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Visual-Motor Processing Speed and Reaction Time Differences between Medically-At-Risk Drivers and Healthy Controls.
Victoria Penna1, Anne Dickerson1, Qiang Wu2
1Department of Occupational Therapy, East Carolina University, Greenville, NC, USA.
Occupational Therapy in Health Care
|February 14, 2023
Summary
Medically-at-risk drivers show slower reaction times than healthy adults. The Vision Coach™ tool effectively differentiates drivers fit to drive from those unfit, aiding in driving risk assessment.
Area of Science:
- Gerontology
- Neurology
- Ophthalmology
Background:
- Assessing driving fitness in medically-at-risk individuals is crucial for public safety.
- Visual-motor processing speed and reaction times are key indicators of driving ability.
- Existing methods for evaluating driving risk can be time-consuming and resource-intensive.
Purpose of the Study:
- To compare visual-motor processing speed and reaction times between medically-at-risk drivers and healthy controls.
- To determine if reaction time measurements can distinguish between drivers who pass, fail, or require restrictions on their road tests.
- To evaluate the Vision Coach™ as a potential screening tool for driving risk.
Main Methods:
- A cross-sectional study comparing medically-at-risk drivers (N=35) and healthy controls (N=121).
- Data collected via comprehensive driving evaluations for the at-risk group, including diagnosis coding.
- Reaction times measured using the Vision Coach™ Full Field 60 task.
Main Results:
- Significant differences in reaction times (p < .001) were found between healthy controls and medically-at-risk adults.
- No significant differences in reaction times were observed among the three diagnostic groups (cognitive, neurological, medical) of at-risk drivers (p = .141).
- Vision Coach™ scores significantly differentiated between drivers deemed fit-to-drive without restrictions and those deemed unfit (p < .001).
Conclusions:
- Reaction time, as measured by the Vision Coach™, is a significant differentiator of driving fitness in medically-at-risk individuals.
- The Vision Coach™ shows potential as an effective screening tool for identifying driving risks.
- Further research may refine its application in clinical driving evaluations.

