Objective Monitoring of Driving Behavior in Parkinson’s Disease: The Utility of the Chula Parkinson Car®

Introduction: Driving competency is important to evaluate among individuals with Parkinson’s disease (PD). Driving in natural situations is the preferred assessment method; thus, we used a naturalistic driving environment to identify driving competency among individuals with PD in comparison to healthy age-matched controls. Methods: Based on a power analysis, we recruited 20 participants (10 with PD and 10 healthy age-matched controls). Each participant completed 3 tasks while driving the ChulaPD car, a 4-door sedan installed with computerized monitoring systems. The tasks were forward and backward vehicle movement, reversing into a parking space, and parking parallel to a sidewalk. Trip start and end times, vehicle speed, and acceleration and deceleration times were logged using steering wheel motion, location parking sensors, and dashboard cameras and compared between groups. Results: Age, gender, possession of a driver’s license, present driving conditions, Thai Mini-Mental State Examination score, and driving experience did not significantly differ between groups. However, the PD group took longer to complete the driving tests (p = 0.002), had slower vehicle speeds (p = 0.002), longer brake times (p = 0.007), and decreased brake pressure ability (p = 0.009). Under normalized conditions, the ratio of failed driver’s license tests was also higher among the PD group than in the control group (70 vs. 10%, p = 0.006). Conclusions: Individuals with PD had less-than-adequate driving ability based on our naturalistic setting. Our assessment method may be useful in other populations with chronic illnesses or for older adults. We discuss how naturalistic assessments could become the standard for evaluating driving ability in Thailand and elsewhere.

STUDI KETRAMPILAN BERKENDARA TERHADAP PERILAKU AMAN BERKENDARA PADA TARUNA STIMART “AMNI” SEMARANG

<p><em>Safety driving is one of the issues that always get serious attention is every country. Based on a survey done by ADB-ASEAN on Andrew Ruspali 2014, Indonesia is number 9 out of to 10 in handling the victim’s survival which considered to be very little. According to a research by Agus Aji Samekto (2009) stated that most accident victims in Semarang is 15-21 years old whom generally students and the vehicle involved were motorcycles. The purpose of this research was to know the influence of driving attitude to safety driving behavior. The object of this research was the student of STIMART “AMNI” Semarang.</em></p><p><em></em><strong><em>Keywords :</em><em> Safety Driving Competency, Safety Driving Behavior, Students of STIMART “AMNI” Semarang</em></strong></p><p><em><br /></em></p>Keselamatan berkendara merupakan salah satu masalah yang selalu mendapatkan perhatian serius di setiap negara. Kinerja keselamatan lalu lintas jalan di Indonesia dari survei yang dilakukan ADB-ASEAN dalam Andrew Ruspanah tahun 2014, berada pada peringkat ke-9 dari 10 negara. Ini menunjukkan bahwa penanganan masalah keselamatan akibat kecelakaan lalu lintas jalan di Indonesia belum banyak dilakukan. Penelitian Agus Aji Samekto (2009) menyebutkan bahwa jumlah terbesar korban kecelakaan lalu lintas di Kota Semarang dan didominasi oleh kelompok usia 15-21 tahun, pada umumnya adalah pelajar atau mahasiswa. Dimana jumlah kendaraan terbesar yang terlibat dalam kecelakaan lalu lintas adalah sepeda motor. Keselamatan berkendara merupakan salah satu masalah yang selalu mendapatkan perhatian serius di setiap negara. Tujuan penelitian ini adalah untuk mengetahui pengaruh sikap berkendara terhadap perilaku aman berkendara. Pada penelitian ini objek yang diambil adalah semua taruna-taruni STIMART “AMNI” Semarang yang aktif terdaftar.<p><strong>Kata kunci : <em>Perilaku Aman Berkendara, Keterampilan Berkendara</em></strong></p>