@article{9f27d16210d84a5aa0df15ee032746ae,
title = "Association of falls and fear of falling with objectively-measured driving habits among older drivers: LongROAD study",
abstract = "Objective: Falls in older adults are associated with increased motor vehicle crash risk, possibly mediated by driving behavior. We examined the relationship of falls and fear of falling (FOF) with subsequent objectively measured driving habits. Methods: This multi-site, prospective cohort study enrolled 2990 active drivers aged 65–79 (53% female). At enrollment, we assessed falls in the past year and FOF (Short Falls Efficacy Scale-International). Driving outcomes included exposure, avoidance of difficult conditions, and unsafe driving during one-year follow-up, using in-vehicle Global Positioning System devices. Results: Past-year falls were associated with more hard braking events (HBE). High FOF was associated with driving fewer days, miles, and trips, driving nearer home and more HBE. Differences were attenuated and not significant after accounting for health, function, medications and sociodemographics. Discussion: Differences in objectively measured driving habits according to past-year fall history and FOF were largely accounted for by differences in health and medications. Rather than directly affecting driving, falls and FOF may serve as markers for crash risk and reduced community mobility due to age-related changes and poor health.",
keywords = "Aging, Automobile driving, Falls, Fear of falling, Mobility, Traffic safety",
author = "{AAA LongROAD Research Team} and DiGuiseppi, {Carolyn G.} and Hyde, {Hailey A.} and Betz, {Marian E.} and Scott, {Kenneth A.} and Eby, {David W.} and Hill, {Linda L.} and Jones, {Vanya C.} and Mielenz, {Thelma J.} and Molnar, {Lisa J.} and David Strogatz and Guohua Li",
note = "Funding Information: This work was funded by the AAA Foundation for Traffic Safety (Washington, DC), with additional support for REDCap from NIH/NCATS Colorado CTSA Grant Number UL1 TR002535. The AAA Foundation for Traffic Safety contributed to the design and methods of the LongROAD study and reviewed a draft manuscript. The lead author (CGD) made the decision to submit the manuscript for publication. The report{\textquoteright}s findings and conclusions are solely those of the authors and do not necessarily reflect official positions of the AAA Foundation for Traffic Safety or the NIH. Funding Information: The LongROAD Research Team also includes Howard Andrews, David LeBlanc, Lindsay Ryan, and Robert Santos. Scott Bogard led development of the GPS-derived driving behaviors. This study was approved under the following Institutional Review Board (IRB) protocol/human subjects approval numbers: Colorado Multiple IRB (COMIRB No. 14-0528, Principal Investigator [PI]: C. DiGuiseppi), Columbia University IRB (Study No. IRB-AAAN9950, PI: G. Li), Johns Hopkins Bloomberg School of Public Health IRB (Study No. 00006200, PI: V. Jones), Mary Imogene Bassett Hospital IRB (No. IRB0000200, PI: D. Strogatz), University of California, San Diego IRB (IRB No. 141800, PI: L. Hill), and University of Michigan IRB (Study No. HUM00094031, PI: D. Eby). This work was funded by the AAA Foundation for Traffic Safety (Washington, DC), with additional support for REDCap from NIH/NCATS Colorado CTSA Grant Number UL1 TR002535. The AAA Foundation for Traffic Safety contributed to the design and methods of the LongROAD study and reviewed a draft manuscript. The lead author (CGD) made the decision to submit the manuscript for publication. The report's findings and conclusions are solely those of the authors and do not necessarily reflect official positions of the AAA Foundation for Traffic Safety or the NIH. CGD, MEB, DWE, LLH, VCJ, TJM, LJM, DS and GL conceptualized and designed the study and its methods; CGD, MEB, KAS, DWE, LLH, VCJ, TJM, LJM, DS and GL oversaw acquisition of subjects; CGD and HAH analyzed the data and drafted the manuscript; CGD, HAH, MEB and KAS interpreted the data; all authors revised the manuscript critically for important intellectual content and approved the version to be published. The authors have no conflicts of interest to declare. Publisher Copyright: {\textcopyright} 2022",
year = "2022",
month = dec,
doi = "10.1016/j.jsr.2022.08.007",
language = "English (US)",
volume = "83",
pages = "96--104",
journal = "Journal of Safety Research",
issn = "0022-4375",
publisher = "Elsevier Limited",
}