EEG-Based Neurocognitive Metrics May Predict Simulated and On-Road Driving Performance in Older Drivers

Autor: Marija Stevanović Karić, Emily Sones, Marc Casillas, Stephanie Smith, Thomas D. Marcotte, Theodore J. Rosenthal, Greg Rupp, Kevin McShea, Amir H. Meghdadi, Chris Berka
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Human immunodeficiency virus (HIV)
Electroencephalography
Audiology
medicine.disease_cause
050105 experimental psychology
lcsh:RC321-571
Task (project management)
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
Event-related potential
driving
medicine
0501 psychology and cognitive sciences
Cognitive skill
EEG
event related potentials
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Biological Psychiatry
on-road evaluation
Original Research
medicine.diagnostic_test
driving impairment test
05 social sciences
Driving simulator
neurodegeneration
HIV
Cognition
Psychiatry and Mental health
sustained attention
Neuropsychology and Physiological Psychology
Neurology
Psychology
Neurocognitive
030217 neurology & neurosurgery
Neuroscience
Zdroj: Frontiers in Human Neuroscience
Frontiers in Human Neuroscience, Vol 12 (2019)
ISSN: 1662-5161
Popis: The number of older drivers is steadily increasing, and advancing age is associated with a high rate of automobile crashes and fatalities. This can be attributed to a combination of factors including decline in sensory, motor, and cognitive functions due to natural aging or neurodegenerative diseases such as HIV-Associated Neurocognitive Disorder (HAND). Current clinical assessment methods only modestly predict impaired driving. Thus, there is a need for inexpensive and scalable tools to predict on-road driving performance. In this study EEG was acquired from 39 HIV+ patients and 63 healthy participants (HP) during: 3-Choice-Vigilance Task (3CVT), a 30-min driving simulator session, and a 12-mile on-road driving evaluation. Based on driving performance, a designation of Good/Poor (simulator) and Safe/Unsafe (on-road drive) was assigned to each participant. Event-related potentials (ERPs) obtained during 3CVT showed increased amplitude of the P200 component was associated with bad driving performance both during the on-road and simulated drive. This P200 effect was consistent across the HP and HIV+ groups, particularly over the left frontal-central region. Decreased amplitude of the late positive potential (LPP) during 3CVT, particularly over the left frontal regions, was associated with bad driving performance in the simulator. These EEG ERP metrics were shown to be associated with driving performance across participants independent of HIV status. During the on-road evaluation, Unsafe drivers exhibited higher EEG alpha power compared to Safe drivers. The results of this study are 2-fold. First, they demonstrate that high-quality EEG can be inexpensively and easily acquired during simulated and on-road driving assessments. Secondly, EEG metrics acquired during a sustained attention task (3CVT) are associated with driving performance, and these metrics could potentially be used to assess whether an individual has the cognitive skills necessary for safe driving.
Databáze: OpenAIRE