Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

A Systematic Study of Computer-Based Driving Intervention Program for Elderly Drivers

노인 운전자에게 적용한 컴퓨터 기반 운전중재 프로그램에 관한 체계적 고찰

  • Kim, Deok Ju (Department of Occupational Therapy, Cheongju University)
  • 김덕주 (청주대학교 작업치료학과)
  • Received : 2019.01.11
  • Accepted : 2019.04.05
  • Published : 2019.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study systematically analyzed computer-based driving intervention programs for seniors, to provide the academic background for driving intervention for seniors. Articles published from January 2009 till December 2018 were researched and analyzed. 'PubMed, Google Scholar, and Science Direct' were used to search articles published overseas, and 'RISS, KERIS, and KISS' searched for articles published in Korea. Based on the inclusion and exclusion criteria, totally 359 papers were retrieved, and 10 articles were finally analyzed; 8 articles (80%) were evidence level I, and 2 articles (20%) were evidence level III. Amongst the computer-based interventions, driving simulators (70%) were the most common, followed by two video image training (20%) and one Nintendo Wii program (10%). In most studies, driving simulators trained the cognitive and visual abilities of seniors and enhanced their abilities to cope with risk situations under various simulated circumstances. Other interventions were also reported to have a positive effect. For evaluating elderly drivers, the driving performance evaluation using a driving simulator was the most common; in addition, evaluations of attention, space-time ability, cognitive function, risk perception, depression and anxiety were also commonly used. We believe that it is appropriate to employ computer-based driving intervention programs for seniors to train and evaluate various domains. We expect that these interventions can be used as an effective tool for safe driving.

본 연구는 노인 운전자를 대상으로 한 컴퓨터 기반 운전중재 프로그램에 대해 체계적으로 분석함으로써, 노인을 위한 운전중재에 대한 근거를 제시하고자 하였다. 연구 분석을 위해 2009년 1월부터 2018년 10월까지 출판된 문헌들을 대상으로 하였으며, 국외 문헌은 'Pubmed, Goggle Scholar, Science Direct'에서 검색하였고, 국내 문헌은 'RISS, Keris, KISS'를 통하여 검색하였다. 총 359편의 논문이 검색되었고, 포함기준과 배제기준을 바탕으로 분석하여 최종 10편의 논문이 분석에 사용되었으며, 근거수준 I이 8편(80%), III가 2편(20%)이었다. 분석결과 노인에게 적용한 컴퓨터 기반 중재 방법에는 운전 시뮬레이터가 7편(70%)으로 가장 많았으며, 비디오 영상훈련 2편(20%), 닌텐도 Wii 프로그램이 1편(10%)을 차지하였다. 대부분의 연구에서 운전 시뮬레이터는 노인들의 인지영역과 시지각 능력을 훈련하고, 다양한 모의 상황에서 위험 상황에 대처하는 능력을 향상시켜 주었으며, 다른 중재방법들도 노인들에게 긍정적인 영향을 미쳤다. 노인 운전자를 평가한 평가 항목에서는 운전 시뮬레이터를 사용한 운전수행능력 평가가 가장 많았으며, 그 외 주의력, 시공간 능력, 인지기능, 위험인지 평가, 우울 및 불안평가 등이 시행되었다. 노인 운전자를 대상으로 한 컴퓨터 기반 운전중재 프로그램은 다양한 영역들을 훈련하고 평가하기에 적절하며, 안전운전을 위한 중재도구로 효과적으로 활용될 수 있을 것으로 기대한다.

Keywords

SHGSCZ_2019_v20n4_293_f0001.png 이미지

Fig. 1. Flow diagram for research selection

Table 1. Level of Evidence of the Studies

SHGSCZ_2019_v20n4_293_t0001.png 이미지

Table 2. Characteristics of studies included in the review

SHGSCZ_2019_v20n4_293_t0002.png 이미지

Table 4. Evaluation to measure of elderly drivers

SHGSCZ_2019_v20n4_293_t0003.png 이미지

Table 3. Summary of studies included in the review

SHGSCZ_2019_v20n4_293_t0004.png 이미지

References

  1. Statistics Korea. Elderly statistics, 2014.
  2. N. Korrer-Bitensky, A. Kua, C. von Zweck, K. Van Bethem, "Older driver retraining: An updated systematic review of evidence of effectiveness", Journal of Safety Research, Vol.40, No.2, pp.105-111, 2009. Https://doi.org/10.1016/j.jsr.2009.02.002
  3. M. H. Kim, J. W. Son, "Development of protocol for analysis of driving behavior with age categories", Journal of the Korean Society for Precision Engineering, Vol.6, pp.289-290, 2008.
  4. K. Golisz, "Occupational therapy interventions to improve driving performance in older adults: A systematic review", American Journal of Occupational Therapy, Vol.68, No.6, pp.662-669, 2014. DOI: http://dx.doi.org/10.5014/ajot.2014.011247
  5. D. G. Hong, S. Y. Choi, J. S. Lee, "Developing evaluation items for elderly drivers's quality of life: Applying delphi method", Journal of Korean Society of Occupational Therapy, Vol.23, No.1, pp.73-84, 2015. https://doi.org/10.14519/jksot.2015.23.1.06
  6. D. R. Ragland, W. A. Satariano, K. E. Macleod, "Driving cessation and increased depressive symptoms", Jorunal of Gerontoloty Series A: Biological Sciences and Medical Science, Vol.60, No.3, pp.399-403, 2005. https://doi.org/10.1093/gerona/60.3.399
  7. M. Rizzo, D. V. McGehee, J. D. Dawson, S. N. Anderson, "Simulated car crashes at intersections in drivers with Alzheimer's disease", Alzheimer disease and associated disorders, Vol.15, pp.10-20, 2001. https://doi.org/10.1097/00002093-200101000-00002
  8. S. C. Kang, S. K. Jo, "A study on the analysis of traffic accidents and prevention of accidents for elderly drivers", Seoul, Korea: Korea Road Traffic Authority Traffic Science Institute.
  9. C. J. Wheatley, "Visual perceptual aspects of driving", Physical Disabilities Special Interest Section Quarterly, Vol.24, No.3, pp.1-4, 2001.
  10. L. E. Decina, L. Staplin, "Retrospective evaluation of alternative vision screening: Criteria for older and younger drivers", Accident Analysis and Prevention, Vol.25, No.3, pp.267-275, 1993. https://doi.org/10.1016/0001-4575(93)90021-N
  11. G. L. Odenheimer, "Driver safety in older adults. The physician's role in assessing driving skills of older patients", Geriatrics, Vol.61, No.10, pp.14-21, 2006
  12. H. Devos, A. E. Akinwuntan, A. Nieuwboer, I. Ringoot, K. V. Berghen, et. al., "Comparison of the effect of two driving retraining programs on on-road performance after stroke", Neurorehabilitation and Neural Repair, Vol.24, pp.843-850, 2009. DOI: http://dx.doi.org/10.1177/1545968309334208
  13. M. O. Park, "Clinical usefulness of K-MBI for decision of driving rehabilitation period in patients with stroke: A pilot study", Journal of Rehabilitation Welfare Engineering & Assistive Technology, Vol.11, No.2, pp.91-98, 2017. DOI: https://doi.org/10.21288/resko.2017.11.2.91
  14. M. Arbesman, J. Scheer, D. Lieberman, "Using AOTA's critically appraised topic(CAT) and critically appraised paper(CAP) series to link evidence to practice", OT Practice, Vol.13, No.5, pp.18-22.
  15. G. Christhard, S. Johanna, D. Z. Katharina, "Effects of time pressure on left-turn decisions of elderly drivers in a fixed-based driving simulator", Transportation Research Part F, Vol.12, pp.76-86, 2011.
  16. J. G. Gaspar, M. B. Neider, D. J. Simons, J. S. McCarley, A. F. Kramer, "Examining the efficacy of training interventions in improving older driver performance", Proceedings of the Human Factors and Ergonomics Society, 56th Annual meeting, 2012. DOI: https://10.1177/1071.18.13.1256.1007
  17. S. W. Han, "Evaluation of the driving performance of elderly people using virtual driving simulator", Journal of the Korea Entertainment Industry Association, Vol.10, No.1, pp.95-101, 2016. DOI: http://dx.doi.org/10.21184/jkeia.2016.02.10.1.95
  18. R. E. Matthew, L. F. Donald, "The effect of active versus passive training strategies on improving older drivers' scanning in intersections", Human Factors, Vol.51, No.5, pp.652-668, 2009. https://doi.org/10.1177/0018720809352654
  19. D. Nicholas, Cassavaugh, F. K. Arthur, "Transfer of computer-based training to simulated driving in older adults", Applied Ergonomics, Vol.40, pp.943-952, 2009. DOI:http://dx.doi.org/10.1016/j.apergo.2009.02.001
  20. S. U. Park, E. S. Choi, M. H. Yim, S. I. Hwang, E. J. Kim et. al., "Evaluation of driving ability in older drivers", Annals of Rehabilitation Medicine, Vol.34, No.4, pp.458-464, 2010. UCI : G704-000430.2010.34.4.001
  21. Y. S. Yim, J. W. Lee, "Reaction research on the visuospatial ability and the situation awareness of older drivers in driving", Journal of the Korean Gerontological Society, Vol.32, No.4, pp.1087-1099, 2012.
  22. S. H. Mark, C. K. Cut, "Improving older drivers' hazard perception ability", Psychology and Aging, Vol.25, No.2, pp.464-469, 2010. DOI: http://dx.doi.org/10.1037/a0017306
  23. T. Risa, K. Masayoshi, S. Tsutomu, Y. Yoshiharu, M. Hdeya, et. al., "Driving simulation test for evaluation hazard perception: Elderly driver response characteristics", Transportation Research Part F, Vol.46, pp.257-270, 2017.
  24. J. S. Lee, B. R. Kim, J. Y. Ha, J. M. Park, Y. S. Cho, et. al., "The effects of driving rehabilitation program on cognitive function in elderly", Journal of the Korean Society of Integrative Medicine, Vol.2, No.4, pp.91-100, 2014. DOI: http://dx.doi.org/10.15268/ksim.2014.2.4.091
  25. K. J. Anstey, J. Wood, S. Lord, J. G. Walker, "Cognitive, sensory and physical factors enabling driving safety in older adults", Clinical Psychology Review, Vol.25, No.1, pp.45-65, 2005. DOI: http://doi.org/10.1016/j.cpr.2004.07.008
  26. A. E. Akinwuntan, H. Devos, G. Verheyden, G. Basten, C. Kiekens, et al., "Retraining moderately impaired stroke survivors in driving-related visual attention skills", Topics in Stroke Rehabilitation, Vol.17, pp.328-336, 2010. DOI: http://dx.doi.org/10.1310/tsr1705-328
  27. C. Owsley, K. Ball, M. E. Sloane, D. L. Roenkr, J. R. Bruni, et al., "Visual/cognitive correlates of vehicle accidents in alder drivers", Psychology Aging, Vol.6, pp.403-415, 1991. https://doi.org/10.1037/0882-7974.6.3.403
  28. J. O. Brooks, R. R. Goodenough, M. C. Crisler, N. D. Klein, R. L. Alley, "Simulator sickness during driving simulation studies", Accident Analysis and Prevention, Vol.42, No.3, pp.788-796, 2010. DOI: http://dx.doi.org/10.1016/j.aap.2009.04.013
  29. E. Y. Kim, J. H. Kang, H. M. Lee, "Effects of virtual reality based game on balance and upper extremity function in chronic stroke patients", Journal of Special Education & Rehabilitation Science, Vol.49, No.3, pp.131-149, 2010.
  30. J. W. Jang, K. Y. Kim, M. J. Paek, S. Y. Kim, "A comparison of five types of trail making test in Korean elderly", Dementia and Neurocognitive Disorders, Vol.15, No.4, pp.135-141, 2016. DOI: https://doi.org/10.12779/dnd.2016.15.4.135