title: Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment.
abstract: To demonstrate that g-force technology can be used to help older adults with cognitive impairment improve their driving safety as part of an in-car video feedback intervention.
  
  
  
  Unsafe driving events triggered g-forces leading to capture of video clips. The program included 3 mo of monitoring without intervention, 3 mo of intervention (weekly written progress reports, a DVD of unsafe driving events, and weekly telephone contacts), and 3 mo of postintervention monitoring.
  
  
  
  Mean total unsafe driving events per 1,000 miles were reduced from baseline by 38% for 9 of 12 participants during the intervention and by 55% for 7 participants during postintervention monitoring. Mean total unsafe driving severity scores per 1,000 miles were reduced from baseline by 43% during the intervention and by 56% during postintervention monitoring.
  
  
  
  Preliminary results suggest that driving safety among older drivers with cognitive impairment can be improved using a behavior modification approach aimed at problem behaviors detected in their natural driving environment.
authors.affiliation: Brian R. Ott, MD, is Professor, Department of Neurology, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence; bott@lifespan.org.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Ott
authors.affiliation: Jennifer D. Davis, PhD, is Associate Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence.
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Davis
authors.affiliation: Kimberly Bixby is Research Assistant, Department of Neurology, Rhode Island Hospital, Providence.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Bixby
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001334:Automobile Driving; D060825:Cognitive Dysfunction / Q000534:rehabilitation*; D005260:Female; D000068156:Formative Feedback; D006112:Gravitation; D006801:Humans; D008297:Male; D012449:Safety; D012720:Severity of Illness Index; D014741:Video Recording