Bridging neurology and road safety: investigating driving behaviour in mild cognitive impairment patients

<h3>Background</h3> Older adults, especially those with cognitive issues, often alter their driving behaviours over time. Despite the cognitive demands of driving, older individuals prefer it as a crucial means to maintain mobility, lifestyle, and independence. Individuals diagnosed with Mild Cognitive Impairment (MCI) exhibit risky driving behaviours, posing potential hazards to themselves and the public. Hence, monitoring their driving habits over time becomes crucial to assess their fitness to drive and guiding recommendations for improvement or cessation based on their driving data. <h3>Methods</h3> In this project, we utilised in-car telematics technology installed in vehicles to collect driving data. We analysed the driving behaviours of 7 Healthy Older adults and 9 MCI over time, offering personalised feedback on various driving parameters such as speed, distance, nighttime driving, right-turn ratios, and hard movements during junction and roundabout approaches. Qualitative studies explored participants’ pre-feedback self-awareness and post- feedback changes in perception or life-altering decisions about driving behaviour. <h3>Results</h3> A driving data report was developed using a participatory research approach. Participants received report feedback about their driving behaviour, sharing reasons and concerns during interviews. They acknowledged that understanding their driving in various situations facilitated informed decisions, enhancing self-awareness about their driving habits.