Real-time driver drowsiness feedback improves driver alertness and self-reported driving performance
Open accessAbstract
Driver drowsiness has been implicated as a major causal factor in road accidents. Tools that allow remote monitoring and management of driver fatigue are used in the mining and road transport industries. Increasing drivers' own awareness of their drowsiness levels using such tools may also reduce risk of accidents. The study examined the effects of real-time blink-velocity-derived drowsiness feedback on driver performance and levels of alertness in a military setting. A sample of 15 Army Reserve personnel (1 female) aged 21-59 (M=41.3, SD=11.1) volunteered to being monitored by an infra-red oculography-based Optalert Alertness Monitoring System (OAMS) while they performed their regular driving tasks, including on-duty tasks and commuting to and from duty, for a continuous period of 4-8 weeks. For approximately half that period, blink-velocity-derived Johns Drowsiness Scale (JDS) scores were fed back to the driver in a counterbalanced repeated-measures design, resulting in a total of 419 driving periods under "feedback" and 385 periods under "no-feedback" condition. Overall, the provision of real-time feedback resulted in reduced drowsiness (lower JDS scores) and improved alertness and driving performance ratings. The effect was small and varied across the 24-h circadian cycle but it remained robust after controlling for time of day and driving task duration. Both the number of JDS peaks counted for each trip and their duration declined in the presence of drowsiness feedback, indicating a dynamic pattern that is consistent with a genuine, entropy-reducing feedback mechanism (as distinct from random re-alerting) behind the observed effect. Its mechanisms and practical utility have yet to be fully explored. Direct examination of the alternative, random re-alerting explanation of this feedback effect is an important step for future research.
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The finding that ATCO alertness positively correlates with occurrences is not consistent with previous research showing high alertness related to better performance.
“The finding is not consistent with previous research that showed that high alertness was related to better performance (Aidman, Chadunow, Johnson, & Reece, 2015; Galy & Mélan, 2015; Sallinen et al., 2017).”
From The Analysis of Occurrences Associated with Air Traffic Volume and Air Traffic Controllers’ Alertness for Fatigue Risk Management (2021) · cites this paper as Aidman, Chadunow, Johnson, & Reece, 2015
The Results (§3.2) report that drivers receiving feedback rated themselves as more alert and rated their safe-distance keeping more highly. This supports a relationship between alertness and one self-reported aspect of driving performance, but the paper does not establish better performance generally: its other performance appraisals were not significantly improved, and the cited result is not about ATCOs. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Toward Wearable EEG-based Alertness Detection System Using SVM with Optimal Minimum Channels
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Zhou, H., Carballo, A., Yamaoka, M., Yamataka, M., Fujii, K., & Takeda, K. (2025) · Italian National Conference on Sensors · doi:10.3390/s25061699 · Cited by 2 · see citing works
“Driver state monitoring aims to recognize negative driver states at an early stage to minimize the potential for traffic accidents [9,10].”
Predicting Drowsy Driver Break Taking During Long Drives
Gaspar, J. G., Tefft, B., Carney, C., & Horrey, W. J. (2024) · Hum. Factors · doi:10.1177/00187208241293707 · Cited by 2
“Driver monitoring interventions include feedback (e.g., Aidman et al., 2015), alerts (e.g., Fitzharris et al., 2017), and tuning the level of automation (e.g., Hayashi et al., 2021).”
Howard, M. E., & Horrey, W. J. (2024) · Sleep · doi:10.1093/sleep/zsae220 · Cited by 2
“Other advanced driver assistance systems, such as lane departure warnings, lane keeping assist, and automated driving systems that take over vehicle operation are also becoming wide spread.”
Operating a remote autonomous train: degradation of senses and cooperation
Berdal, Q., Michel, E., Richard, P., & Paglia, C. (2023) · Ergonomie Et Informatique Avancée · doi:10.1145/3624323.3624330 · Cited by 3 · see citing works
“Il est important de noter cependant que les travaux pris en référence ([3]) portent sur un contexte différent et se limitent à un indicateur unique.”
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“…et al., 2017), caffeine and naps (Horne & Reyner, 1996), increasing arousal levels through auditory signals (Nazari et al., 2017), and technology (Aidman et al., 2015) – have shown promise, but are not prevalent because they pose a significant burden on hospitals and nurses to implement…”
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“2015), driver’s drowsiness has been considered one of the most significant facts causing the accidents (Aidman et al. 2015; Zhang & Chan 2014).”
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“It was also reported that subjects who were less drowsy achieved higher performance when doing basic tasks [11][12].”
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Driver Fatigue Detection Based on Multiple Physiological Signals and an Improved Deep Belief Network
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“Wang et al. [ 23] verified that cervical lumbar electromyography electromyography ( Based on above literatures review, in the real-time driver fatigue detection field, the selection of signals, denoising methods, and classification methods are still challenges [1, 24].”
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“This interpretation is aligned with other research on drowsy driving feedback that has shown that drivers improve subjective assessments after receiving feedback on their drowsiness (Aidman et al., 2015).”
ResultPsychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test
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“A society’s position on this dimension is reflected in whether people’s self-image is defined in terms of “I” or “we” [10].”
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Driver speed dynamics in pedestrian crossing warnings: A multilevel functional regression approach
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“21,22 Additionally, these studies demonstrated an improvement in objectively measured harsh braking and self-reported safe-distance keeping, although other self-reported measures of responsiveness or lane keeping did not differ.”
Detecting Drowsy Driving Through Eye Closure and Yawning : Azure Custom Vision System
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“Investigating the efficacy of signals at 3100 Hz and 450 Hz, the study found that 92% of individuals awoke from the latter, demonstrating its effectiveness [7].”
Analysis of a Driver's Visual Behaviour and its Relationship with the Smart Road Context
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“In several studies [4]–[10], researchers used different driving data and have proposed various driving performance metrics.”
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“Further, studies such as [7] use driver response feedback monitoring systems.”
An offline autonomous vehicular actuator control system
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“One of the major contributory factors to fatal car crashes has been identified as driver fatigue [2].”
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- Authors
- Aidman, E., Chadunow, C., Johnson, K., & Reece, J.
- Affiliations
- The University of Sydney (AU)
- Defence Science and Technology Group (AU)
- ACAP University College (AU)
- Corresponding author
- Aidman, Eugene
- Venue
- Accident Analysis & Prevention
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 81
- Pages
- 8-13
- ISSN
- 0001-4575 (ISSN-L)
- OpenAlex
- W2047332672
- Cited by
- 92
- References
- 40
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 7 · 2023: 7 · 2022: 5 · 2021: 13 · 2020: 11 · 2019: 10 · 2018: 10 · 2017: 5 · 2016: 7
- FWCI
- 11.06
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Accident Analysis & Prevention (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RMIT Research Repository (RMIT University Library) (submittedVersion, other-oa)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Social Psychology › Human-Automation Interaction and Safety
- Life Sciences › Neuroscience › Cognitive Neuroscience › Mind wandering and attention
- Keywords
- driver drowsiness, real-time feedback, driver alertness, eye movement recording, military vehicle drivers, driving performance, circadian rhythm, fatigue monitoring, road safety
- MeSH terms
- Accidents, Traffic, Adult, Attention, Automobile Driving, Biofeedback, Psychology, Blinking, Electrooculography, Fatigue, Female, Humans, Male, Middle Aged, Signal Processing, Computer-Assisted, Sleep Stages, Young Adult, Self Report
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