Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial
Abstract Introduction This clinical trial aimed to determine whether in‐car video feedback about unsafe driving events (UDE) to cognitively impaired older drivers and family members leads to a reduction in such driving behaviors. Methods We randomized 51 cognitively impaired older drivers to receive...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/trc2.12140 |
| _version_ | 1797984916942618624 |
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| author | Brian R. Ott George D. Papandonatos Erin M. Burke Donna Erdman David B. Carr Jennifer D. Davis |
| author_facet | Brian R. Ott George D. Papandonatos Erin M. Burke Donna Erdman David B. Carr Jennifer D. Davis |
| author_sort | Brian R. Ott |
| collection | DOAJ |
| description | Abstract Introduction This clinical trial aimed to determine whether in‐car video feedback about unsafe driving events (UDE) to cognitively impaired older drivers and family members leads to a reduction in such driving behaviors. Methods We randomized 51 cognitively impaired older drivers to receive either (1) a weekly progress report with recommendations and access to their videos, or (2) video monitoring alone without feedback over 3 months. Results UDE frequency/1000 miles was reduced by 12% in feedback (rate ratio [RR] = 0.88, 95% confidence interval [CI] = .58–1.34), while remaining constant with only monitoring (RR = 1.01, 95% CI = .68–1.51). UDE severity/1000 miles was reduced by 37% in feedback (RR = 0.63, 95% CI = .31–1.27), but increased by 40% in monitoring (RR = 1.40, 95% CI = .68–2.90). Cognitive impairment moderated intervention effects (P = .03) on UDE frequency. Discussion Results suggest the potential to improve driving safety among mild cognitively impaired older drivers using a behavior modification approach aimed at problem behaviors detected in their natural driving environment. |
| first_indexed | 2024-04-11T07:10:30Z |
| format | Article |
| id | doaj.art-c2adbfc5b25742eb825e227f815517a7 |
| institution | Directory Open Access Journal |
| issn | 2352-8737 |
| language | English |
| last_indexed | 2024-04-11T07:10:30Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj.art-c2adbfc5b25742eb825e227f815517a72022-12-22T04:38:14ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372021-01-0171n/an/a10.1002/trc2.12140Video feedback intervention for cognitively impaired older drivers: A randomized clinical trialBrian R. Ott0George D. Papandonatos1Erin M. Burke2Donna Erdman3David B. Carr4Jennifer D. Davis5Department of Neurology Warren Alpert Medical School of Brown University Rhode Island Hospital Providence Rhode Island USADepartment of Biostatistics Brown University Providence Rhode Island USADepartment of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Rhode Island Hospital Providence Rhode Island USASpaulding Cape Cod Driving Assessment Program East Sandwich Massachusetts USADepartment of Medicine and Neurology Washington University School of Medicine St. Louis Missouri USADepartment of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Rhode Island Hospital Providence Rhode Island USAAbstract Introduction This clinical trial aimed to determine whether in‐car video feedback about unsafe driving events (UDE) to cognitively impaired older drivers and family members leads to a reduction in such driving behaviors. Methods We randomized 51 cognitively impaired older drivers to receive either (1) a weekly progress report with recommendations and access to their videos, or (2) video monitoring alone without feedback over 3 months. Results UDE frequency/1000 miles was reduced by 12% in feedback (rate ratio [RR] = 0.88, 95% confidence interval [CI] = .58–1.34), while remaining constant with only monitoring (RR = 1.01, 95% CI = .68–1.51). UDE severity/1000 miles was reduced by 37% in feedback (RR = 0.63, 95% CI = .31–1.27), but increased by 40% in monitoring (RR = 1.40, 95% CI = .68–2.90). Cognitive impairment moderated intervention effects (P = .03) on UDE frequency. Discussion Results suggest the potential to improve driving safety among mild cognitively impaired older drivers using a behavior modification approach aimed at problem behaviors detected in their natural driving environment.https://doi.org/10.1002/trc2.12140Alzheimer's diseaseclinical trialdementiadrivingmild cognitive impairment |
| spellingShingle | Brian R. Ott George D. Papandonatos Erin M. Burke Donna Erdman David B. Carr Jennifer D. Davis Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial Alzheimer’s & Dementia: Translational Research & Clinical Interventions Alzheimer's disease clinical trial dementia driving mild cognitive impairment |
| title | Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial |
| title_full | Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial |
| title_fullStr | Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial |
| title_full_unstemmed | Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial |
| title_short | Video feedback intervention for cognitively impaired older drivers: A randomized clinical trial |
| title_sort | video feedback intervention for cognitively impaired older drivers a randomized clinical trial |
| topic | Alzheimer's disease clinical trial dementia driving mild cognitive impairment |
| url | https://doi.org/10.1002/trc2.12140 |
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