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Updated: May 27, 2026

Driving Simulation in the Clinic: Testing Visual Exploratory Behavior in Daily Life Activities in Patients with Visual Field Defects
Published on: September 18, 2012
Enhancing older driver safety: A driving survey and evaluation of the CarFit program
Jean M Gaines1, Kasey L Burke, Katherine A Marx
1The Erickson Foundation, 701 Maiden Choice Lane, Catonsville, MD 21228, USA. jean.gaines@erickson.com
Objective:
To evaluate CarFit, an educational program designed to promote optimal alignment of driver with vehicle.
Methods:
A driving activity survey was sent to 727 randomly selected participants living in retirement communities. Drivers (n=195) were assigned randomly to CarFit intervention (n=83, M age=78.1) or Comparison (n=112, M age=79.6) groups. After 6months, participants completed a post-test of driving activity and CarFit recommendations.
Results:
Nonconsenting drivers were older and participated in fewer driving activities. CarFit participation was moderate (71%) with 86% of the participants receiving recommendations. 60% followed the recommendations at the 6-month re-evaluation). The CarFit (67.6%) and Comparison (59.3%) groups reported at least one type of self-regulation of driving activity at baseline. There was no significant change in the driving behaviors at the six-month follow-up.
Conclusion:
CarFit was able to detect addressable opportunities that may contribute to the safety of older drivers.
Impact On Industry:
CarFit recommendations may need stronger reinforcement in order to be enacted by a participant.
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