@article{ref1,
title="Assessing fitness-to-drive among older drivers: a comparative analysis of potential alternatives to on-road driving test",
journal="International journal of environmental research and public health",
year="2020",
author="Shen, Yongjun and Zahoor, Onaira and Tan, Xu and Usama, Muhammad and Brijs, Tom",
volume="17",
number="23",
pages="e8886-e8886",
abstract="To enable older drivers to maintain mobility without endangering public safety, it  is necessary to develop more effective means of assessing their fitness-to-drive as  alternatives to an on-road driving test. In this study, a functional ability test,  simulated driving test, and on-road driving test were carried out for 136 older  drivers. Influencing factors related to fitness-to-drive were selected based on the  correlation between the outcome measure of each test and the pass/fail outcome of  the on-road driving test. Four potential alternatives combining different tests were  considered and three modeling techniques were compared when constructing the  fitness-to-drive assessment model for the elderly. As a result, 92 participants  completed all of the tests, of which 61 passed the on-road driving test and the  remaining 31 failed. A total of seven influencing factors from all types of tests  were selected. The best model was trained by the technique of gradient boosted  machine using all of the seven factors, generating the highest accuracy of 92.8%,  with sensitivity of 0.94 and specificity of 0.90. The proposed fitness-to-drive  assessment method is considered an effective alternative to the on-road driving  test, and the results offer a valuable reference for those unfit-to-drive older  drivers to either adjust their driving behavior or cease driving.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph17238886",
url="http://dx.doi.org/10.3390/ijerph17238886"
}