Cognitive Training Decreases Motor Vehicle Collision Involvement of Older Drivers
Open accessAbstract
OBJECTIVES: To test the effects of cognitive training on subsequent motor vehicle collision (MVC) involvement of older drivers. DESIGN: Randomized, controlled, multisite, single‐blind clinical trial. SETTING: Community‐dwelling seniors at four U.S. sites: Birmingham, Alabama; Baltimore, Maryland; Indianapolis, Indiana; and State College, Pennsylvania. PARTICIPANTS: Nine hundred eight older drivers (mean age 73.1; 18.6% African American) who were randomized to one of three cognitive interventions or a control condition. INTERVENTIONS: Up to 10 sessions of cognitive training for memory, reasoning, or speed of processing. MEASUREMENTS: State‐recorded MVC involvement up to 6 years after study enrollment. RESULTS: Speed‐of‐processing and reasoning training resulted in lower rates of at‐fault collision involvement over the subsequent approximately 6‐year period than controls. After adjusting for age, sex, race, education, mental status, health, vision, depressive symptoms, and testing site, participants randomized to the speed‐of‐processing and reasoning interventions had an approximately 50% lower rate (per person‐mile) of at‐fault MVCs than the control group (rate ratio (RR)=0.57, 95% confidence interval (CI)=0.34–0.96 for speed of processing), and (RR=0.50, 95% CI=0.27–0.92 for reasoning). There was no significant difference observed for the memory group. CONCLUSION: Cognitive speed‐of‐processing and reasoning training resulted in a lower at‐fault MVC rate in older drivers than in controls. Considering the importance of driving mobility, the costs of crashes, and the benefits of cognitive training, these interventions have great potential to sustain independence and quality of life of older adults. More research is needed to understand the effects of different types and quantities of training.
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The ACTIVE study found that cognitive training groups demonstrated improvements on trained tasks which remained over time and evidence of transfer to functional tasks.
“The Advanced Cognitive Training in Vital Elderly (ACTIVE) study examined the longitudinal effects of cognitive training in 2,832 older adults [10]. Cognitive training groups demonstrated improvements on trained tasks which remained over time and evidence of transfer to functional tasks [10–12].”
From Primary outcome from the augmenting cognitive training in older adults study (ACT): A tDCS and cognitive training randomized clinical trial (2023) · cites this paper as [12]
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- Authors
- Ball, K., Edwards, J. D., Ross, L. A., & McGwin, Jr.
- Affiliations
- University of Alabama at Birmingham (US)
- University of South Florida (US)
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2010-11
- Volume
- 58
- Issue
- 11
- Pages
- 2107-2113
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- PMC
- PMC3057872
- OpenAlex
- W2109077430
- Cited by
- 256
- References
- 48
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 14 · 2023: 12 · 2022: 10 · 2021: 17 · 2020: 17 · 2019: 17 · 2018: 17 · 2017: 24 · 2016: 26 · 2015: 20 · 2014: 26 · 2013: 21 · 2012: 14
- FWCI
- 35.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R03AG023078, U01 AG14282, U01AG014260, U01 AG 14263, U01AG14260, U01-AG14289, U01AG014289, U01AG014263, U01AG014276, U01AG014282, U01 AG14276)
- National Institute of Nursing Research (U01NR004507, U01NR04507, U01NR004508, U01 NR04508)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Older Adults Driving Studies
- Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- cognitive training, older drivers, traffic accidents, processing speed, reasoning training, memory training, at-fault crashes, driving safety, cognitive aging, older adults
- MeSH terms
- Accidents, Traffic, Aged, Female, Humans, Male, Cognitive Behavioral Therapy, Single-Blind Method
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