Visual-Motor Processing Speed and Reaction Time Differences between Medically-At-Risk Drivers and Healthy Controls

Occup Ther Health Care. 2024;38(1):42-58. doi: 10.1080/07380577.2023.2177790. Epub 2023 Feb 14.

Abstract

This cross-sectional study compared visual-motor processing speed and reaction times between medically-at-risk drivers and normal controls to determine if the time in seconds distinguished between drivers who pass, fail, or need restrictions based on a road test. The medically-at-risk drivers' data (N = 35, 28-89 years) were collected as part of a comprehensive driving evaluation and coded by diagnosis (e.g., cognitive, neurological, medical) and driving outcome. The healthy control (N = 121, 21-79 years) data were collected in previous studies. The Vision Coach™ Full Field 60 task was used to collect reaction times in seconds between the two groups. Independent t-tests showed a significant difference (p < .001) in trial times between healthy controls and medically-at-risk adults. No significant difference (p = .141) was found between the three diagnoses groups. The resulting scores from the Vision Coach™ demonstrated a significant different (p < .001) between those who were determined fit to drive without restrictions and those who were determined not fit to drive after a comprehensive driving evaluation, showing the potential to be used as a screening tool for determining driving risk.

Keywords: Driving; driving evaluation; reaction time; vision coach™; visual processing.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Automobile Driving* / psychology
  • Cross-Sectional Studies
  • Humans
  • Middle Aged
  • Processing Speed*
  • Reaction Time*
  • Risk Assessment
  • Young Adult