Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?

Objectives: To analyze the association between visual impairment and driver self-regulation among a cohort of older drivers waiting for first eye cataract surgery. Methods: Ninety-six drivers with bilateral cataract aged 55+ years were assessed before first eye cataract surgery. Data collection cons...

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Main Authors: Agramunt, S., Meuleners, Lynn, Fraser, M., Chow, Kyle, Ng, Jonathon, Raja, V., Morlet, Nigel
Format: Journal Article
Published: Dove Medical Press Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/59471
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author Agramunt, S.
Meuleners, Lynn
Fraser, M.
Chow, Kyle
Ng, Jonathon
Raja, V.
Morlet, Nigel
author_facet Agramunt, S.
Meuleners, Lynn
Fraser, M.
Chow, Kyle
Ng, Jonathon
Raja, V.
Morlet, Nigel
author_sort Agramunt, S.
building Curtin Institutional Repository
collection Online Access
description Objectives: To analyze the association between visual impairment and driver self-regulation among a cohort of older drivers waiting for first eye cataract surgery. Methods: Ninety-six drivers with bilateral cataract aged 55+ years were assessed before first eye cataract surgery. Data collection consisted of a researcher-administered questionnaire, objective visual measures (visual acuity, contrast sensitivity and stereopsis), a visual attention test (the useful field of view test) and a cognitive test (the Mini-Mental State Examination). Driver self-regulation practices were collected using the Driving Habits Questionnaire and were also measured with an in-vehicle monitoring device. Characteristics of self-regulators and non-self-regulators were compared and a logis tic regression model was used to examine the association between 3 objective visual measures and driver self-regulation status. Results: After controlling for potential confounding factors, only binocular contrast sensitivity (p=0.01), age (p=0.03) and gender (p=0.03) were significantly associated with driver self-regulation status. The odds of participants with better contrast sensitivity scores (better vision) self-regulating their driving in at least 1 driving situation decreased (odds ratio [OR]: 0.01, 95% CI: 0.00-0.28) while those of increasing age reported an increased odds of self-regulating their driving (OR: 1.08, 95% CI: 1.01-1.15). The odds of males self-regulating their driving was decreased compared with females (OR: 0.28, 95% CI: 0.09-0.86). Conclusions: Worse binocular contrast sensitivity scores, increasing age and being female were significantly associated with driver self-regulation. The study highlighted that while self-regulation was common among cataract patients, a proportion of those with poor vision did not self-regulate. Further research should determine how cataract patients could benefit from self-regulation strategies while waiting for cataract surgery.
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institution Curtin University Malaysia
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publishDate 2017
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spelling curtin-20.500.11937-594712018-02-13T01:48:49Z Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery? Agramunt, S. Meuleners, Lynn Fraser, M. Chow, Kyle Ng, Jonathon Raja, V. Morlet, Nigel Objectives: To analyze the association between visual impairment and driver self-regulation among a cohort of older drivers waiting for first eye cataract surgery. Methods: Ninety-six drivers with bilateral cataract aged 55+ years were assessed before first eye cataract surgery. Data collection consisted of a researcher-administered questionnaire, objective visual measures (visual acuity, contrast sensitivity and stereopsis), a visual attention test (the useful field of view test) and a cognitive test (the Mini-Mental State Examination). Driver self-regulation practices were collected using the Driving Habits Questionnaire and were also measured with an in-vehicle monitoring device. Characteristics of self-regulators and non-self-regulators were compared and a logis tic regression model was used to examine the association between 3 objective visual measures and driver self-regulation status. Results: After controlling for potential confounding factors, only binocular contrast sensitivity (p=0.01), age (p=0.03) and gender (p=0.03) were significantly associated with driver self-regulation status. The odds of participants with better contrast sensitivity scores (better vision) self-regulating their driving in at least 1 driving situation decreased (odds ratio [OR]: 0.01, 95% CI: 0.00-0.28) while those of increasing age reported an increased odds of self-regulating their driving (OR: 1.08, 95% CI: 1.01-1.15). The odds of males self-regulating their driving was decreased compared with females (OR: 0.28, 95% CI: 0.09-0.86). Conclusions: Worse binocular contrast sensitivity scores, increasing age and being female were significantly associated with driver self-regulation. The study highlighted that while self-regulation was common among cataract patients, a proportion of those with poor vision did not self-regulate. Further research should determine how cataract patients could benefit from self-regulation strategies while waiting for cataract surgery. 2017 Journal Article http://hdl.handle.net/20.500.11937/59471 10.2147/CIA.S148037 http://creativecommons.org/licenses/by/3.0/ Dove Medical Press Ltd. fulltext
spellingShingle Agramunt, S.
Meuleners, Lynn
Fraser, M.
Chow, Kyle
Ng, Jonathon
Raja, V.
Morlet, Nigel
Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
title Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
title_full Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
title_fullStr Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
title_full_unstemmed Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
title_short Do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
title_sort do older drivers with bilateral cataract self-regulate their driving while waiting for first eye cataract surgery?
url http://hdl.handle.net/20.500.11937/59471