Self-regulation of driving behavior in people with Parkinson disease

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To determine the extent and nature of driving selfregulation in drivers with Parkinson disease (PD) and factors associated with self-regulatory practices. Background: Although people with PD have consistently been shown to have driving impairments, few studies have examined self-regulatory driving practices and their relationship to driving performance. Methods: We used a self-report driving questionnaire to examine driving self-regulation in 37 drivers with PD and 37 healthy agematched controls. We also analyzed factors associated with selfregulatory practices, primarily demographic, disease-related, psychological, and simulated driving performance variables. Results: The drivers with PD reported significantly higher rates of self- perceived decline in their driving ability (P = 0.008) and driving significantly shorter distances per week (P = 0.004) than controls. Unfamiliar situations (P = 0.009), in-car distractions (P <0.001), low visibility conditions (P = 0.004), and long journeys (P = 0.003) were particularly challenging for the drivers with PD, and their pattern of driving avoidance mirrored these difficulties. The use of self-regulatory strategies among drivers with PD was associated with female sex (rho = 0.42, P = 0.009) and perceived decline in driving ability (rho = 0.55, P <0.001), but not with age or objective measures of disease severity, cognition, or simulated driving performance. Conclusions: Drivers with PD reported driving less overall and restricting their driving to avoid particularly difficult circumstances. Further research is warranted on effective use of self-regulation strategies to improve driving performance in people with PD.
Original languageEnglish
Pages (from-to)80 - 91
Number of pages12
JournalCognitive and Behavioral Neurology
Volume28
Issue number2
DOIs
Publication statusPublished - 2015

Cite this

@article{7aadc6f04c604dcf92970902ed2bf7e7,
title = "Self-regulation of driving behavior in people with Parkinson disease",
abstract = "Objective: To determine the extent and nature of driving selfregulation in drivers with Parkinson disease (PD) and factors associated with self-regulatory practices. Background: Although people with PD have consistently been shown to have driving impairments, few studies have examined self-regulatory driving practices and their relationship to driving performance. Methods: We used a self-report driving questionnaire to examine driving self-regulation in 37 drivers with PD and 37 healthy agematched controls. We also analyzed factors associated with selfregulatory practices, primarily demographic, disease-related, psychological, and simulated driving performance variables. Results: The drivers with PD reported significantly higher rates of self- perceived decline in their driving ability (P = 0.008) and driving significantly shorter distances per week (P = 0.004) than controls. Unfamiliar situations (P = 0.009), in-car distractions (P <0.001), low visibility conditions (P = 0.004), and long journeys (P = 0.003) were particularly challenging for the drivers with PD, and their pattern of driving avoidance mirrored these difficulties. The use of self-regulatory strategies among drivers with PD was associated with female sex (rho = 0.42, P = 0.009) and perceived decline in driving ability (rho = 0.55, P <0.001), but not with age or objective measures of disease severity, cognition, or simulated driving performance. Conclusions: Drivers with PD reported driving less overall and restricting their driving to avoid particularly difficult circumstances. Further research is warranted on effective use of self-regulation strategies to improve driving performance in people with PD.",
author = "Renerus-John Stolwyk and Scally, {Karen Alice} and Charlton, {Judith Lynne} and Bradshaw, {John Lockyer} and Robert Iansek and Nellie Georgiou-Karistianis",
year = "2015",
doi = "10.1097/WNN.0000000000000058",
language = "English",
volume = "28",
pages = "80 -- 91",
journal = "Cognitive and Behavioral Neurology",
issn = "1543-3633",
publisher = "Lippincott Williams & Wilkins",
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}

Self-regulation of driving behavior in people with Parkinson disease. / Stolwyk, Renerus-John; Scally, Karen Alice; Charlton, Judith Lynne; Bradshaw, John Lockyer; Iansek, Robert; Georgiou-Karistianis, Nellie.

In: Cognitive and Behavioral Neurology, Vol. 28, No. 2, 2015, p. 80 - 91.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Self-regulation of driving behavior in people with Parkinson disease

AU - Stolwyk, Renerus-John

AU - Scally, Karen Alice

AU - Charlton, Judith Lynne

AU - Bradshaw, John Lockyer

AU - Iansek, Robert

AU - Georgiou-Karistianis, Nellie

PY - 2015

Y1 - 2015

N2 - Objective: To determine the extent and nature of driving selfregulation in drivers with Parkinson disease (PD) and factors associated with self-regulatory practices. Background: Although people with PD have consistently been shown to have driving impairments, few studies have examined self-regulatory driving practices and their relationship to driving performance. Methods: We used a self-report driving questionnaire to examine driving self-regulation in 37 drivers with PD and 37 healthy agematched controls. We also analyzed factors associated with selfregulatory practices, primarily demographic, disease-related, psychological, and simulated driving performance variables. Results: The drivers with PD reported significantly higher rates of self- perceived decline in their driving ability (P = 0.008) and driving significantly shorter distances per week (P = 0.004) than controls. Unfamiliar situations (P = 0.009), in-car distractions (P <0.001), low visibility conditions (P = 0.004), and long journeys (P = 0.003) were particularly challenging for the drivers with PD, and their pattern of driving avoidance mirrored these difficulties. The use of self-regulatory strategies among drivers with PD was associated with female sex (rho = 0.42, P = 0.009) and perceived decline in driving ability (rho = 0.55, P <0.001), but not with age or objective measures of disease severity, cognition, or simulated driving performance. Conclusions: Drivers with PD reported driving less overall and restricting their driving to avoid particularly difficult circumstances. Further research is warranted on effective use of self-regulation strategies to improve driving performance in people with PD.

AB - Objective: To determine the extent and nature of driving selfregulation in drivers with Parkinson disease (PD) and factors associated with self-regulatory practices. Background: Although people with PD have consistently been shown to have driving impairments, few studies have examined self-regulatory driving practices and their relationship to driving performance. Methods: We used a self-report driving questionnaire to examine driving self-regulation in 37 drivers with PD and 37 healthy agematched controls. We also analyzed factors associated with selfregulatory practices, primarily demographic, disease-related, psychological, and simulated driving performance variables. Results: The drivers with PD reported significantly higher rates of self- perceived decline in their driving ability (P = 0.008) and driving significantly shorter distances per week (P = 0.004) than controls. Unfamiliar situations (P = 0.009), in-car distractions (P <0.001), low visibility conditions (P = 0.004), and long journeys (P = 0.003) were particularly challenging for the drivers with PD, and their pattern of driving avoidance mirrored these difficulties. The use of self-regulatory strategies among drivers with PD was associated with female sex (rho = 0.42, P = 0.009) and perceived decline in driving ability (rho = 0.55, P <0.001), but not with age or objective measures of disease severity, cognition, or simulated driving performance. Conclusions: Drivers with PD reported driving less overall and restricting their driving to avoid particularly difficult circumstances. Further research is warranted on effective use of self-regulation strategies to improve driving performance in people with PD.

UR - http://www.ncbi.nlm.nih.gov/pubmed/26102998

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M3 - Article

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SP - 80

EP - 91

JO - Cognitive and Behavioral Neurology

JF - Cognitive and Behavioral Neurology

SN - 1543-3633

IS - 2

ER -