International journal of Alzheimer's disease, 2016
Purpose. Alzheimer's disease (AD) and dementia with Lewy Bodies (DLB) constitute two of the m... more Purpose. Alzheimer's disease (AD) and dementia with Lewy Bodies (DLB) constitute two of the most common forms of dementia in North America. Driving is a primary means of mobility among older adults and the risk of dementia increases with advanced age. The purpose of this paper is to describe the cognitive profile of licensed drivers with mild AD and mild DLB. Method. Licensed drivers with mild AD, mild DLB, and healthy controls completed neuropsychological tests measuring general cognition, attention, visuospatial/perception, language, and cognitive fluctuations. Results. The results showed differences between healthy controls and demented participants on almost all neuropsychological measures. Participants with early DLB were found to perform significantly worse on some measures of attention and visuospatial functioning in comparison with early AD. Discussion. Future research should examine the relationship between neuropsychological measures and driving outcomes among individu...
In-vehicle navigation systems have the potential to simplify the driving task by reducing the dri... more In-vehicle navigation systems have the potential to simplify the driving task by reducing the drivers' need to engage in wayfinding, especially in unfamiliar environments. This study sought to characterize older drivers' overall assessment of using in-vehicle GPS technology as part of a research study and to explore whether the use of this technology has an impact on participants' driving behaviour. Forty-seven older drivers completed an on-road evaluation where directions were provided by an in-vehicle GPS navigation system and their behaviour was recorded using video technology. They later completed a questionnaire to assess their perception of the navigation system. After the study, participants were grouped based on whether they were able to accurately follow the instructions provided by the navigation system. The results indicated that most drivers were satisfied with the navigation technology and found the directions it provided to be clear. There were no statistically significant differences in the number of on-road errors committed by drivers who did not follow the directions from the navigation system in comparison to drivers who did follow the directions.
American journal of Alzheimer's disease and other dementias, 2016
This study sought to predict driving performance of drivers with Alzheimer's disease (AD) usi... more This study sought to predict driving performance of drivers with Alzheimer's disease (AD) using measures of attention, visual processing, and global cognition. Simulated driving performance of individuals with mild AD (n = 20) was contrasted with performance of a group of healthy controls (n = 21). Performance on measures of global cognitive function and specific tests of attention and visual processing were examined in relation to simulated driving performance. Strong associations were observed between measures of attention, notably the Test of Everyday Attention (sustained attention; r = -.651, P = .002) and the Useful Field of View (r = .563, P = .010), and driving performance among drivers with mild AD. The Visual Object and Space Perception Test-object was significantly correlated with the occurrence of crashes (r = .652, P = .002). Tests of global cognition did not correlate with simulated driving outcomes. The results suggest that professionals exercise caution when extra...
International Journal of Alzheimer's Disease, 2015
Driving is a multifactorial behaviour drawing on multiple cognitive, sensory, and physical system... more Driving is a multifactorial behaviour drawing on multiple cognitive, sensory, and physical systems. Dementia is a progressive and degenerative neurological condition that impacts the cognitive processes necessary for safe driving. While a number of studies have examined driving among individuals with Alzheimer's disease, less is known about the impact of Dementia with Lewy Bodies (DLB) on driving safety. The present study compared simulated driving performance of 15 older drivers with mild DLB with that of 21 neurologically healthy control drivers. DLB drivers showed poorer performance on all indicators of simulated driving including an increased number of collisions in the simulator and poorer composite indicators of overall driving performance. A measure of global cognitive function (i.e., the Mini Mental State Exam) was found to be related to the overall driving performance. In addition, measures of attention (i.e., Useful Field of View, UFOV) and space processing (Visual Object and Space Perception, VOSP, Test) correlated significantly with a rater's assessment of driving performance.
Canadian Journal on Aging / La Revue canadienne du vieillissement, 2016
We investigated whether convenience sampling is a suitable method to generate a sample of older d... more We investigated whether convenience sampling is a suitable method to generate a sample of older drivers representative of the older-Canadian driver population. Using equivalence testing, we compared a large convenience sample of older drivers (Candrive II prospective cohort study) to a similarly aged population of older Canadian drivers. The Candrive sample consists of 928 community-dwelling older drivers from seven metropolitan areas of Canada. The population data was obtained from the Canadian Community Health Survey - Healthy Aging (CCHS-HA), which is a representative sample of older Canadians. The data for drivers aged 70 and older were extracted from the CCHS-HA database, for a total of 3,899 older Canadian drivers. Two samples were demonstrated as equivalent on socio-demographic, health, and driving variables that we compared, but not on driving frequency. We conclude that convenience sampling used in the Candrive study created a fairly representative sample of Canadian older drivers, with a few exceptions.
Neuropsychology Development and Cognition Section a Journal of Clinical and Experimental Neuropsychology, Apr 13, 2009
This study examined the role of impaired divided attention and speed of processing in traumatic b... more This study examined the role of impaired divided attention and speed of processing in traumatic brain injury (TBI) drivers in high-crash-risk simulated road events. A total of 17 TBI drivers and 16 healthy participants were exposed to four challenging simulated roadway events to which behavioral reactions were recorded. Participants were also asked to perform a dual task during portions of the driving task, and TBI individuals were administered standard measures of divided attention and reaction time. Results indicated that the TBI group crashed significantly more than controls (p < .05) and that dual-task performance correlated significantly with crash rate (r = .58, p = .05).
... Arne Stinchcombe University of Ottawa. Andrée-Ann Cyr University of Ottawa. Sylvain Gagnon Un... more ... Arne Stinchcombe University of Ottawa. Andrée-Ann Cyr University of Ottawa. Sylvain Gagnon University of Ottawa. Shawn Marshall Elizabeth Bruyere Research Institute. Malcolm HingElizabeth Bruyere Research Institute. Hillel Finestone Elizabeth Bruyere Research Institute. ...
An evaluability assessment (EA) of the 55 Alive program, a national older driver refresher course... more An evaluability assessment (EA) of the 55 Alive program, a national older driver refresher course aimed at improving driving skills, was conducted. This EA adds to the evaluation literature as previous outcome evaluations neglected to explore whether this program was prepared for such assessments. A mixed-method protocol was executed across three community sites. Based on the results of this EA, several suggestions for future evaluations are discussed: (a) sampling all stakeholder levels for a more holistic snapshot of the program, (b) using EA to facilitate stakeholders' engagement in the evaluation, and (c) incorporating scientists specializing in the area within the evaluation.
We examined the crash avoidance behaviors of older and middle-aged drivers in reaction to six sim... more We examined the crash avoidance behaviors of older and middle-aged drivers in reaction to six simulated challenging road events using two different driving simulator platforms. Thirty-five healthy adults aged 21-36 years old (M=28.9±3.96) and 35 healthy adults aged 65-83 years old (M=72.1±4.34) were tested using a mid-level simulator, and 27 adults aged 21-38 years old (M=28.6±6.63) and 27 healthy adults aged 65-83 years old (M=72.7±5.39) were tested on a low-cost desktop simulator. Participants completed a set of six challenging events varying in terms of the maneuvers required, avoiding space given, directional avoidance cues, and time pressure. Results indicated that older drivers showed higher crash risk when events required multiple synchronized reactions. In situations that required simultaneous use of steering and braking, older adults tended to crash significantly more frequently. As for middle-aged drivers, their crashes were attributable to faster driving speed. The same age-related driving patterns were observed across simulator platforms. Our findings support the hypothesis that older adults tend to react serially while engaging in cognitively challenging road maneuvers.
Transportation Research Part F: Traffic Psychology and Behaviour, 2010
... Arne Stinchcombe a and Sylvain Gagnon a , b , Corresponding Author Contact Information , E-ma... more ... Arne Stinchcombe a and Sylvain Gagnon a , b , Corresponding Author Contact Information , E-mail The Corresponding Author. ... The research conducted by Cantin and colleagues (2009) as well as other research in the field (eg, Harms & Patten, 2003) differed from the present ...
Transportation Research Part F: Traffic Psychology and Behaviour, 2013
ABSTRACT We investigated the relationship between attention and road complexity in a convenience ... more ABSTRACT We investigated the relationship between attention and road complexity in a convenience sample of older drivers. The study sought to examine the impact of age-associated changes in attention in response to situations with an elevated risk of crash. Scenarios were manipulated in terms of handling and information processing complexity. Twenty-six older drivers and 30 mid-aged drivers completed a series of 20 simulated driving scenarios incorporating either rear-end or crossing path situations. For each scenario, the complexity of the driving environment was systematically manipulated in terms of vehicle handling and information processing elements. The attentional demands of half of the scenarios were assessed by means of a peripheral detection task (PDT) as well as through a subjective measure of overall difficulty. The results indicated that when information processing demands were increased, through the addition of traffic, and buildings, all participants exhibited greater workload regardless of age. While no main effects of age were observed, older drivers did exhibit significantly longer PDT responses in the low vehicle handling condition of the crossing path scenario. The results confirm the impact of environmental complexity on attention but suggest that the PDT may not be the most appropriate means of assessing attentional demands among older drivers, particularly when the driving complexity is elevated.
Journal of Clinical and Experimental Neuropsychology, 2009
This study examined the role of impaired divided attention and speed of processing in traumatic b... more This study examined the role of impaired divided attention and speed of processing in traumatic brain injury (TBI) drivers in high-crash-risk simulated road events. A total of 17 TBI drivers and 16 healthy participants were exposed to four challenging simulated roadway events to which behavioral reactions were recorded. Participants were also asked to perform a dual task during portions of the driving task, and TBI individuals were administered standard measures of divided attention and reaction time. Results indicated that the TBI group crashed significantly more than controls (p < .05) and that dual-task performance correlated significantly with crash rate (r = .58, p = .05).
International journal of Alzheimer's disease, 2016
Purpose. Alzheimer's disease (AD) and dementia with Lewy Bodies (DLB) constitute two of the m... more Purpose. Alzheimer's disease (AD) and dementia with Lewy Bodies (DLB) constitute two of the most common forms of dementia in North America. Driving is a primary means of mobility among older adults and the risk of dementia increases with advanced age. The purpose of this paper is to describe the cognitive profile of licensed drivers with mild AD and mild DLB. Method. Licensed drivers with mild AD, mild DLB, and healthy controls completed neuropsychological tests measuring general cognition, attention, visuospatial/perception, language, and cognitive fluctuations. Results. The results showed differences between healthy controls and demented participants on almost all neuropsychological measures. Participants with early DLB were found to perform significantly worse on some measures of attention and visuospatial functioning in comparison with early AD. Discussion. Future research should examine the relationship between neuropsychological measures and driving outcomes among individu...
In-vehicle navigation systems have the potential to simplify the driving task by reducing the dri... more In-vehicle navigation systems have the potential to simplify the driving task by reducing the drivers' need to engage in wayfinding, especially in unfamiliar environments. This study sought to characterize older drivers' overall assessment of using in-vehicle GPS technology as part of a research study and to explore whether the use of this technology has an impact on participants' driving behaviour. Forty-seven older drivers completed an on-road evaluation where directions were provided by an in-vehicle GPS navigation system and their behaviour was recorded using video technology. They later completed a questionnaire to assess their perception of the navigation system. After the study, participants were grouped based on whether they were able to accurately follow the instructions provided by the navigation system. The results indicated that most drivers were satisfied with the navigation technology and found the directions it provided to be clear. There were no statistically significant differences in the number of on-road errors committed by drivers who did not follow the directions from the navigation system in comparison to drivers who did follow the directions.
American journal of Alzheimer's disease and other dementias, 2016
This study sought to predict driving performance of drivers with Alzheimer's disease (AD) usi... more This study sought to predict driving performance of drivers with Alzheimer's disease (AD) using measures of attention, visual processing, and global cognition. Simulated driving performance of individuals with mild AD (n = 20) was contrasted with performance of a group of healthy controls (n = 21). Performance on measures of global cognitive function and specific tests of attention and visual processing were examined in relation to simulated driving performance. Strong associations were observed between measures of attention, notably the Test of Everyday Attention (sustained attention; r = -.651, P = .002) and the Useful Field of View (r = .563, P = .010), and driving performance among drivers with mild AD. The Visual Object and Space Perception Test-object was significantly correlated with the occurrence of crashes (r = .652, P = .002). Tests of global cognition did not correlate with simulated driving outcomes. The results suggest that professionals exercise caution when extra...
International Journal of Alzheimer's Disease, 2015
Driving is a multifactorial behaviour drawing on multiple cognitive, sensory, and physical system... more Driving is a multifactorial behaviour drawing on multiple cognitive, sensory, and physical systems. Dementia is a progressive and degenerative neurological condition that impacts the cognitive processes necessary for safe driving. While a number of studies have examined driving among individuals with Alzheimer's disease, less is known about the impact of Dementia with Lewy Bodies (DLB) on driving safety. The present study compared simulated driving performance of 15 older drivers with mild DLB with that of 21 neurologically healthy control drivers. DLB drivers showed poorer performance on all indicators of simulated driving including an increased number of collisions in the simulator and poorer composite indicators of overall driving performance. A measure of global cognitive function (i.e., the Mini Mental State Exam) was found to be related to the overall driving performance. In addition, measures of attention (i.e., Useful Field of View, UFOV) and space processing (Visual Object and Space Perception, VOSP, Test) correlated significantly with a rater's assessment of driving performance.
Canadian Journal on Aging / La Revue canadienne du vieillissement, 2016
We investigated whether convenience sampling is a suitable method to generate a sample of older d... more We investigated whether convenience sampling is a suitable method to generate a sample of older drivers representative of the older-Canadian driver population. Using equivalence testing, we compared a large convenience sample of older drivers (Candrive II prospective cohort study) to a similarly aged population of older Canadian drivers. The Candrive sample consists of 928 community-dwelling older drivers from seven metropolitan areas of Canada. The population data was obtained from the Canadian Community Health Survey - Healthy Aging (CCHS-HA), which is a representative sample of older Canadians. The data for drivers aged 70 and older were extracted from the CCHS-HA database, for a total of 3,899 older Canadian drivers. Two samples were demonstrated as equivalent on socio-demographic, health, and driving variables that we compared, but not on driving frequency. We conclude that convenience sampling used in the Candrive study created a fairly representative sample of Canadian older drivers, with a few exceptions.
Neuropsychology Development and Cognition Section a Journal of Clinical and Experimental Neuropsychology, Apr 13, 2009
This study examined the role of impaired divided attention and speed of processing in traumatic b... more This study examined the role of impaired divided attention and speed of processing in traumatic brain injury (TBI) drivers in high-crash-risk simulated road events. A total of 17 TBI drivers and 16 healthy participants were exposed to four challenging simulated roadway events to which behavioral reactions were recorded. Participants were also asked to perform a dual task during portions of the driving task, and TBI individuals were administered standard measures of divided attention and reaction time. Results indicated that the TBI group crashed significantly more than controls (p < .05) and that dual-task performance correlated significantly with crash rate (r = .58, p = .05).
... Arne Stinchcombe University of Ottawa. Andrée-Ann Cyr University of Ottawa. Sylvain Gagnon Un... more ... Arne Stinchcombe University of Ottawa. Andrée-Ann Cyr University of Ottawa. Sylvain Gagnon University of Ottawa. Shawn Marshall Elizabeth Bruyere Research Institute. Malcolm HingElizabeth Bruyere Research Institute. Hillel Finestone Elizabeth Bruyere Research Institute. ...
An evaluability assessment (EA) of the 55 Alive program, a national older driver refresher course... more An evaluability assessment (EA) of the 55 Alive program, a national older driver refresher course aimed at improving driving skills, was conducted. This EA adds to the evaluation literature as previous outcome evaluations neglected to explore whether this program was prepared for such assessments. A mixed-method protocol was executed across three community sites. Based on the results of this EA, several suggestions for future evaluations are discussed: (a) sampling all stakeholder levels for a more holistic snapshot of the program, (b) using EA to facilitate stakeholders' engagement in the evaluation, and (c) incorporating scientists specializing in the area within the evaluation.
We examined the crash avoidance behaviors of older and middle-aged drivers in reaction to six sim... more We examined the crash avoidance behaviors of older and middle-aged drivers in reaction to six simulated challenging road events using two different driving simulator platforms. Thirty-five healthy adults aged 21-36 years old (M=28.9±3.96) and 35 healthy adults aged 65-83 years old (M=72.1±4.34) were tested using a mid-level simulator, and 27 adults aged 21-38 years old (M=28.6±6.63) and 27 healthy adults aged 65-83 years old (M=72.7±5.39) were tested on a low-cost desktop simulator. Participants completed a set of six challenging events varying in terms of the maneuvers required, avoiding space given, directional avoidance cues, and time pressure. Results indicated that older drivers showed higher crash risk when events required multiple synchronized reactions. In situations that required simultaneous use of steering and braking, older adults tended to crash significantly more frequently. As for middle-aged drivers, their crashes were attributable to faster driving speed. The same age-related driving patterns were observed across simulator platforms. Our findings support the hypothesis that older adults tend to react serially while engaging in cognitively challenging road maneuvers.
Transportation Research Part F: Traffic Psychology and Behaviour, 2010
... Arne Stinchcombe a and Sylvain Gagnon a , b , Corresponding Author Contact Information , E-ma... more ... Arne Stinchcombe a and Sylvain Gagnon a , b , Corresponding Author Contact Information , E-mail The Corresponding Author. ... The research conducted by Cantin and colleagues (2009) as well as other research in the field (eg, Harms & Patten, 2003) differed from the present ...
Transportation Research Part F: Traffic Psychology and Behaviour, 2013
ABSTRACT We investigated the relationship between attention and road complexity in a convenience ... more ABSTRACT We investigated the relationship between attention and road complexity in a convenience sample of older drivers. The study sought to examine the impact of age-associated changes in attention in response to situations with an elevated risk of crash. Scenarios were manipulated in terms of handling and information processing complexity. Twenty-six older drivers and 30 mid-aged drivers completed a series of 20 simulated driving scenarios incorporating either rear-end or crossing path situations. For each scenario, the complexity of the driving environment was systematically manipulated in terms of vehicle handling and information processing elements. The attentional demands of half of the scenarios were assessed by means of a peripheral detection task (PDT) as well as through a subjective measure of overall difficulty. The results indicated that when information processing demands were increased, through the addition of traffic, and buildings, all participants exhibited greater workload regardless of age. While no main effects of age were observed, older drivers did exhibit significantly longer PDT responses in the low vehicle handling condition of the crossing path scenario. The results confirm the impact of environmental complexity on attention but suggest that the PDT may not be the most appropriate means of assessing attentional demands among older drivers, particularly when the driving complexity is elevated.
Journal of Clinical and Experimental Neuropsychology, 2009
This study examined the role of impaired divided attention and speed of processing in traumatic b... more This study examined the role of impaired divided attention and speed of processing in traumatic brain injury (TBI) drivers in high-crash-risk simulated road events. A total of 17 TBI drivers and 16 healthy participants were exposed to four challenging simulated roadway events to which behavioral reactions were recorded. Participants were also asked to perform a dual task during portions of the driving task, and TBI individuals were administered standard measures of divided attention and reaction time. Results indicated that the TBI group crashed significantly more than controls (p < .05) and that dual-task performance correlated significantly with crash rate (r = .58, p = .05).
Uploads
Papers by Arne Stinchcombe