Occupational therapists need objective tools to evaluate and provide interventions that promote the recovery and rehabilitation of clients. Driving, a common goal for clients after an injury or illness, is a complex task that relies on visual, cognitive, and motor skills. The Functional Object Detection and Functional Object Detection (FOD)—Advanced driving simulator scenarios were developed to provide objective and repeatable driving experiences allowing clinicians to assess their clients’ forward (focal) and peripheral vision, lane keeping, and speed maintenance, as well as provide interventions. Using FOD—Advanced, clinicians can adjust variables to create various task scenarios or combinations to meet the client’s needs and facilitate recovery by providing an appropriate challenge. This study examined four driving simulator scenario combinations and age-related differences for one combination. Study 1 explored older adults’ performance using four possible combinations of FOD—Advanced. Five out of eleven variables (average target reaction time, percentage of targets detected, average brake reaction time, number of target extra presses, and average speed) were effective in distinguishing among the four combinations of FOD with a cross-validated classification rate of 72%. In Study 2, one combination was selected from Study 1 and a group of teens completed the same tasks to evaluate age-related differences. Four out of thirteen simulator variables (standard deviation of brake reaction time, number of target extra presses, average target reaction time, and standard deviation of target reaction time) maximally distinguished the older adults from the younger participants with a cross-validated classification accuracy of 78%. Implications and recommendations for clinical practice and future research are provided.
Rear-end crashes are a common crash scenario, which contribute to many traffic related injuries and fatalities. A performance driving center offers adult car control classes focused on defensive driving skills, which include both classroom and behind-the-wheel instruction on a closed-road course. One focus of the class is activation of the anti-lock braking system (ABS), which was designed to help drivers during emergency braking situations. In the classroom, participants learn what ABS is as well as how and when it functions. On the closed-road course, participants learn how to activate ABS and how the system feels when it is activated. The goal of this study was to understand how knowledge of and experience with ABS prior to the class relates to a driver’s ability to activate ABS. The participants’ ability to activate ABS was evaluated by the driving instructor using a behaviorally anchored rating scale. Participants completed a survey before and after the class to gain knowledge of and experience with ABS. The results of the study showed that participants who previously knew what ABS felt like or had prior practice/training activating ABS performed significantly better activating ABS than those who simply knew what ABS means or had previously experienced ABS activation during their first of multiple attempts.