A Systematic Review and Meta-Analysis of Older Adults’ Cognitive Impairments and Effects on Road Safety

Driving is challenging for older adults, especially those with cognitive impairments. This paper systematically reviewed 39 peer-reviewed studies to examine the impact of cognitive deficits on older adults’ driving abilities, focusing on the discussion of neuropsychological assessments including Trail Making Tests, Useful Field of View, Maze Test, and Mini-Mental Status Exam. The study proposed the concept of Road Safety Cognitive Health, which encompasses the cognitive processes crucial for safe driving, aiming to inform future driver training, licensing regulations, roadway designs, and vehicle technology innovations. Concussively, this research advances understanding of road safety challenges for cognitively impaired older adults and advocates for an integrative approach to ensure their driving safety.