Development of a test for recording both visual and auditory reaction times, potentially useful for future studies in patients on opioids therapy

Drug Des Devel Ther. 2015 Feb 12:9:817-22. doi: 10.2147/DDDT.S77978. eCollection 2015.

Abstract

Objective: Italian Road Law limits driving while undergoing treatment with certain kinds of medication. Here, we report the results of a test, run as a smartphone application (app), assessing auditory and visual reflexes in a sample of 300 drivers. The scope of the test is to provide both the police force and medication-taking drivers with a tool that can evaluate the individual's capacity to drive safely.

Methods: The test is run as an app for Apple iOS and Android mobile operating systems and facilitates four different reaction times to be assessed: simple visual and auditory reaction times and complex visual and auditory reaction times. Reference deciles were created for the test results obtained from a sample of 300 Italian subjects. Results lying within the first three deciles were considered as incompatible with safe driving capabilities.

Results: Performance is both age-related (r>0.5) and sex-related (female reaction times were significantly slower than those recorded for male subjects, P<0.05). Only 21% of the subjects were able to perform all four tests correctly.

Conclusion: We developed and fine-tuned a test called Safedrive that measures visual and auditory reaction times through a smartphone mobile device; the scope of the test is two-fold: to provide a clinical tool for the assessment of the driving capacity of individuals taking pain relief medication; to promote the sense of social responsibility in drivers who are on medication and provide these individuals with a means of testing their own capacity to drive safely.

Keywords: Safedrive; auditory reaction time; opioids; visual reaction time.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging / psychology
  • Analgesics, Opioid / adverse effects
  • Automobile Driving / psychology*
  • Cell Phone
  • Female
  • Hearing / drug effects
  • Hearing / physiology*
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Mobile Applications*
  • Reaction Time* / drug effects
  • Safety
  • Sex Characteristics
  • Time Factors
  • Vision, Ocular / drug effects
  • Vision, Ocular / physiology*
  • Young Adult

Substances

  • Analgesics, Opioid