@article{ref1,
title="Association between decision-making under risk conditions and on-road driving safety among older drivers",
journal="Neuropsychology",
year="2021",
author="Brady, Brooke and Eramudugolla, Ranmalee and Wood, Joanne M. and Anstey, Kaarin J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Despite theoretical models emphasizing the likely importance of adaptive decision-making to maintaining safety on the roads, there has been a lack of research investigating this topic. This exploratory study aimed to determine if decision-making under risk conditions, as measured by the Game of Dice Task (GDT), can explain additional variance in on-road driving safety beyond other well-validated predictors. <br><br>METHOD: Two hundred and thirty-nine cognitively normal Australian drivers aged 65-96 completed demographic and health questionnaires, vision testing, a neurocognitive test battery assessing cognitive flexibility, cognitive interference, episodic memory, verbal working memory, verbal fluency, and visuospatial function, the GDT-a lab-based assessment of decision-making under risk conditions, validated off-road driver screening measures and an on-road driving assessment along a standard route in urban traffic conditions administered by a trained Occupational Therapist (OT). <br><br>RESULTS: The number of risky choices made, but not the number of strategy changes, across trials of the GDT independently predicted on-road safety ratings after controlling for visual acuity, cognitive test performance, and off-road driver screening measures, B = -.146, 95% CI [-.276 to -.016]. <br><br>CONCLUSION: Overall, this study offers the first evidence that decision-making is related to older adults' on-road driving safety, and makes recommendations for future research exploring the contribution of decision-making to on-road safety. (PsycInfo Database Record (c) 2021 APA, all rights reserved).<p /> <p>Language: en</p>",
language="en",
issn="0894-4105",
doi="10.1037/neu0000754",
url="http://dx.doi.org/10.1037/neu0000754"
}