TY - JOUR
T1 - Self-Reported Driving Difficulty, Avoidance, and Negative Emotion With On-Road Driving Performance in Older Adults With Glaucoma
AU - Sabapathypillai, Sharon L.
AU - Perlmutter, Monica S.
AU - Barco, Peggy
AU - Wilson, Bradley
AU - Gordon, Mae
AU - Carr, David
AU - Bhorade, Anjali M.
N1 - Funding Information:
Financial Disclosures: Anjali Bhorade, National Eye Institute R01EY026199; Mae Gordon, Washington University Institute of Clinical and Translational Sciences, National Institute of Health/National Eye Institute UG1 EY025182, UG1 EY025181, R21 EY030524, P30 EY02687, R01 EY026199, R01 EY026641; Brad Wilson, National Institute of Health/National Eye Institute R21 EY031125, UG1 EY025183, UG1 EY025182, R01 EY026199; David Carr, Missouri Department of Transportation, Missouri Foundation of Health; Consulting relationships with the Traffic Injury Research Foundation, Medscape, Alzheimer's Association, UpToDate, and the Gatesworth Communities; Drug Industry Sponsored Trials as site PI; the Graduate/Hoffman La Roche and Green Valley/Green Memory. The funding organizations listed above had no role in the design or conduct of this research. All authors attest that they meet the current ICMJE criteria for authorship.
Funding Information:
Funding/Support: This work was supported by awards from the National Eye Institute (R01 EY026199), unrestricted grants from Research to Prevent Blindness, and NIH Vision Core Grant P30 EY02687.
Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/9
Y1 - 2022/9
N2 - PURPOSE: To investigate the relationship between self-perceived driving difficulty, driving avoidance, and negative emotion about driving with glaucoma severity and on-road driving performance. DESIGN: Cohort study. METHODS: Glaucoma patients (n = 111), aged 55 to 90 years, with mild, moderate, and advanced glaucoma in the better-eye based on the Glaucoma Staging System, and age-matched controls (n = 47) were recruited from a large tertiary academic center. Self-reported questionnaires were administered by a trained occupational therapist followed by a standardized on-road driving evaluation (pass vs “at-risk” score) with a masked and certified driving rehabilitation specialist. RESULTS: Compared to controls, glaucoma participants reported greater driving difficulty with as early as mild glaucoma (P = .0391) and negative emotion about driving starting with moderate glaucoma (P = .0042). Glaucoma participants reporting at least 1 driving difficulty and negative emotion had a 3.3-fold (adjusted odds ratio [OR] = 3.3; 95% CI = 1.24-8.52; P = .0163) and 4.2-fold (adjusted OR = 4.2; 95% CI = 1.5-12.2; P = .0078) greater odds, respectively, of an at-risk score on the on-road test. Self-reported driving difficulty in “difficult” conditions (P = .0019), rain (P = .0096), interstates (P = .0378), and high traffic (P = .0076), driving avoidance on sunny (P = .0065) and cloudy (P = .0043) days, and driving fewer days per week (P = .0329) were also associated with at-risk driving. CONCLUSIONS: Screening tools that assess self-perceived driving difficulty and driving avoidance in specific conditions, negative emotion about driving, and driving exposure may help identify unsafe drivers with glaucoma. Some of these drivers, particularly those with modest glaucoma, may benefit from a driving evaluation and early referral to resources that could enable them to continue driving safely and confidently.
AB - PURPOSE: To investigate the relationship between self-perceived driving difficulty, driving avoidance, and negative emotion about driving with glaucoma severity and on-road driving performance. DESIGN: Cohort study. METHODS: Glaucoma patients (n = 111), aged 55 to 90 years, with mild, moderate, and advanced glaucoma in the better-eye based on the Glaucoma Staging System, and age-matched controls (n = 47) were recruited from a large tertiary academic center. Self-reported questionnaires were administered by a trained occupational therapist followed by a standardized on-road driving evaluation (pass vs “at-risk” score) with a masked and certified driving rehabilitation specialist. RESULTS: Compared to controls, glaucoma participants reported greater driving difficulty with as early as mild glaucoma (P = .0391) and negative emotion about driving starting with moderate glaucoma (P = .0042). Glaucoma participants reporting at least 1 driving difficulty and negative emotion had a 3.3-fold (adjusted odds ratio [OR] = 3.3; 95% CI = 1.24-8.52; P = .0163) and 4.2-fold (adjusted OR = 4.2; 95% CI = 1.5-12.2; P = .0078) greater odds, respectively, of an at-risk score on the on-road test. Self-reported driving difficulty in “difficult” conditions (P = .0019), rain (P = .0096), interstates (P = .0378), and high traffic (P = .0076), driving avoidance on sunny (P = .0065) and cloudy (P = .0043) days, and driving fewer days per week (P = .0329) were also associated with at-risk driving. CONCLUSIONS: Screening tools that assess self-perceived driving difficulty and driving avoidance in specific conditions, negative emotion about driving, and driving exposure may help identify unsafe drivers with glaucoma. Some of these drivers, particularly those with modest glaucoma, may benefit from a driving evaluation and early referral to resources that could enable them to continue driving safely and confidently.
UR - http://www.scopus.com/inward/record.url?scp=85132777950&partnerID=8YFLogxK
U2 - 10.1016/j.ajo.2022.04.011
DO - 10.1016/j.ajo.2022.04.011
M3 - Article
C2 - 35504303
AN - SCOPUS:85132777950
SN - 0002-9394
VL - 241
SP - 108
EP - 119
JO - American Journal of Ophthalmology
JF - American Journal of Ophthalmology
ER -