 17(Suppl 11): e054341.

Copyright

(Copyright © 2021, Alzheimer's Association, Publisher Elsevier Publishing)

DOI

10.1002/alz.054341

PMID

34971043

Abstract

BACKGROUND: Automated vehicles (AVs) hold potential promise in sustaining the safe mobility of older adults whose driving is compromised due to cognitive impairments. However, current AVs have an operational limit and when this limit is reached, the driver is expected to promptly take over driving control. The timely performance of takeover task draws upon cognitive resources that can be compromised in people with dementia (PwD) and people with Mild Cognitive Impairments (PwMCI). Therefore, this study investigates the abilities of PwD and PwMCI to perform an AV driving takeover task.

METHOD: Population. 20 participants per three groups of PwD, PwMCI, and older adult controls will be recruited. Currently, the data collection for the controls and recruitment for the PwD and PwMCI are on-going. The present results are based on seven control participants who have completed the study to date. STUDY DESIGN & SETTING: Participants completed a battery of sensory and cognitive tests and performed takeover tasks in response to an audio-visual alert in a simulated AV using a high-fidelity driving simulator. Each participant performed takeovers in eight driving conditions varying in lighting level (day/night), road structure (straight/curved), and speed limit (60/120 km/h). MEASURES: To characterize participants' takeover abilities, their response time was measured as the time interval between the audio-visual alert and uptakes in speed (longitudinal takeover time), and changes in steering wheel angle (lateral takeover time).

RESULT: A correlation analysis was conducted between each of takeover time measures and cognitive and visual tests. MoCA scores showed a significant, negative correlation with lateral takeover time (r (k) = -0.85, p =.015, 95% CI [-0.98, -0.27]). To investigate the effects of driving condition on takeover time, pairwise Kruskal-Wallis tests were conducted on measures of takeover time as separated by driving condition. Significant differences were only observed in lateral takeover time in the curved, high-speed condition compared to other conditions (χ(2) (3) = 29.46, p <.001).

CONCLUSION: This study will help clarify the associations between older adults' cognitive abilities and takeover abilities in AVs which can, in turn, inform the guidelines around the safe use of AVs by PwD and PwMCI.


Language: en

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