Scoping Review: Understanding the adoption, barriers, and potential usage of vehicle automation for older drivers with cognitive impairment
Creators: name: Mason, Justin
name: Giang, Wayne
name: Morgan, Jane
name: Classen, Sherrilene
Publisher: name: Open Science Framework
Year: 2022
Subjects: subject: Systems Engineering
subject: Occupational Therapy
subject: Operations Research, Systems Engineering and Industrial Engineering
subject: Medicine and Health Sciences
subject: Other Engineering
subject: FOS: Other engineering and technologies
subject: Cognitive Psychology
subject: Rehabilitation and Therapy
subject: Social and Behavioral Sciences
subject: Psychology
subject: FOS: Psychology
subject: Engineering

description: Review Question • What are the short and long-term facilitators and barriers to adoption/acceptance of vehicle automation for drivers with cognitive impairment? Rationale • The personal vehicle is increasingly the preferred mode of travel for aging adults. There are greater numbers of older drivers on the roads driving more miles than ever before, and it is important to be aware of declines that might affect them. Due to age-related cognitive decline, older drivers are at increased risk of fatalities due to motor vehicle crashes. Older drivers may have received safety benefits from driving with vehicle automation if they are trained to use advanced driver assistance systems and accept/adopt this emerging technology. However, it is unclear how cognitive impairment may affect their ability to use vehicle automation. Review Objectives • Conduct a scoping review: o as a precursor to a systematic review o to identify the types of available evidence for vehicle automation for drivers with cognitive impairment o identify and analyze knowledge gaps o identify when in the user journey the barriers and facilitators exist • Briefly highlight the effects of age-related cognitive decline and mild cognitive impairment on driving. • Discuss challenges of older drivers’ adoption of AVs for those living with progressive cognitive decline. • Discuss barriers for older drivers’ adoption of advanced driver assistance systems. • Suggest potential countermeasures for teaching older drivers to use AVs. Definitions of Key Concepts • Vehicle automation: o Driving simulators or on-road passenger vehicles: Cars, vans, trucks, buses, shuttles, RVs, ride-shares/ride-hails o Vehicle Automation: Vehicular automation involves the use of mechatronics, artificial intelligence, and multi-agent system to assist a vehicle's operator (i.e., driver). o Other terms used: autonomous vehicles, in-vehicle information systems, in-vehicle technologies, automated vehicles, self-driving vehicles, advanced driver assistance systems • Cognitive impairment o Age-related cognitive decline (i.e., normal aging) o Mild cognitive impairment o Traumatic brain injury (TBI) o Severe cognitive impairment (e.g. Dementia, Alzheimer’s, Parkinson’s) o Participants’ age (65 years and older) o This will likely be comorbid and related to vascular issues. • Barriers – potential barriers or reasons for individuals not to learn, use, or accept AV technology • Facilitators – motivators, potential benefits, design choices, or training methods to promote the acceptance and adoption of AV technology