Erik C. B. Olsen, M.S.


Graying Drivers: A Representative Literature Review of Reaction Time and Older Drivers


San Jose State University


Abstract

With the emergence of the older driver and the "graying of America," statistics of driver accidents and fatalities are continuously being interpreted. The results seem to indicate that older drivers are an increasingly large group, which needs serious consideration in terms of study, understanding, and accommodation. In this representative literature review, reaction time and driver performance are presented. Reviewing these two variables allows one to develop a foundation of the importance of driving and aging. Other areas of research are also presented.

Forty-nine thousand three hundred (49,300) people were killed in the United States in motor-vehicle accidents in 1990 (1993 Almanac). Senior drivers were only involved with approximately 12-14 percent of these total fatalities (Klamm, 1985). However when driving exposure is considered (Waller & Reinfurt,1973; States, 1985), drivers over 55 are the second to the worst group-the 15 to 24 year olds.

As reported by Winter (1984), over 1.4 million licensed drivers in
the United States are 55 and over. By the year 2000 the projection is 28% of the total amount of drivers and by 2050, 39%. Since Americans are living longer and people are having less children, the baby boom of the 40's is becoming the senior boom of the 80's and 90's.

Finesilver (1969) studied accident statistics and concluded that drivers over 65 have the lowest median accident involvement index of any age group, but are more likely to have a fatal accident than any driver from age 35 to 64. The increased amount of reported fatalities of older drivers may be due partially to greater fragility and medical complications - a 20 year old and a 60 year old's body will react differently to the force of his or her body being thrown into a moving vehicle. Waller (1986) points out that just as most persons age 60 or older do not have sports injuries due to participation in strenuous sports, their average crash risk is lower due to the trend that these drivers have reduced driving amount, drive when traffic is less heavy, and avoid driving after dark.

The literature indicates two major problems in dealing with using accident rates, fatalities, and driving exposure as measures of driving performance. In assessing and evaluating driving skills, whose poor performance, may be an indication of more driving accidents, researchers must carefully consider exactly what it is they are trying to test. One of the main problems in addressing older driver issues is pointed out by Cerrelli (1989). There is no unique source of data to address these issues; An accurate understanding of the crash experience of older drivers and the injury consequences of these crashes must use data from several sources to make estimates.
The two problems have to do with data interpretation. As previously mentioned, driving performance, in the form of reported fatalities, may not accurately reflect older drivers' abilities. Depending on how one interprets available data on miles driven, age, and fatalities, one may show that more older drivers die, compared to other groups, per accident (or mile driven) from injuries incurred during or after an accident. One could conclude that older drivers are poorer drivers because they are involved with more fatals. On the other hand, as pointed out by Evans (1986), older drivers reduce their amount driven and drive at safer, less busy times of the day resulting in a lower potential for an automobile accident.

In later studies, Cerrelli (1989) and Evans (1991) both provide information for and against the issue of older drivers being safer drivers. Support of safe older drivers is evidenced by Evans (1991) suggestion that drivers pose less of a threat to other road users due to their reduction in driving. Cerrelli (1989) contrasts crashes of older drivers with the larger crash involvement rate of the general population to show that older drivers may become safer as they age. By looking at risk of crash involvement based on vehicle miles of travel, Cerrelli (1989) and Evans (1991) report increases of crashes for older drivers.

Setting interpretation differences aside, the overwhelming conclusion is that more research on older drivers needs to be conducted. This is based on the fact older drivers, ie., those age 65 and older, are increasing both in number and in proportion at a faster rate than any other segment of the licensed population (Waller, 1993). The issues of driver mobility, safety and health, accidents, cognition, attention, chronological age versus functional age, and highway design could all be addressed in a comprehensive review. For this review, we continue with a look at one foundation area of testing older drivers - reaction time, but first, let us define what "older" is.

According to the United States government old is 65 years or older - retirement age. Our movie theatres have "elderly rates" starting at a particular age, ranging from 55 to 62 to 65. Virtually all commercial pilots retire at or before the age of 60 (Hancock, Dewing, & Parasuraman, 1993). Classic driver researchers such as McKnight & McKnight (1993) found significant age differences among subjects over age 50, while Ellis & Hames (1975) refer to drivers over 65. Ranney & Pulling (1989) were able to access local senior citizen activity centers to test a group of older drivers between 74-83. Similarly, the Transportation Research Board (1991) refers to drivers between 75-80 as "older-old." More categorically, Waller (1991) refers to several groups such as young-old (55-64), middle old (65-74), old old (75-84) and very old (85 and older). Obviously, the "older drivers" category can be subjectively chosen, but a review of the representative literature indicated that 65 age is usually used. Age 65, as pointed out by Evans (1988), is often chosen because it it the oldest convenient year contained in reports generated by agencies such as the National Highway Traffic Safety Administration and the Nationwide Personal Transportation Study of the U.S. Department of Transportation, the U.S. Bureau of the Census, the Federal Highway Administration, and the National Center for Health Statistics. Generally, earlier studies, such as those done in the 1960-1970's use 50 or 55 as the lower limit for the older drivers. Later studies have been using the age of 65, mostly, with a recent emphasis of the "75+" group. This may be due to the trend, as reported by Cerrelli (1989), as well as the Transportation Research Board (1991), that this group of drivers is growing at an alarming rate, and that little research has been conducted using this as a age range. (Perhaps, it's time to raise our "senior" age, since people are living longer).

Why test older drivers? Reports show older drivers may have more accidents due to slower reaction time (RT) decision time (cognitive), and may be riskier drivers. Understanding older drivers and accurately testing them will assist highway and safety engineers, physicians, psychologists, physical trainers, law enforcement, as well as the general public. Since we all drive and we all age, we must address this issue for our families, friends, and our present and future selves.

The question of whether age correlates to RT is another classic issue addressed in this review. Driver reaction time can be tested easily as an indication of performance in a variety of ways. In an overview of 26 studies on simple RT and age, Birren, Woods, and Williams (1980) reported that, on the average, there was a 20 percent difference in RT between 20-year olds and 60-year olds. Older drivers have trouble reacting quickly in task-complex situations. These factors contribute to the slow response reported among older drivers (AAA, 1988).

According to Schmidt (1988), RT is a measure of the time from the arrival of a suddenly presented and unanticipated signal to the beginning of the response to it. Movement time (MT) is the measure of time from the initiation of the response to the completion of the movement. Total response time is the summation of RT and MT (e.g., AAA, 1988). Total response time (AAA, 1989) or brake reaction time (Schmidt, 1988), is the time from the initiation of a stimulus to the time when one fully depresses a brake pedal (AAA, 1989). In driving, stopping distance of a vehicle is often referred to. This is broken down into "thinking distance" and "braking distance," (Palatnick, 1974). Palatnick continues, stating that thinking distance starts from the driver's decision to stop, until his or her foot hits the brake pedal; he calls this RT. A certain amount of time passes, and a certain distance is traveled without the brakes being applied. Actual braking distance begins when the movement to the brake pedal is completed and a continuous force is applied. After the brake is hit, the braking distance takes up a certain amount of time as well.

Apparently Palatnick's version of RT differs, where he combines Schmidt's RT and MT. The issue of braking time (time one pushes on the brake) is not addressed separately by Palatnick but, according to AAA (1988), this is part of MT.

RT can further be segmented into premotor RT and motor RT. Premotor RT, which is not included in Palatnick's RT in that he refers to one's decision to stop, and motor RT (Schmidt, 1988; Spirduso, 1980) have been proposed, but are combined in most studies as simple RT, since EMG recordings are difficult to implement in many situations.

Regardless, using simple physics, total stopping time can be calculated by considering thinking and braking distance separately and adding their calculated values together. We find that this amount of time depends on the speed (and friction on the road) of the vehicle. Since most car companies don't grant our universities and research institutes all of our wishes, we cannot use actual vehicles to test subjects (in most cases). It seems apparent that as one ages, one will take longer to react to a stimulus. In driving, this can result in longer stopping times, which may lead to more car accidents (For a more detailed explanation of RT, driving, and braking consult, Baker, 1986 and Fricke, 1990. For more details regarding RT and human performance consult Schmidt, 1988).

The slowing of response time (and reaction time) with age is well documented (Salthouse, 1985). A study by Hodgkins (1962) concluded that both RT and MT systematically slow as the age of subjects increased, starting at age 30. People become slower with age; this may be attributed to the slowing of neurological activities of the nervous system and/or to the apparent fact that older people become more conservative and cautious as they age and therefore more unwilling to make errors. Klein (1991) reports that among various factors, response times may further affect driver performance. Further, the results of Ranney and Pulling's (1989) study indicate that for drivers over 74, slowing of RT has a strong association with driving performance.

One practical implication of how slowing RT can affect driver performance is by looking at intersection crashes, especially in reference to older drivers who seem to have more difficulty in dealing with the complexity of intersections (Waller, 1986). Zador et al, (1985) reports that studies have shown that if the speed at which a traffic light changes from green to red is slowed to 10 percent under recommended speed, one fourth as many intersection crashes occur compared to intersections with a 10 percent speedup over recommended times.

Other studies, e.g., Brown, Tickner, Simmonds, (1969); Stein and Parseghian (1987); and Green, Williams, Serafin, Paelke (1991), suggest that using a car phone while driving may affect RT and driver performance. Specifically, Nilsson (1993) reported that the braking reaction times for young subjects (under 60) were 2.19 seconds when talking on the phone and 3.48 seconds for elderly subjects when talking on the phone. For the older drivers, this is about 1.5 seconds longer than a normal reaction time of 2 seconds for the elderly. Results such as these warrant serious consideration. Aging and driving research must continue.

Other areas of study regarding aging and driving include issues of visual requirements, age-related eye diseases, dementia, e.g., Alzheimer's disease, intersection-signal engineering, divided attention, experience in driving, medications and safety, mobility needs, and cognitive-motor abilities, of the elderly driver (see Human Factors, Vol. 33 and 34 for a complete review). Issues of concern also include physical fitness, weight training and exercise, range of motion, flexibility, as well as testing methods, e.g., simulators, laboratory testing, and field testing, reporting results, e.g., self, government, mandatory, and DMV, and highway and vehicle design, including alternate transportation.

An overwhelming number of subjects, as demonstrated above, is related to driving and aging. As demonstrated by this representative literature review these areas of study are becoming increasingly important. In this review statistics and data interpretation, reaction time and driver performance, as well as a listing of related subjects has been represented in regards to aging and driving.

References

AAA Foundation of Traffic Safety (1988). Physical fitness and the aging driver: phase I. (Conducted by West Virginia University). Washington, D.C.

AAA Foundation of Traffic Safety (1989). Physical fitness and the aging driver: phase II. (Conducted by West Virginia University). Washington, D.C.

Baker, J. Stannard and Fricke, Lynn B. (1986). The Traffic-Accident Investigation Manual. Illinois: Northwestern University Traffic Institute.

Birren, J. E., Woods, A.M., and Williams, M.V. (1980). Behavioral slowing with age: Causes, organization, and consequences. In Aging in the 1980's, (Poon, ed.). Washington, D.C.: American Psychological Association.

Brown, I.D., Tickner, A.H., Simmonds, D.C.V. (1969). Interference between concurrent tasks of driving and telephoning. Journal of Applied Psychology, 53(5), 419-424.

CHP (California Highway Patrol). (1990). Annual Report. Sacramento: State of California.

Cerrelli, E. (1989). Older drivers, the age factor in traffic safety (Report No. DOT HS 807 402). Washington, DC: National Highway Traffic Safety Administration.

Evans, Leonard. (1986), The effectiveness of safety belts in preventing fatalities. Accident Analysis and Prevention,18, 229-241.
Evans, Leonard. (1991). Traffic Safety and the Driver. New York: Van Nostrand Reinhold.

Finesilver, S.G. (1969). The Older Driver-A Statistical Evaluation of Licensing and Accident Involvement in 30 States and the District of Columbia. Denver: University of Denver College of Law. January.

Fricke, Lynn B. (1990). Traffic Accident Reconstruction. Illinois: Northwestern University Traffic Institute.

Green, P., Williams, M., Serafin, C., and Paelke, G. (1991). Human factors research on future automotive instrumentation: A progress report. Proceedings of the Human Factors Society 35th Annual Meeting - 1991. 1120-1124.

Hancock, P.A., Dewing W.L., and Parasuraman, Raja. The human factors of
intelligent travel systems. Ergonomics in Design, 12-39. April 1993.

Klamm, E.R. (1985). Auto insurance: needs and problems of drivers 55 and over. In Needs and Problems of Older Drivers: Survey Results and Recommendations, J. W. Malfetti, ed. Falls Church: AAA Foundation for Traffic Safety.

Kline, D.W., and Fuchs, P. (1993). The visibility of symbolic highway signs can be increased among drivers of all ages. Human Factors, 35(1), 25-34.

Kline, Ronald. (1991). Age-related disease, visual impairment, and driving in the elderly. Human Factors, 33(5), 521-525.

McKnight, J.A., and McKnight, A.S. (1993). The effect of cellular phone use upon driver attention. Accident Analysis & Prevention,

25(3) 250-365.
Nilsson, L. (1993). Behavioral research in an advanced driving simulator - experiences of the VTI system. Proceedings of the Human Factors Society 37th Annual Meeting - 1993. 612-616.

Salthouse, T.A. (1985). A Theory of Cognitive Aging. Amsterdam: North Holland.

Schmidt, R.A. (1988). Motor Control and Learning: A Behavior Emphasis (2nd ed.). Champaign, IL: Human Kinetics Publishers, Inc.

Spirduso, W.W. (1980). Physical fitness, aging, and psychomotor speed: A review. Journal of Gerontology, 35, 850-865.

States, J.D. (1985). Musculoskeletal system impairment related to safety and comfort of drivers over 55. In Needs and Problems of Older Drivers: Survey Results and Recommendations, J.W. Malfetti, ed. Falls Church: AAA Foundation for Traffic Safety.

Transportation Research Board (1991). Older driver priority research and development needs identified by TRB task force. (conference summary). December 1991.

Waller, J.A. (1986). The older driver: Can technology decrease the risks? Generations, Fall 1986.

Waller, P.F., and Reinfurt, D.W. (1973). The Who and When of Accident Risk: Can Driver License Programs Provide Countermeasures? Chapel Hill: University of North Carolina, Highway Safety Research Center. June 1973.

Winter, D.J. (1984). Needs and problems of older drivers and pedestrians: An exploratory study with teaching/learning implications. Educational Gerontology, 10, 135-146.

Zador, P. et al. (1985). The effect of signal timing on traffic flow and crashes at signalized intersections. Transportation Research Review, (Report No. 1010), 1-8. 12/9/93

After-thoughts Self reports: Planek and Fowler (1971) used a questionnaire covering biographical, driving experience and opinion data which was distributed to groups of drivers 55 and older.
Kline & Fuchs (1993): The Transportation Research Board reported that elderly drivers constitute the fastest growing segment of the driving population.
Aging is accompanied by slowing in information processing (e.g., Birren, Woods, and Williams, 1980; Salthouse, 1982, 1985). Neuronal noise (Crossman and Szafran, 1956, Layton, 1975, Welford 1958, 1965, 1981) causes cumulative loss of information in consecutive processing steps, resulting in progressive slowing in successive processing steps (Myerson, Hale, Wagstaff, Poon and Smith,1990). Known as the slowing-complexity hypothesis, it may be possible that increased RT is a result of progressive slowing in succeeding processing steps which causes performance differences between age groups to increase disproportionally with task complexity. This work has to do with dual tasks, which one might be able to be apply to a driving situation, where RT is measured. Driving, is more than a dual task, though; Others (e.g., McDowd and Craik, 1988, Salthouse, et al., 1984) suggest that these age-related performance differences may be attributable to the solely the complexity of the task.

Attempts use HP to predict accidents
As one gets older, it is believed (Schmidt, 1988), that humans increase their capacities for processing information. Past the age of 25, though, a progressive decline occurs in motor behavior.

Both research and self-reports conclude that older drivers visual difficulties. This may compound the problem of attention of the older drivers. One may need larger print, brighter signs, more lighting, etc., to get the attention of an older driver.

Human performance as predictors
Kline and Fuchs (1993) demonstrated that, at least in a laboratory setting, improved symbolic signs (by 50%) and assisted drivers of all ages. Visibility was somewhat more greatly improved for elderly observers than for young or middle-aged ones. Research such as this relies on the fact that older drivers have poorer vision, which may result in less attention capabilities (it takes more to get their attention).

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