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Porter et al. also used a video intervention but the feedback was not specific to a particular set of driving skills. Porter et al. used a similar paradigm utilizing video and global positioning system data, in combination with a classroom-based education program. Their results showed a mitigated impact on driving, since only 9 out of 17 improved their driving by reducing their errors after the program. Only 2 studies used simulator-based training and presented contradictory results.

However, more research is required to better understand how these interventions improve one’s ability to drive safely, beyond the speed of processing and reduction of reaction time. With computers and smart devices now widely available, training could be done almost anywhere for interested drivers.

That acceleration doesn’t feel like much from the driver’s seat, but if you watch the speedo, the needle sweeps up and past that mark in a blink. I couldn’t feel much, but it was quick enough to get a scolding from my son in the back seat for driving too fast. The aforementioned Sport mode, big set of paddle shifters and a stiffer suspension mode make it at least a little engaging when you really crave it. With time, it’s possible I could have learned to dance better with this car. Even so, the Quattroporte is much more Concorde than fighter jet.

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Active training in-simulator increased a driver’s probability of looking for a hazard during a turn by nearly 100% in both post-training simulator and on-road driving sessions. Lavallière et al. showed similar results in-simulator with an analysis of visual search strategies during on-road lane changes. Their results revealed that the driving-specific Feedback group increased their blind spot verifications (from 32.3 to 64.9% of the lane changes – an increase of 100%), whereas the control group did not.

Further evaluation should be performed to analyse the best and most efficient modality of interventions with this clientele (ex. Short daily period of exercise or longer period spread across the week). Overall, computer-based interventions are an interesting opportunity for older drivers, since some of them have been shown to reduce the risk of crash involvement over time.

For some of the studies, having self-reported collisions as an indicator of driving performance should be used with caution, since self-reports of collision involvement may lack validity . Romoser and Fisher compared the effectiveness of active, passive and no training on older drivers’ performance in intersections.

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Lavallière M, Simoneau M, Laurendeau D, Teasdale N. Active training and driving-specific feedback improve older drivers’ visual search prior to lane changes. Finally, limitation of the systematic review itself is due to lack of consistency when reporting results in training programs aimed at older individuals. In some studies, it is hard to extract proper information on the used design and method and there is limited reporting on the training program, per se. Moreover, few studies have presented a follow-up evaluation of their program to evaluate the mid or long-term retention of their interventions . Despite identifying 25 interventions aimed at improving older drivers’ performance in hopes of reducing their crash risk, almost all the studies failed to show or did not address collision rate outcomes.

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The negative results reported by Marchal-Crespo et al. showed that older drivers did not benefit from training with haptic guidance, and long-term improvements were only observed among younger drivers. On the other hand, Rogé et al. showed that simulator training can improve visual field, allowing older adults to better identify vulnerable users on the road. Therefore, driving tests in simulators could be used to evaluate older adults, as previously suggested by Lee et al. . For both studies under review in this current analysis, results are positive in terms of impact on driving performance following a physical training intervention aimed at older drivers. Over 2 different periods of time, 12 vs 8 weeks, they both showed that a regimen equivalent to about 21 to 24 h of exercises could be beneficial to older drivers.

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