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Objective：The moral and ethical issue is a great challenge to the development of autonomous vehicles. There may be distinctions between the choices made by an observer and a participant. The paper is designed to investigate whether drivers will sacrifice the fewest people to save more people in social dilemma, and whether human drivers would give priority to protecting pedestrians or self-protection in an emergency. Methodology: The experiment was conducted with a total of 50 participants assigned to three groups. Three experimental scenarios were designed and each of them contained a social dilemma. A driving simulator was used in this study to explore the choices of human drivers in social dilemma. In addition, the simulator results were compared with those of questionnaire survey. Result: In study 1, 73% of 22 participants swerved into the right lane to hit only one pedestrian for the safety of other five. In study 2 and 3, more participants chose to hit the barrier to protect the pedestrian. Conclusion: A conclusion can be drawn from the second and third group of experiments that most drivers consider not only their own safety, but the safety of pedestrians. Most of the participants intended to minimize the total amount of harm in social dilemma. The choice of crashing into barriers to protect a pedestrian can also be seen as a way to minimize the total amount of harm.

Objective There is an established relationship in the literature between cognitive function and driving performance in older drivers and new evidence suggests that this relationship also exists in younger drivers. Given this, it follows that this relationship may exist for all drivers, however the relationship between cognitive function and driving in drivers in middle adulthood has not yet been examined. The current study therefore aims to examine this relationship of overall cognitive function and driving, as well as the individual cognitive domains relevant to driving for drivers in middle adulthood. Method The participants were 89 drivers aged between 25 and 65 years. Each participant was assessed on a battery of cognitive tests and completed a drive on a driving simulator. Measures of driving performance included speeding, lane deviation, and an overall driving performance score. Results The results showed new evidence to suggest overall cognitive function can predict speeding and overall driving performance. In addition, the cognitive domains of mental status, executive function and memory were found to be significant individual predictors in this cohort. Conclusions Taken together with previous findings, this study provides evidence to suggest that cognitive function is important to driving across the lifespan. The generalisability of the current results are limited due to the majority of participants being from a university sample, therefore these findings will need to be replicated in a more representative sample. Future research should focus on the development of a comprehensive model to explain driving performance across all ages and across traffic psychology disciplines.

Introduction Distracted driving resulting from secondary task engagement is a major contributing factor to teenage drivers’ crash risk. This study aims to determine the extent to which visual inattention while engaging in distracting secondary tasks contributes to teenage drivers’ crash risk. Methods Real-world driving data were collected from a cohort of 82 newly licensed teenagers (average age 16.48 years, SD=0.33) recruited in Virginia. Participants’ private vehicles were equipped with data acquisition systems that documented driving kinematics and miles driven, and made video recordings of the driver and driving environment. Data were collected from 2010 to 2014 and analyzed in 2017. The analysis of secondary task engagement was based on 6-second video segments from both crash and random samples of normal driving. Results Of a wide range of secondary tasks, only manual cellphone use (OR=2.7, 95% CI=1.1, 6.8) and reaching/handling objects while driving (OR=6.9, 95% CI=2.6, 18.6) were associated with increased crash risk. Drivers’ duration of eyes off the road accounted for 41% of the crash risk associated with manual cellphone use and 10% of the risk associated with reaching/handling objects while driving. Conclusions Secondary tasks vary in the risk they introduce to the teenage driver. Manual cellphone use and reaching for objects were found to be associated with increased crash risk. These findings objectively quantify the effect of visual inattention resulting from distracting secondary tasks on teenage drivers’ crash risk. Teenage drivers may benefit from technologic and behavioral interventions that will keep their eyes on the road at all times and discourage engagement in distracting secondary tasks.

Parmi les risques routiers professionnels, le téléphone au volant est un facteur multipliant les risques d’accident. Si l’on sait que le bluetooth est aujourd’hui le seul équipement toléré sur le plan légal, on n’a par contre aucune information sur les habitudes d’utilisation du téléphone au volant chez les commerciaux. Cette enquête menée auprès d’un groupe de commerciaux français hommes et femmes (N = 59) a pour objectif de clarifier leurs habitudes de conduite et les risques pouvant en découler. Sur l’ensemble de l’échantillon, les résultats de cette étude apportent des informations nouvelles sur les risques routiers professionnels. On observe des aspects différentiels en fonction du sexe comme l’utilisation des infrastructures routières. D’autres différences sont observées dans la gestion des aspects vie professionnelle/vie privée, les répondants ayant des difficultés à séparer ces deux sphères s’exposent à plus de risques sur la route. Plusieurs mesures préventives pourraient être adoptées pour réduire ces risques., Phoning while driving is a factor that increases the risk of an accident. Bluetooth is the only equipment currently tolerated by the law in France; there is however no information concerning phone use habits of sales and marketing people while at the wheel. The aim of this survey which was carried out with a French group of male and female sales and marketing people (N=59) was to identify their driving habits and the possible ensuing risks. The results arising from this sample provide new information about occupational risk on the road. Differential aspects can be noted with respect to gender such as road use. Other differences are observed in the management of professional and private life; for example, the respondents had difficulties separating these two areas, thereby exposing themselves to more risks on the road. Several preventive measures could be adopted to reduce these risks.

Our study explores the relationships between psychological and driving-related personality traits, fluid intelligence and cognitive abilities for drivers whose driving licence has been revoked due to intoxicated driving (alcohol and/or drugs). We were able to show that highly significant impacts on cognitive functions derive from the participants’ age and fluid intelligence. In addition, driving-related personality traits such as emotional instability, a sense of responsibility and self-control contributed significantly to some of the cognitive abilities that are important for fitness to drive. Additionally, the mediating effects of fluid intelligence in the model are discussed. Traffic psychologists can use this knowledge in their assessment of drivers, mainly regarding the possible compensation of cognitive deficits regarding the fitness to drive.

Introduction Within many industrialized countries, the leading cause of worker fatalities and serious injuries can be attributed to road trauma. In non-occupational research, high levels of sensation seeking personality, and specifically thrill and adventure seeking, have been associated with risky driving behaviors. In work driving literature, high organizational safety climate has been associated with reduced risky driving in work drivers. However, the extent that factors such as safety climate and thrill seeking interact in regard to work driving safety remains unclear, and the current research examined this interaction. Methods A total of 1,011 work drivers from four organizations participated in the research. Surveys were distributed online and hardcopies were sent via mail. The survey included measures of thrill and adventure seeking, safety climate and work-related driving behaviors, as well as questions relating to participant demographics and information about their work driving. Results The results demonstrated that safety climate significantly moderated the effect of thrill and adventure seeking trait on driving errors, driving violations, and driving while fatigued. Conclusion These results suggest that the development of a strong safety climate has the potential to improve work driving safety outcomes by reducing the impact of particular personality traits such as thrill seeking within an organizational context. Practical application To improve work driving safety, organizations and management need to develop strategies to encourage and foster positive work driving safety climate, particularly within work settings that may attract thrill and adventure seeking employees.

Several studies have related aggressive and risky driving behaviours to accidents. However, the cognitive processes associated with driving aggression have received very little attention in the scientific literature. With the aim of shedding light on this topic, the present research was carried out on a sample of 414 participants in order to validate the Driver’s Angry Thoughts Questionnaire (DATQ) with a sample of Spanish drivers and to test the hypothesis of the mediation effect of aggressive and risky driving on the relationship between drivers’ angry thoughts and crash-related events. The results showed a good fit with the five-factor model of the questionnaire (Judgmental and Disbelieving Thinking, Pejorative Labelling and Verbally Aggressive Thinking, Revenge and Retaliatory Thinking, Physically Aggressive Thinking, and Coping Self-Instruction). Moreover, slight gender differences were observed in drivers’ angry thoughts, with women scoring higher than men (η2 = 0.03). However, younger drivers had higher scores than older drivers in general (η2 = 0.06). Finally, several mediation effects of aggressive driving and risky driving on the relationship between aggressive thinking and the crash-related events were found. Implications of the results for research in traffic psychology and clinical assessment of aggressive drivers as well as limitations of the study are discussed.

While computer vision techniques and big data of street-level imagery are getting increasing attention, a "black-box" model of deep learning hinders the active application of these techniques to the field of traffic safety research. To address this issue, we presented a semantic scene labeling approach that leverages wide-coverage street-level imagery for the purpose of exploring the association between built environment characteristics and perceived crash risk at 533 intersections. The environmental attributes were measured at eye-level using scene segmentation and object detection algorithms, and they were classified as one of four intersection typologies using the k-means clustering method. Data on perceived crash risk were collected from a questionnaire conducted on 799 children 10 to 12 years old. Our results showed that environmental features derived from deep learning algorithms were significantly associated with perceived crash risk among school-aged children. The results have revealed that some of the intersection characteristics including the proportional area of sky and roadway were significantly associated with the perceived crash risk among school-aged children. In particular, road width had dominant influence on risk perception. The findings provide information useful to providing appropriate and proactive interventions that may reduce the risk of crashes at intersections.

Objective: It is well established within the traffic psychology literature that a distinction can be made between driving skill and driving style. The majority of self-report questionnaires have been developed for car drivers, whereas only limited knowledge exists on the riding skill and style of cyclists. Individual differences in cycling skills need to be understood in order to apply targeted interventions. Methods: This study reports on a psychometric analysis of the Cycling Skill Inventory (CSI), a self-report questionnaire that asks cyclists to rate themselves from definitely weak to definitely strong on 17 items. Herein, we administered the CSI using an online crowdsourcing method, complemented with respondents who answered the questionnaire using paper and pencil (n = 1,138 in total). Our analysis focuses on understanding the major sources of variance of the CSI and its correlates with gender, age, exposure, and self-reported accident involvement as a cyclist. Results: The results showed that 2 components underlie the item data: Motor–tactical skills and safety motives. Correlational analyses indicated that participants with a higher safety motives score were involved in fewer self-reported cycling accidents in the past 3 years. The analysis also confirmed well-established gender differences, with male cyclists having lower safety motives but higher motor–tactical skills than female cyclists. Conclusions: The nomological network of the CSI for cyclists is similar to that of the Driving Skill Inventory for car drivers. Safety motives are a predictor of self-reported accident involvement among cyclists.

Liver cirrhosis is a public health problem and hepatic encephalopathy is one of its main complications, which can be either overt meaning thereby evident and readily diagnosed, or covert/minimal (covert hepatic encephalopathy-CHE) needing psychometric testing for diagnosis. Patients with CHE hepatic encephalopathy have deficits in multiple domains including visuospatial assessment, attention, response inhibition, working memory, along with psychomotor speed to name a few areas. These patients have poor navigational skills, get fatigued easily, and demonstrate poor insight into their driving deficits. The combination of all these leads them to have poor driving skills leading to traffic violations and crashes as demonstrated not only on the simulation testing but also in real-life driving events. There are multiple psychometric tests for CHE testing but these are not easily available and there is no uniform consensus on the gold standard testing as of yet. It does not automatically connote that all patients who test positive on driving simulation testing are unfit to drive. The physicians are encouraged to take driving history from the patient and the caregivers on every encounter and focus their counseling efforts more on patients with recent history of traffic crashes, with abnormal simulation studies and history of alcohol cessation within last year. As physicians are not trained to determine fitness to drive, their approach toward CHE patients in regards to driving restrictions should be driven by ethical principles while as respecting the local laws.

Less developed countries are overrepresented in traffic accidents, but knowledge on national differences in aberrant driving behaviours is scarce. This study investigated relationships between traffic violations measured with a 7-item Driver Behaviour Questionnaire and traffic accident involvement for an international crowdsourced sample. At the level of respondents ( N = 6006), self-reported violations correlated moderately with self-reported accidents (Spearman ρ = .26). At the national level ( N = 41), self-reported non-speeding violations (a composite consisting of three types of aggressive violations, tailgating, and using a mobile phone without a hands-free kit) correlated strongly with road traffic death rate per population (ρ = .77) and with developmental status (ρ = − .79), whereas self-reported speeding violations (a composite of speeding on a motorway and on a residential road) did not (ρ = − .08 and .22, respectively). Moreover, self-reported non-speeding violations correlated strongly with mean annual temperature (ρ = .58), while self-reported speeding violations did not (ρ = − .16). These cross-national correlates of traffic violations can be explained by developmental factors that lead to violation-provoking traffic situations or by the effect of temperature on aggression.

This study was conducted to assess comprehension of existing road hazard communication designs (RHCDs) in relation to culturally adapted designs among commercial vehicle drivers using a two-part study. In study 1, nine participants were recruited and their comprehension of 20 existing RHCDs was tested. Results of the analysis revealed that only 50% of the designs met the acceptance criterion of 67% set by the International Organization for Standardization (ISO). Culturally adapted symbols were then developed for the 10 symbols which failed to meet the ISO acceptance criterion through a longitudinal focus group discussion involving the nine participants. In study 2, 226 commercial vehicle drivers were drawn from four bus terminals. Results of a paired-samples

Speed perception tests are already used in several countries as part of the driver licensing curriculum; however, this test is not compulsively required in China. The purpose of this study was to investigate the relationship between speed perception and eye movement for different driver groups. Forty-eight drivers, including 28 crash-involved (CI), with rear-end or side collisions, and 20 crash-not-involved (CNI) drivers, were recruited for the speed perception experiments. Drivers' reaction characteristics as well as eye movement data were analyzed. The results showed that CI drivers were more likely to overestimate the speed of visual stimuli and react in advance. The speed perception of CI drivers was more accurate than that of CNI drivers for visual stimuli with middle to high moving speeds, indicating that CNI drivers are more cautious and conservative when driving. Regarding eye movement, significant differences in saccade speed were found between the CI and CNI drivers in the occlusion area under high speed and the occlusion ratio. The relationship between visual pattern and speed perception accuracy was found to some extent. Implications of the speed perception test for the driver aptitude test were discussed.

For many teenagers, obtaining a driver’s license is a rite of passage, conferring the ability to independently travel to school, work, or social events. However, immaturity, inexperience, and risky behavior put newly licensed teen drivers at risk. Motor vehicle crashes are the most common cause of mortality and injury for adolescents and young adults in developed countries. Teen drivers (15–19 years of age) have the highest rate of motor vehicle crashes among all age groups in the United States and contribute disproportionately to traffic fatalities. In addition to the deaths of teen drivers, more than half of 8- to 17-year-old children who die in car crashes are killed as passengers of drivers younger than 20 years of age. This policy statement, in which we update the previous 2006 iteration of this policy statement, is used to reflect new research on the risks faced by teen drivers and offer advice for pediatricians counseling teen drivers and their families.

Cycling supports the mobility, health and independency of the ageing population. However, older cyclists have an increased injury risk. On average, the risk of older people to sustain an injury in a cycling accident is three times higher per cycling kilometre than for middle-aged people and the injury risk increases with age. In comparison with middle-aged cyclists (65 years) filled out a questionnaire, which included questions on demographics, bicycle specifications and personal characteristics. By means of a logistic regression, the relationship between personal factors and self-reported bicycle falls were studied. The univariate models showed that age, physical and mental impairments, bicycle model, living environment, feelings of uncertainty of the cyclist and changed cycling behaviour (such as more patience, lower speed) were related to falling off a bicycle. From the multivariate model we can conclude that several factors are associated with falling off a bicycle in the older population: (1) every year the cyclists becomes one year older (from the age of 65), the chance they have fallen increases with 7.3%, (2) If cyclists have mental impairments, the chance they have fallen increases with a factor 2.5, (3) if cyclists were less than completely confident the chance they have fallen increases with factor 1.8, (4) if cyclists live in a rural environment compared to an urban environment the chance they have fallen increases with a factor 2.1. In conclusion, demographic, cycling and personal factors can be related to increased self-reported fall risk. It is advised to take these factors into account when implementing new cycling related safety measures.

Situational discomfort awareness plays an important role in decision making among drivers and has rarely been discussed in detail in previous research. An instrumented vehicle was used to collect car-following data from multiple drivers, thereby quantitatively examining situational discomfort grading patterns using a new discomfort grading method and the latent Dirichlet allocation model. In this process, the gas pedal data and speed difference data are particularly involved in the computation for providing broader meaning to discomfort and building more comprehensive situations. The results show that individual discomfort awareness varies between drivers. More importantly, the potential patterns of situational discomfort grading are extracted, which provides knowledge for characterizing drivers in the context of discomfort awareness. The knowledge achieved can be further applied to distinguish drivers and identify the typical comfort and discomfort zones. This study has great value for promoting investigations on traffic psychology and developing more effective and customized driver assistant systems.

Objective: To explore high-risk behaviors and experiences with traffic law among night drivers in Curitiba, Brazil. Method: Data from 398 drivers on sociodemographic parameters, high-risk behaviors, experiences with traffic law, and traffic law violations were collected through interviews conducted at sobriety checkpoints. Exploratory-descriptive and analytical statistics were used. Results: The mean age of the participants was 32.6±11.2 years (range, 18 to 75 years). Half of the drivers reported having driven after drinking in the last year, predominantly single men aged 18 to 29 years who drive cars and drink alcohol frequently. Only 55% of the drivers who had driven after drinking in the last year self-reported some concern about being detected in a police operation. Conclusions: A significant association was found between sociodemographic variables and behavior, which can help tailor public interventions to a specific group of drivers: young men who exhibit high-risk behaviors in traffic, such as driving after drinking alcohol, some of whom report heavy alcohol consumption. This group represents a challenge for educational and enforcement interventions, particularly because they admit to violating current laws and have a low perception of punishment due to the low risk of being detected by the police.

Points essentiels Tant pour le « groupe leger » que pour le « groupe lourd », le permis de conduire ne peut etre ni delivre ni renouvele au candidat ou au conducteur atteint d’une affection susceptible de constituer ou d’entrainer une incapacite fonctionnelle de nature a compromettre la securite routiere lors de la conduite d’un vehicule a moteur. La decision de delivrance ou de renouvellement du permis par l’autorite prefectorale est prise suite a l’avis de la commission medicale departementale ou d’un medecin agree. L’arrete du 31 aout 2010 fixe la liste des affections medicales incompatibles avec l’obtention ou le maintien du permis de conduire ou pouvant donner lieu a la delivrance de permis de conduire de duree de validite limitee. « Le diabete sucre traite par medicaments pouvant provoquer des hypoglycemies » appartient a cette liste. Si le controle medical de l’aptitude a la conduite intervient a l’initiative de l’usager, le medecin traitant doit, d’une part, s’assurer de la bonne comprehension des traitements prescrits qui peuvent engendrer des malaises hypoglycemiques, et d’autre part, informer la personne diabetique qu’elle doit passer un controle medical d’aptitude a la conduite chez un medecin agree.

Sleepiness while driving is both a very common phenomena regarding 10 to 15% of drivers and one of the main causes of death on highways (one third of fatal accidents). Sleepiness results mainly from behavioural causes: sleep deficit or irregular work schedules. However, many sleep diseases and hypnotics may also induce sleepiness at the wheel. Several objective and subjective measures have been validated to assess sleepiness. Road safety and information to the drivers have now to focus on better informing drivers on the rules of preventing sleepiness at the wheel in order to avoiding hundred of accidents in the next future.

The number of drivers with dementia is expected to increase exponentially over the coming decades. Most individuals with moderate-to-severe dementia (table 1) are unfit to drive.1 Drivers with moderate-to-severe dementia have higher rates of MVCs than age-matched controls.2 Identifying and preventing these individuals from driving is crucial, particularly in urban areas. The density of cars and pedestrians, and the complexity of traffic typically place greater demands on drivers in urban areas, and, therefore, require greater reactivity and forward planning than in rural environments.3 ,4 The ability to drive is a critical means of maintaining one's social inclusion, and is commonly a practical necessity. Therefore, decisions about the entitlement to drive should not unfairly restrict mobility or unnecessarily compound the disadvantages experienced by older people with mild cognitive impairment and early dementia (table 1), particularly as diagnoses are now being made earlier.1 View this table: Table 1 Prevalence, types and clinical stages of dementia This paper describes the difficulties inherent in addressing the question of when and in what circumstances a diagnosis of dementia might render a person unfit to drive and focuses on those who live in rural areas. We examine the consequences of dementia diagnosis on driving, driver testing requirements and licensing procedures, and the impacts of driving cessation. We then discuss how living in rural areas may alter the level of risk of drivers with dementia and practical implications for licensing policies. The risk of motor vehicle collisions due to drivers with early dementia is equivalent to age-matched controls,5 and it is estimated that 22%–46% of patients with mild-to-moderate dementia continue to drive.6 There is, therefore, an ill-defined window of time during which drivers with a diagnosis of dementia can drive as safely as other drivers of the same age. Most available evidence pertain to Alzheimer's …

Dual-process theories have dominated the study of risk perception and risk-taking over the last two decades. However, there is a lack of objective brain-level evidence supporting the two systems of processing in every-day risky behavior. To address this issue, we propose the dissociation between evaluative and urgent behaviors as evidence of dual processing in risky driving situations. Our findings show a dissociation of evaluative and urgent behavior both at the behavioral and neural level. fMRI data showed an increase of activation in areas implicated in motor programming, emotional processing, and visuomotor integration in urgent behavior compared to evaluative behavior. These results support a more automatic processing of risk in urgent tasks, relying mainly on heuristics and experiential appraisal. The urgent task, which is characterized by strong time pressure and the possibility for negative consequences among others factors, creates a suitable context for the experiential-affective system to guide the decision-making process. Moreover, we observed greater frontal activation in the urgent task, suggesting the participation of cognitive control in safe behaviors. The findings of this research are relevant for the study of the neural mechanisms underlying dual process models in risky perception and decision-making, especially because of their proximity to everyday activities.

Traffic safety culture is a relatively new concept which has recently gained attention in the field of traffic safety. There is currently little consensus regarding the nature of the concept, nor how it should be defined. Preliminary definitions have typically focussed on specific road safety problems and the anticipated effect of a strong traffic safety culture. The literature to date has tended to emphasise how traffic safety culture might be created or shaped. However, without a better understanding of the nature and structure of traffic safety culture, discussions regarding changes to traffic safety culture are restricted. An examination of different conceptualisations and definitions of organisational safety culture provides a preliminary theoretical framework for traffic safety culture. Two high risk driving behaviours within the Australian context are compared to illustrate how key factors within this framework can be used to understand and improve road safety outcomes.

This paper validates traffic safety climate attitudes based on a representative sample of road users of all travel modes. We use the German version of the Traffic Climate Scale (TCS) which was applied in a large-scale road safety survey in 2010. A total of 1680 people were surveyed. The sample is representative for socio-demographic characteristics and travel mode choice in Germany. Factor analysis reveals a three-factor structure of traffic safety climate with the factor ‘External affective demands’ describing emotional engagement in traffic, the factor ‘Internal requirements’ representing individual skills and abilities to successfully participate in traffic, and the factor ‘Functionality’ describing requirements for a functional traffic system. The less emotionally demanding and the more functional traffic is perceived to be, the safer people feel in traffic. External affective demands are consistently related to the perception of others’ driving/riding style but not to one’s own, whereas internal requirements are consistently related to one’s own driving/riding style but not to the perception of others. There is no relation between traffic safety climate and accidents or near accidents. Contrary to our expectations, a positive traffic safety climate is associated with more secondary tasks while driving and traffic violations. Behavioural control beliefs may mediate the traffic climate–traffic behaviour relationship. The results are discussed with reference to attitude research and the theory of planned behaviour in particular.

This pilot study investigated driving history and driving behaviors between adults diagnosed with autism spectrum disorders (ASD) as compared to non-ASD adult drivers. Seventy-eight licensed drivers with ASD and 94 non-ASD comparison participants completed the Driver Behavior Questionnaire. Drivers with ASD endorsed significantly lower ratings of their ability to drive, and higher numbers of traffic accidents and citations relative to non-ASD drivers. Drivers with ASD also endorsed significantly greater numbers of difficulties on the following subscales: intentional violations, F(1, 162) = 6.15, p = .01, η 2 = .04; mistakes, F(1, 162) = 10.15, p = .002, η 2 = .06; and slips/lapses, F(1, 162) = 11.33, p = .001, η 2 = .07. These findings suggest that individuals with ASD who are current drivers may experience more difficulties in driving behaviors and engage in more problematic driving behaviors relative to non-ASD drivers.

This article examines noncausal associations between high school seniors' alcohol and marijuana use status and rates of self-reported unsafe driving in the past 12 months.Analyses used data from 72,053 students collected through annual surveys of nationally representative cross-sectional samples of U.S. 12th-grade students from 1976 to 2011. Two aspects of past-12-month alcohol and marijuana use were examined: (a) use frequency and (b) status as a nonuser, single substance user, concurrent user, or simultaneous user. Measures of past-12-month unsafe driving included any tickets/warnings or accidents, as well as tickets/warnings or accidents following alcohol or marijuana use. Analyses explored whether an individual's substance use frequency and simultaneous use status had differential associations with their rate of unsafe driving.Higher substance use frequency (primarily alcohol use frequency) was significantly and positively associated with unsafe driving. The rate of engaging in any unsafe driving was also significantly and positively associated with simultaneous use status, with the highest rate associated with simultaneous use, followed by concurrent use, followed by use of alcohol alone. Individuals who reported simultaneous use most or every time they used marijuana had the highest likelihood of reporting unsafe driving following either alcohol or marijuana use.This article expands the knowledge on individual risk factors associated with unsafe driving among teens. Efforts to educate U.S. high school students (especially substance users), parents, and individuals involved in prevention programming and driver's education about the increased risks associated with various forms of drug use status may be useful.

Self-assessment of driving skills became a noteworthy research subject in traffic psychology, since by knowing one's strenghts and weaknesses, drivers can take an efficient compensatory action to moderate risk and to ensure safety in hazardous environments. The current study aims to investigate drivers' self-conception of their own driving skills and behavior in relation to expert evaluations of their actual driving, by using naturalistic and systematic observation method during actual on-road driving session and to assess the different aspects of driving via comprehensive scales sensitive to different specific aspects of driving. 19-63 years old male participants (N=158) attended an on-road driving session lasting approximately 80min (45km). During the driving session, drivers' errors and violations were recorded by an expert observer. At the end of the driving session, observers completed the driver evaluation questionnaire, while drivers completed the driving self-evaluation questionnaire and Driver Behavior Questionnaire (DBQ). Low to moderate correlations between driver and observer evaluations of driving skills and behavior, mainly on errors and violations of speed and traffic lights was found. Furthermore, the robust finding that drivers evaluate their driving performance as better than the expert was replicated. Over-positive appraisal was higher among drivers with higher error/violation score and with the ones that were evaluated by the expert as "unsafe". We suggest that the traffic environment might be regulated by increasing feedback indicators of errors and violations, which in turn might increase the insight into driving performance. Improving self-awareness by training and feedback sessions might play a key role for reducing the probability of risk in their driving activity.

This study focused on the effects of emotion-laden stimuli (emotional roadside advertisements) on driver decision making. A common dilemma in driving is whether to speed up or brake when the lights turn yellow at an intersection. This study focused on this aspect of driver decision making. We compared the influence of emotion-laden roadside advertisements (positive, negative, and neutral solutions) either on the evaluation of possible risk (i.e., evaluative behavior) or the decision to stop/speed up (i.e., urgent behavior). We showed that drivers brake more often after negative advertisements than after positive and neutral ones; at the same time, the response latency was shorter when they decided to speed up. We also demonstrated that urgent behavior responses were faster than evaluative ones, independent of the emotional content. Thus, we conclude that urgent behavior may be more automatic than evaluative behavior according to the dual system models of risk perception and decision-making. Overall, our results suggest that emotional factors play a decisive role in making driving decisions, particularly in risky driving situations. These findings provide important information for the development of new and advanced driver emotional support systems and, in general, for the specification of future transportation police design guidelines.

Older drivers are at greatest risk for injury or death as a result of a car crash. In this mini-review, we outline the normative age-related changes to perceptual, cognitive, and motor abilities that contribute to increased crash risk and decreased comfort with driving, and highlight specific driving scenarios and conditions that are particularly challenging for aging road users. Adopting a person-environment fit framework, we discuss how the roadway environment can be modified to better match the abilities of the aging driver. We also review evidence for the efficacy of training interventions that aim to change the abilities and strategies of the aging driver to better match the demands of the driving environment. Evidence suggests that specific changes to the roadway and driver training strategies can bring the abilities of the older driver back into alignment with the demands of the driving task. A focus on both approaches will help ensure the safety of all road users as the number of aging drivers greatly increases over the next few decades.

Motorcycle fatalities are increasing at an alarming rate in many South-East Asian countries, including Cambodia. Through brief face-to-face roadside interviews in Phnom Penh and four other Cambodian provinces, this article assesses Cambodian motorcyclists' attitudes, behaviours and beliefs related to motorcycle helmets. Out of 1016 motorcyclists interviewed, 50% were drivers, 40% were older passengers and 10% were child passengers. More drivers (50%) reported consistently wearing helmets, compared with older passengers (14%). Saving their life in the event of a crash was the impetus for drivers and older passengers to wear a helmet (96% and 98%, respectively). The top barriers to helmet use were: (1) 'depends on where I drive,' (2) 'I forget' and (3) 'inconvenient' or 'uncomfortable'. These descriptive findings were instrumental in shaping the Cambodian Helmet Vaccine Initiative passenger campaign to reduce the motorcycle-related injuries and fatalities to support the United Nations Decade of Action for Road Safety.

Average speed enforcement is a relatively new approach gaining popularity throughout Europe and Australia. This paper reviews the evidence regarding the impact of this approach on vehicle speeds, crash rates and a number of additional road safety and public health outcomes. The economic and practical viability of the approach as a road safety countermeasure is also explored. A literature review, with an international scope, of both published and grey literature was conducted. There is a growing body of evidence to suggest a number of road safety benefits associated with average speed enforcement, including high rates of compliance with speed limits, reductions in average and 85th percentile speeds and reduced speed variability between vehicles. Moreover, the approach has been demonstrated to be particularly effective in reducing excessive speeding behaviour. Reductions in crash rates have also been reported in association with average speed enforcement, particularly in relation to fatal and serious injury crashes. In addition, the approach has been shown to improve traffic flow, reduce vehicle emissions and has also been associated with high levels of public acceptance. Average speed enforcement offers a greater network-wide approach to managing speeds that reduces the impact of time and distance halo effects associated with other automated speed enforcement approaches. Although comparatively expensive it represents a highly reliable approach to speed enforcement that produces considerable returns on investment through reduced social and economic costs associated with crashes.

The number of pedestrians who have died as a result of being hit by vehicles has increased in recent years, in addition to vehicle passenger deaths. Many pedestrians who were involved in road traffic accident died as a result of the driver leaving the pedestrian who was struck unattended at the scene of the accident. This paper seeks to determine the effect of road and environmental characteristics on pedestrian hit-and-run accidents in Ghana. Using pedestrian accident data extracted from the National Road Traffic Accident Database at the Building and Road Research Institute (BRRI) of the Council for Scientific and Industrial Research (CSIR), Ghana, a binary logit model was employed in the analysis. The results from the estimated model indicate that fatal accidents, unclear weather, nighttime conditions, and straight and flat road sections without medians and junctions significantly increase the likelihood that the vehicle driver will leave the scene after hitting a pedestrian. Thus, integrating median separation and speed humps into road design and construction and installing street lights will help to curb the problem of pedestrian hit-and-run accidents in Ghana.

The present study examined the predictive effects of five impulsivity-like traits (Premeditation, Perseverance, Sensation Seeking, Negative Urgency, and Positive Urgency) on driving outcomes (driving errors, driving lapses, driving violations, cell phone driving, traffic citations, and traffic collisions). With a convenience sample of 266 college student drivers, we found that each of the impulsivity-like traits was related to multiple risky driving outcomes. Positive Urgency (tendency to act impulsively when experiencing negative affect) was the most robust predictor of risky driving outcomes. Positive Urgency is a relatively newly conceptualized impulsivity-like trait that was not examined in the driving literature previously, suggesting a strong need to further examine its role as a personality trait related to risky driving. These findings generally support the multidimensional assessment of impulsivity-like traits, and they specifically support the addition of Positive Urgency to a list of risk factors for risky driving behaviors.

Hazard perception is a vital component to safe driving and hazard perception tests (HPTs) are being used with greater frequency for driver training, assessment and licensure. In this study, we compared a dynamic HPT (Scialfa et al., 2011), which presents short video scenes to observers and a static HPT (Scialfa et al., 2012), which uses still images. Both tests require the observer to indicate the presence of a traffic conflict that would lead to a collision between the "camera" vehicle and another road user or fixed object. Young adult drivers (n=56) completed both forms of the HPT, along with a modified version of the Driver Behavior Questionnaire (Reason et al., 1990) and a measure of simple reaction time. Self-reported collision and moving violation data were also collected. As in previous work, both static and dynamic HPTs had good reliability. The correlation between composite static and dynamic scores was approximately .40, but was reduced to approximately .25 when simple reaction time was controlled. Both HPTs predicted lapses and errors on the Driver Behavior Questionnaire, but neither predicted self-reported collisions or moving violations. Discussion focuses on the differences in visual cues available in dynamic and static scenes and how these differences could influence decisions about potential hazards.

In 2007 a loaded semi-trailer truck struck a passenger train on a railway level crossing in Northern Victoria, Australia, killing eleven train passengers. Although the incident was formally investigated, why the truck driver proceeded through the crossing in the presence of a train remains unexplained. This article uses two juxtaposed Human Factors approaches to provide insight into the contributory factors underlying the incident. A systems analysis framework is used to examine the rail level crossing system in which the incident occurred and an individual psychological schema theory account is used to examine the failures which led the truck driver to proceed through the crossing in the presence of a train. The findings suggest that the primary cause of the incident was a looked-but-failed-to-see error driven by a faulty activation of schema error, leading the truck driver to assume initially that the crossing was in fact in a non-activated state with no train present. Moreover, various system-wide factors that shaped the rail level crossing 'system' and thus the incident are identified.

Objective: To gain an in-depth understanding of road rage incidents from the victims’ perspectives. Methods: The data consisted of 30- to 60-min in-depth semistructured phone interviews with 29 self-identified victims of road rage. Twenty of the participants were in a motor vehicle, whereas 9 were pedestrians/cyclists. A qualitative Grounded Theory approach was used to inductively code and analyze the transcripts. Results: Victims reported a correlation between their vulnerability and the perceived intensity/severity of the road rage incidents. The most vulnerable victims (pedestrians and cyclists) were the least likely to view road rage incidents as a random event and the most likely to feel that they were specifically targeted. Road rage incidents tended to evolve more rapidly when there was a greater real or perceived power imbalance between the victims and perpetrators. The most vulnerable victims were the most likely to have long-term physical and mental health consequences from the incident, and to significantly modify their behavior after the incident. Conclusions: Our analysis suggests that issues of victim vulnerability play a major role in determining the intensity, severity, and psychological consequences of road rage incidents. This seems particularly true for the most vulnerable of road users, such as pedestrians and cyclists.

The present study investigates the determining factors of Chinese pedestrians' intention to violate traffic laws using a dual-process model. This model divides the cognitive processes of intention formation into controlled analytical processes and automatic associative processes. Specifically, the process explained by the augmented theory of planned behavior (TPB) is controlled, whereas the process based on past behavior is automatic. The results of a survey conducted on 323 adult pedestrian respondents showed that the two added TPB variables had different effects on the intention to violate, i.e., personal norms were significantly related to traffic violation intention, whereas descriptive norms were non-significant predictors. Past behavior significantly but uniquely predicted the intention to violate: the results of the relative weight analysis indicated that the largest percentage of variance in pedestrians' intention to violate was explained by past behavior (42%). According to the dual-process model, therefore, pedestrians' intention formation relies more on habit than on cognitive TPB components and social norms. The implications of these findings for the development of intervention programs are discussed.

Road rage has been described as a key criminal justice and public health concern. Although research attention to this issue has expanded dramatically, most of this work has focused on the identification of predisposing individual factors. It is equally important to begin to assess those factors that may modify the likelihood of road rage including the broader structural opportunities that are connected with the propensity to be involved in a road rage incident. Drawing on opportunity theory, this article examines whether there is a relationship between increased opportunities to be involved in road rage and an increased likelihood of being a road rage victim or offender. The analysis is further extended to specifically test whether this relationship is linear, thereby examining the applicability of the opportunity saturation hypothesis. Using data from the Centre for Addiction and Mental Health (CAMH) Monitor, our findings support both the application of opportunity theory to understanding road rage and the presence of opportunity saturation. Although a clear relationship exists between kilometers driven and experiences of road rage, evidence emerged suggesting there may be a threshold whereby increased opportunities for road rage do not lead to road rage behavior.

In many parts of the world, licensing guidelines state that drivers with medical conditions such as epilepsy are restricted or prohibited from driving. These guidelines are sometimes subjective and not strongly evidence-based, rendering the task of assessing fitness to drive a complex one. Determining fitness to drive is not only essential for maintaining the safety of individual drivers but has implications for the community at large. It is therefore important to review the current state of knowledge regarding epilepsy and driving in order to aid health professionals required to assess fitness to drive and to guide future research directions. This review outlines the functional impairments related to epilepsy and driving, treatment and management issues, motor vehicle crash risk for drivers with epilepsy, estimates of predicted seizure occurrence and concludes with a discussion of the international licensing guidelines and relevant legal issues. More comprehensive research, including investigation into the effects of antiepileptic medication on driving, could aid in the development of policies and guidelines for assessing fitness to drive.

Objective: This special section brings together diverse research regarding driver interaction with advanced automotive technology to guide design of increasingly automated vehicles. Background: Rapidly evolving vehicle automation will likely change cars and trucks more in the next 5 years than the preceding 50, radically redefining what it means to drive. Method: This special section includes 10 articles from European and North American researchers reporting simulator and naturalistic driving studies. Results: Little research has considered the consequences of fully automated driving, with most focusing on lane-keeping and speed control systems individually. The studies reveal two underlying design philosophies: automate driving versus support driving. Results of several studies, consistent with previous research in other domains, suggest that the automate philosophy can delay driver responses to incidents in which the driver has to intervene and take control from the automation. Understanding how to orchestrate the transfer or sharing of control between the system and the driver, particularly in critical incidents, emerges as a central challenge. Conclusion: Designers should not assume that automation can substitute seamlessly for a human driver, nor can they assume that the driver can safely accommodate the limitations of automation. Designers, policy makers, and researchers must give careful consideration to what role the person should have in highly automated vehicles and how to support the driver if the driver is to be responsible for vehicle control. As in other domains, driving safety increasingly depends on the combined performance of the human and automation, and successful designs will depend on recognizing and supporting the new roles of the driver.

The Driver Behaviour Questionnaire (DBQ) is perhaps the most widely used questionnaire instrument in traffic psychology with 174 studies published by late 2010. The instrument was developed based on a plausible cognitive ergonomic theory (the Generic Error Modeling System, GEMS), but the factor structure obtained in the original study (Reason et al., 1990) did not mirror the theory's conceptual structure. This led to abandoning GEMS and adopting the obtained factor structure as a starting point for further DBQ research. This article argues that (1) certain choices in the original study, concerning statistical methodology and the wording of individual question items, may have contributed to the ways the obtained factor structure deviated from the underlying theory and (2) the analysis methods often used in DBQ studies, principal components (PC) analysis and maximum likelihood (ML) factor analysis, are not optimal choices for the non-normally distributed categorical data that is obtained using the instrument. This is because ML produces biased results when used with this type of data, while PC is by definition unable to uncover latent factors as it summarizes all variation in the measured variables. (3) Even though DBQ factor scores have been routinely compared in subgroups of men and women and respondents of different ages, DBQ's factorial invariance in these groups has not been rigorously tested. These concerns are addressed in this article by framing the results of certain previous DBQ studies as a structural equation model (SEM) and an Exploratory Structural Equation Model (ESEM) and testing measurement model fit in subgroups of respondents. The SEM analyses indicate that the model does not fit data from the whole sample of respondents as it stands, while the ESEM analyses show that a modification of the model does. However, the ESEM analyses indicate the DBQ measures different underlying latent variables in the different subgroups. Based on the analyses and a review of recent advances in attention and memory research, an update to the theory underlying the DBQ is suggested.

Road rage and road traffic accidents increase the burden of morbidity and mortality in a population. A cross-sectional survey with convenience sampling was conducted among commercial vehicle drivers in Lahore, Pakistan (n = 901) to record their behaviours/experiences regarding road rage and road traffic accidents. Respondents were asked about incidents of shouting/cursing/rude gestures or threats to physically hurt the person/vehicle, by others or themselves, in the previous 24 hours or 3 months, and their involvement in road traffic accidents in the previous 12 months. Auto-rickshaw drivers were significantly more likely to report various road rage experiences/behaviours and involvement in accidents compared with bus and wagon drivers. A total of 112 respondents (12.4%) reported being involved in a road traffic accident in the previous 12 months but traffic police did not record the accident in 52.7% of cases. The results of this study underline the need to improve road safety in Pakistan.

Despite the dangers associated with drink walking, limited research is currently available regarding the factors which influence individuals to engage in this risky behaviour. This study examined the influence of psychosocial factors upon individuals' intentions to drink walk across four experimental scenarios (and a control condition). Specifically, a 2×2 repeated measures design was utilised in which all of the scenarios incorporated a risky pedestrian crossing situation (i.e., a pedestrian crossing against a red man signal) but differed according to the level of group identity (i.e., low/strangers and high/friends) and conformity (low and high). Individuals were assessed for their intentions to drink walk within each of these different scenarios. Undergraduate students (N=151), aged 17-30 years, completed a questionnaire. Overall, most of the study's hypotheses were supported with individuals reporting the highest intentions to drink walk when in the presence of friends (i.e., high group identity) and their friends were said to be also crossing against the red man signal (i.e., high conformity). The findings may have significant implications for the design of countermeasures to reduce drink walking. For instance, the current findings would suggest that potentially effective strategies may be to promote resilience to peer influence as well as highlight the negative consequences associated with following the behaviour of other intoxicated pedestrians who are crossing against a red signal.

Novice drivers exhibit deficits in hazard perception that are likely to increase their risk of collisions. We developed a static hazard perception test that presents still images to observers and requires them to indicate the presence of a traffic conflict that would lead to a collision. Responses to these scenes were obtained for young adult novice (N=29) and experienced drivers (N=27). Additionally, participants rated the hazard risk and clutter of each scene. Novice drivers rated traffic conflicts as less hazardous and responded more slowly to them. Using a subset of 21 scenes, we were able to discriminate novice and experienced young adult drivers with a classification accuracy of 78% and a scale reliability (Cronbach's alpha) of .91. The potential applications of this research include the development of standardized hazard perception tests that can be used for driver evaluation, training and licensure.

Pedestrians' crossing out of crosswalks (unmarked roadway) contributed to many traffic accidents, but existing pedestrian studies mainly focus on crosswalk crossing in developed countries specifically. Field observation of 254 pedestrians at unmarked roadway in China showed that 65.7% of them did not look for vehicles after arriving at the curb. Those who did look and pay attention to the traffic did so for duration of time that followed an exponential distribution. Pedestrians preferred crossing actively in tentative ways rather than waiting passively. The waiting time at the curb, at the median, and at the roadway all followed exponential distributions. During crossing, all pedestrians looked at the oncoming vehicles. When interacting with these vehicles, 31.9% of them ran and 11.4% stepped backwards. Running pedestrians usually began running at the borderline rather than within the lanes. Pedestrians preferred safe to short paths and they crossed second half of the road with significantly higher speed. These behavioral patterns were rechecked at an additional site with 105 pedestrians and the results showed much accordance. In terms of safety, pedestrians who were middle aged, involved in bigger groups, looked at vehicles more often before crossing or interacted with buses rather than cars were safer while those running were more dangerous. Potential applications of these findings, including building accurate simulation models of pedestrians and education of drivers and pedestrians in developing countries were also discussed.

No theory of driver behaviour has yet managed to achieve widespread acceptance and use in the field of Traffic Psychology, partly due to the difficulty in testing many of the theories. However, one class of theories, the motivational theories, can be usefully split into two groups and the differences between them can then be examined. One group posits the constant monitoring and targeting of a certain subjective variable, often risk, as the controlling factor in driving. The other group however states that subjective variables such as risk are only relevant once a certain threshold has been passed.In this study we aimed to examine this difference by manipulating both speed of travel and the amount of cognitive load participants were under. Participants were asked to initially drive at their preferred speed for 1 min in a driving simulator. Participant's speed was then automatically increased or decreased by 10, 20 30 km/h or left unchanged. Participants were then required to maintain the new speed for 1 min. After this 1 min the speed was again automatically changed and had to be maintained for one more minute, but this time participants also carried out a secondary mental arithmetic task. Finally participants were asked to again drive for another 1 min at their preferred speed. This procedure was repeated seven times, once for each speed manipulation; -30, -20, -10, +0, +10, +20 and +30 km/h. After each 1 min interval verbal ratings of task difficulty, effort, feeling of risk and the typicality of the speed were collected.The results show a threshold effect in ratings of task difficulty, effort and feeling of risk, with no significant difference given between the ratings during the baseline period and the experimentally decreased speed periods until after participant's preferred speed of travel had been exceeded. Furthermore, even when under cognitive load the threshold relationship was still apparent, if diminished. Finally it appears that when under cognitive load drivers have difficulty maintaining a travelling speed which is lower than the speed at which they would prefer to drive. However, driving at a speed in excess of their preferred speed appears to be easier to maintain, at least in the short term. (C) 2011 Elsevier Ltd. All rights reserved.

Background Motor vehicle crashes (MVCs) are the leading cause of death among teenagers. Little is known about the content of US paediatrician counselling about teen driving. Objective To examine US paediatrician knowledge, attitudes, and counselling patterns regarding teen driving. Methods A random sample questionnaire was mailed to American Academy of Pediatrics members in 2009 (n=1606; response=875 (55%)). Analysis was limited to 596 paediatricians who provide adolescent checkups. Questions addressed counselling and attitudes towards roles in promoting safe driving. Logistic regression assessed the relationship between counselling topics and practice characteristics. Results Most (89%) respondents provide some counselling about driving. Two topics commonly discussed by paediatricians were seatbelts (87%) and alcohol use (82%). Less frequently discussed were: cell phones (47%), speeding (43%), and dangers of transporting teen passengers (41%). Topics rarely discussed were: night driving (21%), graduated driver licensing laws (13%), safe cars (9%), driver education (9%), fatigue (25%), and parental limit setting (23%). Only 10% ever recommend a parent–teen driver agreement. Paediatricians who had a patient injured or killed in an MVC were more likely to discuss night driving (OR=2.86). Physicians caring for a high proportion of adolescents (OR=1.83) or patients with private insurance (OR=1.85) counsel more about the risks of driving with teen passengers. Conclusions Paediatricians in the USA support counselling on teen driving during routine office visits, but omit many important risk factors. Few recommend parent–teen driver agreements. Methods that help clinicians efficiently and effectively counsel families about teen driving should be developed.

Although Cruise Control (CC) is available for most cars, no studies have been found which examine how this automation system influences driving behaviour. However, a relatively large number of studies have examined Adaptive Cruise Control (ACC) which compared to CC includes also a distance control. Besides positive effects with regard to a better compliance to speed limits, there are also indications of smaller distances to lead vehicles and slower responses in situations that require immediate braking. Similar effects can be expected for CC as this system takes over longitudinal control as well. To test this hypothesis, a simulator study was conducted at the German Aerospace Center (DLR). Twenty-two participants drove different routes (highway and motorway) under three different conditions (assisted by ACC, CC and manual driving without any system). Different driving scenarios were examined including a secondary task condition. On the one hand, both systems lead to lower maximum velocities and less speed limit violations. There was no indication that drivers shift more of their attention towards secondary tasks when driving with CC or ACC. However, there were delayed driver reactions in critical situations, e.g., in a narrow curve or a fog bank. These results give rise to some caution regarding the safety effects of these systems, especially if in the future their range of functionality (e.g., ACC Stop-and-Go) is further increased.

Incompatibility between different types of road user is a problem that previous research has shown to be resistant to a range of interventions. Cars and motorcycles are particularly prone to this. Insight is provided in this paper by a naturalistic method using concurrent verbal protocols and an automatic, highly reliable semantic network creation tool. The method shows how the same road situation is interpreted differently by car drivers and motorcyclists in ways congruent with wider accident rates. Analysis of the structure and content of the semantic networks reveals a greater degree of cognitive compatibility on faster roads such as motorways, but evidence of more critical incompatibilities on country roads and junctions. Both of these road types are implicated in helping to activate cognitive schema which in turn generate stereotypical behaviors unfavourable to the anticipation of motorcyclists by car drivers. The results are discussed in terms of practical measures such as road signs which warn of events behind as well as in front, cross-mode training and the concept of route driveability.

Driver distraction represents a well-documented and growing contribution to the road safety problem. This study used a naturalistic, observational approach to examine if children in vehicles are a significant source of driving distraction. Families with children aged between 1 and 8 years drove an instrumented "study vehicle" on their regular trips for 3 weeks. A discrete video recording system in the vehicle provided images of the driver and front seat passenger, the rear seat child passengers and the traffic ahead. The video-recordings inside and outside the vehicle were analysed to identify potential distracting activities, where 'distraction' was broadly defined as any activity that distracted the driver or competed for their attention while driving. In addition, all potentially distracting activities that involved the driver looking away from the forward roadway for more than 2s while the vehicle was in motion were also coded. Video-recordings were analysed for 92 driving journeys undertaken by 12 families including 25 children and 19 drivers. The mean journey duration was approximately 16 min (range: 2 min-3h 34 min). Most journeys were undertaken during the day (89%), with the mother driving (65%) and without a front seat passenger (64%). Driving journeys were predominantly undertaken in urban areas (97%), on suburban roads/streets (94%), and under low complexity traffic conditions (91%). Most journeys involved some source of potential driver distraction (98%), with drivers distracted for 18% of the driving journey. The most frequent types of distracting activities that drivers engaged in included: touching their head or their face (35%), interacting with child passengers in the rear seat (12%), and engaging with the front seat passenger (9%). Almost three-quarters of these potentially distracting activities were engaged in by the driver while the study vehicle was in motion (72%) and 14% of all potentially distracting activities involved the driver's eyes off the roadway for greater than 2s while the vehicle was in motion, thereby potentially doubling their crash risk. The most frequent child-related activities that drivers engaged in included: turning to look at the rear seated occupants or viewing the children using the rear-view mirror (76.4%), engaging in conversation with their children (16%), assisting their children (e.g., passing food and drink [7%]) and playing with their children (1%). Drivers spent significantly longer periods of time engaged in non-child occupant-related activities compared with child occupant-related activities and were significantly more likely to have their eyes off the forward roadway for greater than 2s while engaged in non-child occupant-related activities (14%) compared to child occupant-related activities (10%). The results suggest that drivers need to be educated about the potential crash and injury risks associated with both child occupant-related and non-child occupant-related activities while driving their vehicle.