Dawson Jeffrey D, Rizzo Matthew, Anderson Steven W, Dastrup Elizabeth, Uc Ergun Y
Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA.
Proc Int Driv Symp Hum Factors Driv Assess Train Veh Des. 2009 Dec 1;2009:154-160.
Parkinson's disease (PD) impairs driving performance, and simulator studies have shown increased crashes compared to controls. In this pilot study, eight drivers with PD participated in three drive sessions with multiple simulator intersections of varying visibility and traffic load, where an incurring vehicle posed a crash risk. Over the course of the three sessions (once every 1-2 weeks), we observed reduction in crashes (p=0.059) and reaction times (p=0.006) to the vehicle incursion. These findings suggest that our simulator training program is feasible and potentially useful in drivers with PD. Future research questions include transfer of training to different driving tasks, duration of benefit, and the effect on long term real life outcomes in comparison to a standard intervention (e.g., driver education class) in a randomized trial.
帕金森病(PD)会损害驾驶性能,模拟器研究表明,与对照组相比,帕金森病患者的撞车事故增多。在这项试点研究中,八名帕金森病患者驾驶员参与了三次驾驶课程,课程中有多个能见度和交通负荷各异的模拟交叉路口,其中有一辆引发事故的车辆构成撞车风险。在这三次课程期间(每隔1 - 2周进行一次),我们观察到对车辆突然闯入的撞车事故(p = 0.059)和反应时间(p = 0.006)有所减少。这些发现表明,我们的模拟器训练计划对帕金森病患者驾驶员是可行的且可能有用。未来的研究问题包括训练向不同驾驶任务的转移、受益持续时间,以及与随机试验中的标准干预措施(如驾驶员教育课程)相比,对长期现实生活结果的影响。