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Road corridors contain countless sources of distraction, each carrying the potential to draw drivers' eyes and minds off roads, thus increasing the risk of a crash. While the impact of billboards on driver distraction has received considerable attention, empirical data for other types of roadside advertising signs is very limited. Furthermore, the existing research examining other potential external sources of distraction is fragmentary, which makes it difficult to develop evidence-based road safety policies to mitigate risk. Therefore, the aim of this study was to conduct an exploratory review to ascertain and synthesise the available distraction-related literature for various types of roadside advertising signs (excluding billboards) and other potential external sources of distraction in the road corridor. Based on distraction-related theory and existing literature, 58 predefined categories of potential distraction sources were developed to guide an exploratory literature search using the Scopus database. Fourteen documents relating to external distraction sources were identified in the database search with a further five studies found using a backwards citation chaining search (N=19). However, no studies for non-billboard types of roadside advertising signs were found. Studies included those that investigated driver distraction in relation to construction zones, commercial logos contained within official traffic management Dynamic Message Signs (DMS) and service (logo) signs, drones, murals, roadside memorials and wind turbines. While one study investigated whether an external source of distraction can have a positive effect on driver behaviour, the remainder focused on the potential negative impacts on road safety of these sources of distraction. A key finding of the review is that crash risk increases when drivers continue to visually and cognitively engage with a source of distraction. Overall, the studies provide insights into the types of distractions that can be encountered in road corridors and the impact they can have on driver behaviour. However, more research is required before the mechanisms and pathways involved in these types of distractions can be effectively conceptualised, and thereby mitigated to reduce the burden of distraction risk and road trauma., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Distracted driving is a traffic safety issue worldwide. While the development of comprehensive information and road rules about distracted driving by governments is essential to address the issue, there is evidence showing that existing road rules and information may not always deter drivers from engaging in distractions while driving. Therefore, this study explored drivers' views on government information and road rules concerning distracted driving, aiming to understand how these rules and information have shaped drivers' perceptions and behaviour towards distractions. Interviews (n = 35) were conducted with Queensland drivers aged between 21 and 70 years and a thematic analysis was used to explore the data. Based on the findings, government information on distracted driving was believed by participants to be incomprehensive, not effectively communicated, and focused on mobile phone use. Road rules and enforcement measures often prioritise mobile phone use and contain grey areas that may confuse drivers about legal and illegal distractions. The results showed that the perceived risk of distractions varies among drivers, with some distractions not being considered as risky as other behaviours (e.g., using a smartwatch). Findings showed that government practices are believed to influence drivers' perceptions and behaviour about distracted driving, encouraging an inaccurate perception about driver safety and with the potential to prompt drivers to engage with distracting behaviours without knowledge nor consideration of the risks. The results of this study offer important insights for policymakers in developing and disseminating comprehensive information and road rules for distracted driving., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Background: Inexperienced adolescent drivers are particularly susceptible to engaging in distracted driving behaviors (DDBs) such as texting while driving (TWD). Traditional driver education approaches have shown limited success in reducing motor vehicle crashes among young drivers., Objective: We tested an innovative approach to help address the critical issue of DDB among teenagers. We investigated the effectiveness of using a novel virtual reality (VR) game "Distracted Navigator" to educate novice teenage drivers about DDB., Methods: The game consisted of maneuvering a spaceship around asteroids while engaging in simulated DDB (eg, inputting numbers into a keypad). A physician-facilitated discussion, based on the theory of planned behavior, linked gameplay to real-life driving. Teenagers were recruited for the in-person study and randomly assigned at the block level to intervention (VR gameplay or discussion) and control groups (discussion only), approximating a 2:1 ratio. Unblinded, bivariate statistical analyses (all 2-tailed t tests or chi-square tests) and regression analyses measured programming impact on TWD-related beliefs and intentions. Content analysis of focus group interviews identified thematic feedback on the programming., Results: Of the 24 participants, 15 (63%) were male; their ages ranged from 14 to 17 (mean 15.8, SD 0.92) years, and all owned cell phones. Compared to the control group (n=7, 29%), the intervention group (n=17, 71%) was more likely to report that the programming had positively changed how they felt about texting and driving (? 2 18 =-8.3; P=.02). However, specific TWD attitudes and intentions were not different by treatment status. Irrespective of treatment, pre- and postintervention scores indicated reduced confidence in safely TWD (ie, perceived behavioral control; β=-.78; t 46 =-2.66; P=.01). Thematic analysis revealed the following: (1) the VR gameplay adeptly portrayed real-world consequences of texting and driving, (2) participants highly valued the interactive nature of the VR game and discussion, (3) both the VR game and facilitated discussion were deemed as integral and complementary components, and (4) feedback for improving the VR game and discussion., Conclusions: Our findings show that the novel use of immersive VR experiences with interactive discussions can raise awareness of DDB consequences and is a promising method to enhance driving safety education. The widespread accessibility of VR technology allows for scalable integration into driver training programs, warranting a larger, prospective, randomized study., (©Colleen M Peterson, Timothy Visclosky, Carol A Flannagan, Prashant Mahajan, Andrew Gabanyicz, Jean-Jacques Bouchard, Vincent Cervantes, William Gribbin, Andrew Nobuhide Hashikawa. Originally published in JMIR Formative Research (https://formative.jmir.org), 26.11.2024.)

Objective: To examine changes in red-light running and distracted riding among motorcyclists and cyclists before and after the 2020 implementation of the One Helmet, One Seatbelt campaign in China., Methods: We obtained 192 hours of film before (2019) and after (2021) implementation of the campaign in eight road intersections in Changsha. We calculated percentages and ratios of red-light running and distracted riding. To assess the associations between these traffic behaviours and the campaign, we used multivariable logistic regression models to calculate adjusted odds ratios (aOR)., Findings: We filmed 5256 motorcyclists and cyclists in 2019 and 6269 in 2021. Red-light running decreased from 45.1% to 41.5% during this period (ratio: 0.92; 95% confidence interval, CI: 0.88-0.96), while distracted riding increased from 3.5% to 5.0% (ratio: 1.42; 95% CI: 1.19-1.69). After adjusting for covariates, male riders were more likely to run a red light compared to female riders (aOR: 1.28; 95% CI: 1.06-1.55). Red-light running was also more likely among electric bicycle riders (aOR: 1.46; 95% CI: 1.10-1.95) and motorcyclists (aOR: 1.47; 95% CI: 1.13-1.90) compared to traditional cyclists. All types of riders were less prone to run a red light during peak hours than off-peak hours (aOR: 0.85; 95% CI: 0.73-0.99). Distracted riding was more common on weekends compared to weekdays (aOR: 3.01; 95% CI: 2.02-4.49)., Conclusion: China's national road safety campaign, which focuses on helmet and seatbelt use, was associated with reduced red-light running. Strict enforcement and targeted modifications could improve the campaign's effectiveness., ((c) 2024 The authors; licensee World Health Organization.)

Distracted driving is responsible for nearly 1 million crashes each year in the United States alone, and a major source of driver distraction is handheld phone use. We conducted a randomized, controlled trial to compare the effectiveness of interventions designed to create sustained reductions in handheld use while driving (NCT04587609). Participants were 1,653 consenting Progressive® Snapshot® usage-based auto insurance customers ages 18 to 77 who averaged at least 2 min/h of handheld use while driving in the month prior to study invitation. They were randomly assigned to one of five arms for a 10-wk intervention period. Arm 1 (control) got education about the risks of handheld phone use, as did the other arms. Arm 2 got a free phone mount to facilitate hands-free use. Arm 3 got the mount plus a commitment exercise and tips for hands-free use. Arm 4 got the mount, commitment, and tips plus weekly goal gamification and social competition. Arm 5 was the same as Arm 4, plus offered behaviorally designed financial incentives. Postintervention, participants were monitored until the end of their insurance rating period, 25 to 65 d more. Outcome differences were measured using fractional logistic regression. Arm 4 participants, who received gamification and competition, reduced their handheld use by 20.5% relative to control ( P < 0.001); Arm 5 participants, who additionally received financial incentives, reduced their use by 27.6% ( P < 0.001). Both groups sustained these reductions through the end of their insurance rating period., Competing Interests: Competing interests statement:While involved with this research, W.J.F., K.L.G., and W.C.E. were employed by The Progressive Corporation. As employees of the company, W.J.F., K.L.G., and W.C.E. owned stock in The Progressive Corporation. K.G.V. is part owner of a consulting company, VALHealth. F.K.W. has an intellectual property and financial interest in Diagnostic Driving, Inc. The Children’s Hospital of Philadelphia (CHOP) has an institutional interest in Diagnostic Driving, Inc. Diagnostic Driving, Inc., created a virtual driving assessment system that is used in Ohio as an assessment at licensing centers and in driving schools to assess driver training programs but not used in this study. Flaura K. Winston serves as the chief scientific advisor of Diagnostic Driving, Inc. This potential conflict of interest is managed under a conflict-of-interest management plan from CHOP and the University of Pennsylvania.

Despite the implementation of legal countermeasures, distracted driving remains a prevalent concern for road safety. This systematic review (following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines) summarised the literature on the impact of interventions targeting attitudes/intentions towards, and self-reported engagement in, distracted driving. Studies were eligible for this review if they examined self-reported behaviour/attitudes/intentions pertaining to distracted driving at baseline and post-intervention. Databases searched included PubMed, ProQuest, Scopus, and TRID. The review identified 19 articles/interventions, which were categorised into three intervention types. First, all program-based interventions (n = 6) reduced engagement in distracted driving. However, there were notable limitations to these studies, including a lack of control groups and difficulties implementing this intervention in a real-world setting. Second, active interventions (n = 9) were commonly utilised, yet a number of studies did not find any improvements in outcomes. Finally, four studies used a message-based intervention, with three studies reporting reduced intention and/or engagement in distracted driving. There is opportunity for message-based interventions to be communicated effortlessly online and target high-risk driving populations. However, further research is necessary to address limitations highlighted in the review, including follow-up testing and control groups. Implications are discussed with particular emphasis on areas where further research is needed., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Introduction: Highly automated driving is expected to reduce the accident risk occurrence by human errors, but it can also increase driver distraction. Previous evidence shows that auditory signals can help drivers take over in critical situations. However, it is still uncertain whether the potential benefit of verbal auditory signals could be generalized to driving situations where drivers are visually and auditorily distracted., Method: Our first objective was to compare the effectiveness of complementary audio messages (audio + visual condition) and visual only (visual condition) variable message signs (VMS) messages. The second objective was to explore the potential use of oral messages with traffic information to help highly-automated vehicle drivers identify critical situations. Eye-tracking data were also registered. Twenty-four volunteers participated in a driving simulator study, completing two tasks: (a) a TV series task, where they had to pay attention to an episode of a TV series while traveling along the route; and (b) a VMS task, where they had to recover the manual control of the car if the VMS message was a 'critical message.', Results: General results showed that, when the audio was available, the participants: (a) had a higher ability to discriminate the VMS messages, (b) were less conservative, (c) responded earlier, and (d) their pattern of fixations was more efficient. A complementary analysis showed that the counterbalance order was a moderating factor for the discrimination ability and the response distance measures. This evidence suggests a potential learning effect, not cancelled by counterbalancing the order of the conditions., Conclusion: The processing of traffic messages may improve when provided as oral and visual messages., Practical Applications: These results would be of special interest for engineers designing highly automated cars, considering that the design of automated systems must ensure that the driver's attention is sufficient to take over control., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

This review aimed to quantitatively summarize the evidence concerning the effectiveness of psychoeducational interventions on driving behavior. A final pool of 138 studies, totaling approximately 97,000 participants, was included in the analyses and covered all types of driving behavior targeted by the interventions. Using a random effects model, significant results were found for almost all driving outcomes, both post-intervention and long-term. The strongest effect was for reducing distracted driving at post-intervention (d = 1.87 [1.12, 2.60], Z = 4.94, p < 0.001). The only non-significant effects were for reducing errors in the long term (d = 0.50 [-0.87, 1.86], Z = 0.71, p = 0.48) and driving under the influence at post-intervention (d = 0.35 [0.00, 0.71], Z = 1.96, p = 0.05). Concerning which type of intervention was more effective, feedback, training and motivational ones appear to work best. Educational interventions show only weak effects, while awareness interventions seem mostly ineffective. Overall, our results show that most interventions can reduce different types of driving behaviors, but there are specific aspects to be considered based on the targeted behavior., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Distracted driving increases the crash frequencies on the road and subsequently leads to fatalities involved with crashes. As technology has evolved, drivers are continuously exposed to newer technology in their vehicles and applications in their phones, which has led to technology representing one of the main secondary tasks that distract drivers on the road. The impact of technology-involved distraction appears to be different by the type of distraction since a secondary task that can be exceedingly distracting to the driver causes more reckless and risky driving. Moreover, the impact of distracted driving may differ by roadway geometries since distracted drivers' performance may vary depending on how actively they interact with other vehicles or surrounding environments. This study aims to understand the impacts of smartphone application distractions, in particular social media activities (e.g., video, feed, message), on different road geometries using a mixed-method analysis consisting of a survey, a driving simulator experiment, and individual interview. Results from the interview and simulation experiments show that most social media activities cause unsafe lane changes regardless of road geometry. Among various social-media activities, watching reels (videos) represent an unintentional but deeper level of engagement that consequently causes a driver to deviate in their lane, make unintentional lane changes, suddenly change their speed and acceleration, and headway. The interview also revealed varying levels of risk perception about distracted driving, in particular the lower level of risk perception in using GPS and music applications. This study concludes that the distractions caused by smartphone applications and social media activities combined with lower awareness and risk perception could significantly elevate the crash risks., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Driver distraction and inattention have been found to be major contributors to a large number of serious road crashes. It is evident that distraction reduces to a great extent driver perception levels as well as their decision making capability and the ability of drivers to control the vehicle. An effective way to mitigate the effects of distraction on crash probability, would be through monitoring the mental state of drivers or their driving behaviour and alerting them when they are in a distracted state. Towards that end, in recent years, several inexpensive and effective detection systems have been developed in order to cope with driver inattention. This study endeavours to critically review and assess the state-of-the-art systems and platforms measuring driver distraction or inattention. A thorough literature review was carried out in order to compare and contrast technologies that can be used to detect, monitor or measure driver's distraction or inattention. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The results indicated that in most of the identified studies, driver distraction was measured with respect to its impact to driver behaviour. Real-time eye tracking systems, cardiac sensors on steering wheels, smartphone applications and cameras were found to be the most frequent devices to monitor and detect driver distraction. On the other hand, less frequent and effective approaches included electrodes, hand magnetic rings and glasses., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Driving simulator studies are popular means to investigate driving behaviour in a controlled environment and test safety-critical events that would otherwise not be possible in real-world driving conditions. While several factors affect driving performance, driving distraction has been emphasised as a safety-critical issue across the globe. In this context, this study explores the impact of distraction imposed by mobile phone usage, i.e., writing and reading text messages, on driver behaviour. As part of the greater i-DREAMS project, this study uses a car driving simulator experimental design in Germany to investigate driver behaviour under various conditions: (I) monitoring scenario representing normal driving conditions, (II) intervention scenario in which drivers receive fixed timing in-vehicle intervention in case of unsafe driving manoeuvres, and (III) distraction scenario in which drivers receive in-vehicle interventions based on task completion capability, where mobile phone distraction is imposed. Besides, eye-tracking glasses are used to further explore drivers' attention allocation and eye movement behaviour. This research focuses on driver response to risky traffic events (i.e., potential pedestrian collisions, and tailgating) and the impact of distraction on driving performance, by analysing a set of eye movement and driving performance measures of 58 participants. The results reveal a significant change in drivers' gaze patterns during the distraction drives with significantly higher gaze points towards the i-DREAMS intervention display (the utilised advanced driver assistance systems in this study). The overall statistical analysis of driving performance measures suggests nearly similar impacts on driver behaviour during distraction drives; a higher deviation of lateral positioning was noted irrespective of the event risk levels and lower longitudinal acceleration rates were observed for pedestrian collisions and non-critical events during distracted driving., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Objective: The aim of this study is to evaluate undergraduate college students' attitude changes toward distracted driving after participating in a multifaceted distracted driving prevention program., Methods: This study used a quasi-experimental, pre- post-test design. Participants were undergraduate college students who were aged 18 or older and had a valid driver's license. The Questionnaire Assessing Distracted Driving was used to measure participants' attitudes and behaviors. All participants completed the entire Questionnaire Assessing Distracted Driving survey and then participated in the distracted driving prevention program that consisted of a 10-minute narrated recorded PowerPoint lecture followed by a distracted driving simulation. Descriptive statistics were calculated to describe the study sample. The Questionnaire Assessing Distracted Driving data were analyzed to ascertain any statistically significant changes in responses from pre- to postintervention., Results: From pre- to post-test, there were statistically significant increases in the number of participants who reported they would tell friends to stop texting and driving if they were a passenger, refrain from texting while driving, and wait until reaching home before retrieving their cell phones from the floor of the vehicle. Participants perceived a greater threat from drivers talking on phones or texting/emailing from pre- to post-test. Moreover, attitudes toward talking on a handheld device, talking on a hands-free phone, and texting/emailing became more negative from pre- to post-test., Conclusion: The intervention helped promote negative attitudes toward distracted driving in a sample of college students immediately after participating in a distracted driving prevention program., (Copyright © 2023 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.)

Braking is an important characteristic of driving behaviour that has a direct relationship with rear-end collisions in a car-following task. Braking becomes more crucial when drivers' cognitive workload increases because of using mobile phones whilst driving. This study, therefore, investigates and compares the effects of using mobile phones whilst driving on braking behaviour. Thirty-two young licenced drivers, evenly split by gender, faced a safety-critical event, that is, leader's hard braking, in a car-following situation. Each participant drove the CARRS-Q Advanced Driving Simulator and was required to respond to a braking event in the simulated environment in three phone conditions: baseline (no phone conversation), handheld, and hands-free. A random parameters duration modelling approach is employed to (i) model drivers' braking (or deceleration) times using a parametric survival model, (ii) capture unobserved heterogeneity associated with braking times, and (iii) account for repeated experiment design. The model identifies the handheld phone condition as a random parameter whilst vehicle dynamics variables, hands-free phone condition, and driver-specific variables are found as fixed parameters. The model suggests that most distracted drivers (in the handheld condition) reduce their initial speeds more slowly than undistracted drivers, reflecting their delayed initial braking that may lead to abrupt braking to avoid a rear-end collision. Further, another group of distracted drivers exhibits faster braking (in the handheld condition), recognising the risk associated with mobile phone usage and delayed initial braking. Provisional licence holders are found to be slower in reducing their initial speeds than open licence holders, indicating their risk-taking behaviour because of their less experience and more sensitivity to mobile phone distraction. Overall, mobile phone distraction appears to impair the braking behaviour of young drivers, which poses significant safety concerns for traffic streams., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Objectives: Distracted driving such as reading phone messages during driving is risky, as it increases the probability of severe crashes. This study proposes an XGBoost model for visual distraction detection based on vehicle dynamics data from a driving simulation study., Methods: A simulated driving experiment involving thirty-six drivers was launched. We obtained the vehicle dynamics parameters required for the model using the time window and fast Fourier transform methods, totaling 26 items. Meanwhile, the effects of varied time window sizes (1-7 s) and amount of input indications on model performance were studied., Results: By conducting a comparative analysis, it has been determined that the ideal time window size is 5 s. Additionally, the optimal number of input indicators was found to be 23. The XGBoost model for distinguishing distractions achieved an accuracy rate of 85.68%, a precision rate of 85.83%, a recall rate of 83.85%, an F1 score of 84.82%, and an AUC value of 0.9319, which were higher than SVM and RF. The gain-based feature rank demonstrated that the standard deviation of vehicle sideslip rate and the mean amplitude of the 0-1 Hz spectrum component of the steering wheel angle were more crucial than other features., Conclusions: The research results indicate that the steering wheel angle and vehicle sideslip angle may be more conducive to identifying distractions. This XGBoost model could potentially be applied in advanced driving assistant systems (ADAS) to warn driver and reduce cellphone involved distracted driving.

Distracted driving is among the leading causes of roadway crashes worldwide. However, due to limitations of police-reported crash data, it is often challenging to understand the nature and magnitude of this problem. Distraction has also been shown to affect driver speed selection, which is important as both mean speed and speed variance have substantive impacts on crash risk. This study utilizes naturalistic driving data to investigate the relationship between the engagement in various secondary (non-driving) tasks and driver speed selection under different driving contexts. Separate analyses were conducted for low-speed and high-speed driving environments. Two-way random effects linear regression models were estimated for both speed regimes, while controlling for driver, roadway, and traffic characteristics. The differences were assessed based upon ten types of secondary tasks. In general, engagement in all tasks was found to decrease speeds in high-speed environments while the effects were mixed in low-speed settings. The changes in speeds were much pronounced for secondary tasks that include a combination of visual, manual, and cognitive distractions, such as cell phone use. Among all secondary tasks, an average episode of a driver talking on a handheld cellphone was associated with a 6-mph speed reduction in high-speed environments, but a 3.5-mph increase in low-speed settings. In addition to examining impacts on speed selection, the risk of involvement in crash and near-crash events was also evaluated in consideration of the type and duration of distraction. Interestingly, distractions tended to show similar relationships, in both direction and magnitude, with the risk of involvement in both crash and near-crash events. From a policy standpoint, this study provides further motivation for legislation and other programs aimed at curbing distracted driving., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Background: Teens with attention deficit-hyperactivity disorder (ADHD) are at increased risk for motor vehicle collisions. A computerized skills-training program to reduce long glances away from the roadway, a contributor to collision risk, may ameliorate driving risks among teens with ADHD., Methods: We evaluated a computerized skills-training program designed to reduce long glances (lasting ≥2 seconds) away from the roadway in drivers 16 to 19 years of age with ADHD. Participants were randomly assigned in a 1:1 ratio to undergo either enhanced Focused Concentration and Attention Learning, a program that targets reduction in the number of long glances (intervention) or enhanced conventional driver's education (control). The primary outcomes were the number of long glances away from the roadway and the standard deviation of lane position, a measure of lateral movements away from the center of the lane, during two 15-minute simulated drives at baseline and at 1 month and 6 months after training. Secondary outcomes were the rates of long glances and collisions or near-collisions involving abrupt changes in vehicle momentum (g-force event), as assessed with in-vehicle recordings over the 1-year period after training., Results: During simulated driving after training, participants in the intervention group had a mean of 16.5 long glances per drive at 1 month and 15.7 long glances per drive at 6 months, as compared with 28.0 and 27.0 long glances, respectively, in the control group (incidence rate ratio at 1 month, 0.64; 95% confidence interval [CI], 0.52 to 0.76; P<0.001; incidence rate ratio at 6 months, 0.64; 95% CI, 0.52 to 0.76; P<0.001). The standard deviation of lane position (in feet) was 0.98 SD at 1 month and 0.98 SD at 6 months in the intervention group, as compared with 1.20 SD and 1.20 SD, respectively, in the control group (difference at 1 month, -0.21 SD; 95% CI, -0.29 to -0.13; difference at 6 months, -0.22 SD; 95% CI, -0.31 to -0.13; P<0.001 for interaction for both comparisons). During real-world driving over the year after training, the rate of long glances per g-force event was 18.3% in the intervention group and 23.9% in the control group (relative risk, 0.76; 95% CI, 0.61 to 0.92); the rate of collision or near-collision per g-force event was 3.4% and 5.6%, respectively (relative risk, 0.60, 95% CI, 0.41 to 0.89)., Conclusions: In teens with ADHD, a specially designed computerized simulated-driving program with feedback to reduce long glances away from the roadway reduced the frequency of long glances and lessened variation in lane position as compared with a control program. During real-world driving in the year after training, the rate of collisions and near-collisions was lower in the intervention group. (Funded by the National Institutes of Health; ClinicalTrials.gov number, NCT02848092.)., (Copyright © 2022 Massachusetts Medical Society.)

With the popularity of smartphones and the increasing dependence on cellphones, cellphone-use-involved distracted driving has become a global traffic safety concern. Calling, texting, or watching videos while driving could have harmful impacts on driving abilities and increase crash-injury severities. To investigate the temporal stability and the heterogeneity of cellphone-involved crash injury severity determinants, a series of likelihood ratio tests and random parameters logit models with heterogeneity in means and variances are estimated. Cellphone-involved single-vehicle crash datasets of Pennsylvania from 2004 to 2019 are utilized. Marginal effects are also applied to investigate the impact of explanatory variables on injury severity outcomes. The results indicate an overall temporal instability of cellphone-involved crashes across different periods. However, driving without seatbelts and overturns are observed to produce relatively stable and positive influence on the increased injury severities of cellphone-involved crashes. Besides, it is noteworthy that a combination of cellphone usage with risky driving behaviors (aggressive driving, alcohol- or drug-related driving, speeding, or fatigue driving) significantly increase driver injury-severities. This finding highlights the necessity of identifying drivers with multiple risk-taking behaviors and enacting laws to prohibit these drivers from using cellphones while driving. Applications of smartphones provide another feasible approach to prevent using cellphones while driving. Insights and suggestions of this study would be valuable to mitigate the negative outcomes of cellphone-involved crashes and prevent the crashes caused by cellphone-involved distracted driving in the future., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Driving while distracted by smartphones is an unsafe behavior and constitutes a serious worldwide road safety issue. In line with the risk homeostasis theory, during high-speed driving, drivers perceive smartphone usage as an unwarranted risk and in most cases refrain from doing so. During low-speed driving, however, drivers often use their smartphones, as they do not perceive this as inherently unsafe, even though it is. The goal of this study was to examine an intervention, based on the risk homeostasis theory, aimed at decreasing the use of smartphones while driving at low speeds. Thirty-seven young drivers participated in the research group that aimed to alter drivers' risk perceptions, decision making, and behavior. The study also included a control group of 33 young drivers. All of the participants' smartphone usage was monitored using a dedicated application that measured both the number of times drivers touched their smartphone screens while driving and the driving speed each time the screen was touched. The results indicate that drivers in the research group decreased their smartphone usage while driving, unlike the control group drivers who did not alter their behavior. In conclusion, a risk homeostasis-based intervention can decrease dangerous and unsafe driving behavior, even when such behavior is not perceived as significantly dangerous. Furthermore, additional types of risky and unsafe driving behaviors may be decreased using this type of intervention., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Objective: Efficient and safe address entry is crucial to in-vehicle navigation systems. Although various text input methods (TIMs) are commercially available, to date, the details of the driver's interactions with these TIMs in the vehicle are poorly understood. Therefore, the effect of four alternative TIMs conditions on in-vehicle navigation displays usability and driver distraction were directly compared. For reference, the baseline driving task (distraction-free) was also investigated., Methods: A city expressway simulator experiment including 25 young drivers was launched. Under each condition, the driving task was lane-keeping with speed ranging between 40 and 60 km/h, and the navigation task was to enter a 14-characters Chinese address name. In the meantime, usability (text entry time, number of errors, and preference) and driver distraction (NASA-TLX, average speed, the standard deviation of lane position, total glance duration, number of glances, average glance duration, and number of glances exceeding 1.6 s) metrics were measured as dependent variables. A sequence of one-way repeated measure analyses of variance (ANOVA) was performed to examine which type of TIMs can maximize in-vehicle navigation displays usability and minimize driver distraction., Results: Generally, lateral driving performance deteriorated with the addition of the address inputting task, and the four alternative TIMs might fall into three levels: Speech is optimal, Qwerty followed, Shape-writing and Handwriting ranked last. Specifically, word-based speech remains performed best on all observed metrics for Chinese address names. There was an insignificant difference in text entry time and total glance duration among Qwerty, Shape-writing, and Handwriting. However, Shape-writing and Handwriting are not suitable for young drivers since the nature of uninterruptible causes excessive errors, more considerable lane position variation, longer average glance duration, and more glances exceeding 1.6 s., Conclusions: This study provides valuable insights into young drivers' interactions with four alternative TIMs. Importantly, it is beneficial to the automotive user interfaces design of in-vehicle navigation displays and other sub-functions of in-vehicle information systems (IVISs), such as music playback and text messaging, which positively mitigate driver distraction and prevent traffic injuries.

Objective: Auto-complete (AC) has become ubiquitous on domain-specific systems and is mainly divided into two types (static-AC and dynamic-AC). Specifically, static-AC only presents the possible completions not changing with user input in the suggestion list for users to select. Dynamic-AC constantly filters out inconsistent content with user input and shows the possible completions at the top of the suggestion list. However, the details of the driver's interactions with AC in the vehicle are poorly understood. Therefore, we investigated the effect of three alternative AC (non-AC, static-AC, and dynamic-AC) on the usability of in-vehicle dialing displays and driver distraction. As a reference, the baseline task (only driving) was also surveyed in each AC condition., Methods: A simulated driving experiment consisting of 24 participants was conducted. The primary task was a lane-keeping task with speed ranging between 60 and 120 km/h over the stretch. The secondary task was dialing an 11-digit phone number. Usability metrics (task completion time and number of errors) and driver distraction metrics (NASA-reduced task load index (NASA-RTLX), mean speed, lateral position variation, total glance time, number of glances, mean glance time, and number of glances over 1.6 s) in each condition were measured. A series of one-way repeated measure analyses of variance was used to examine whether and which type of AC can maximize the usability of in-vehicle dialing displays and minimize driver distraction., Results: Generally, the AC-based in-vehicle dialing display gains a more positive effect. Specifically, we observed that among the three alternative AC conditions, dynamic-AC performed optimally on usability metrics similar to previous studies and various driver distraction metrics, notwithstanding it is still not up to the level of the baseline condition. However, static-AC did not exhibit the advantages described in previous studies except for fewer errors and NASA-RTLX owing to the possibility of position bias and boundary effect., Conclusions: This study provides valuable insights into drivers' interactions with AC-based in-vehicle dialing displays and broadened its applications in safety-critical situations. More importantly, it informs the design of a more effective in-vehicle system, which positively contributes to mitigating driver distraction and preventing traffic accidents.