Distracted Driving Stephanie Bonne, MD Statistics • The US sends 171.3 billion text messages per month • 3, 328 deaths due to distracted driving in 2012 – 20% between the age of 20 and 30 • 421,000 injuries involving a distracted driver • 71% of teens say they have composed a text while driving – 20% admit to extended, multi-message conversations while driving • At any given moment in the US, 660,000 people are using their cell phones while driving • Texting while driving makes an accident 23 times more likely Statistics • Using a cell phone while driving increases crash risk 4 fold – Same risk as driving drunk • Texting while driving makes a crash 23 times more likely – TEXTING WHILE DRIVING IS 6 TIMES MORE DANGEROUS THAN DRIVING DRUNK Distracted Driving • A single text take the driver’s eyes off the road for 5 seconds – At 55mph, 5 seconds = driving 1 football field, blind Distracted Driving: More than a Text • Distraction: “a driver’s attention is diverted away from driving by a secondary task that requires focusing on an object, event or person not related to the driving task.” • Electronic devices are made and marketed to grab and keep attention Distracted Driving: More than a Text • Distractions include: – – – – – – – – – Texting Using a smartphone Eating and Drinking Talking to passengers Grooming Reading, including maps Using a navigation system Watching a video Adjusting the radio, CD or MP3 player Not just Texting and Driving • July 28, 2013: – Train driver admitted to texting and not hearing warning signals – Going twice allowed speed limit for track – Crash killed 79 people Not just Texting and Driving • 2011 and 2012 saw a 4% increase in pedestrian fatalities – Exact texting while walking statistics are unknown • 1,152 pedestrians were treated in emergency rooms in 2011 for injuries sustained from stepping into traffic while texting • 60% of one survey’s respondents reported texting, internet browsing or checking messages while walking near traffic Brain Function in Attention Brain Function in Attention Brain Function While Driving • Whole brain is activating during driving task – visual, auditory, sensory Clinical models of Attention • Focused attention: Ability to respond to specific stimuli • Sustained attention (vigilance): Ability to maintain consistent behavioral response during continuous and repetitive activity • Selective attention: Ability to maintain a cognitive or behavioral set in the face of distracting or competing stimuli - “freedom from distractibility” • Alternating attention: The ability of mental flexibility that allows individuals to shift focus and move between tasks having different cognitive requirements • Divided attention: Highest level of attention and refers to ability to respond simultaneously to multiple demands Attention vs. Distractions • Human brain is hard-wired for single attention – Otherwise it would be overwhelmed by amount of knowledge each day • Studies have shown… – Simulators show driver performance degradation while texting – Slowed response times (including braking) while texting – Reduced awareness of other traffic – Consistent across studies: a 4-fold (400%) increase in a risk of crash with cellphone use of any kind Science behind Distraction • Swiss Cheese Model described by researchers – Each distraction is a hole in the cheese – Task performance is best when a single task is being performed Science behind Distraction • Texting while driving causes “inattention blindness” – Drivers look but fail to “see” or register events on the roadway – In simulator studies, drivers talking on the phone see ½ of the roadway events as they do when not talking on the phone – In simulator studies, when asked to count how many times a ball is thrown, people fail to see a person in a gorilla suit on the screen • Talking and texting decrease brake responsiveness time by up to 2 seconds – Increases both likelihood and severity of a crash What about Hands Free devices? • Some studies show no change • Some studies show decreased risk, but not to baseline • Differs from a discussion with a passenger – Passenger can stop talking in a difficult road situation – Passenger can help watch for roadway events What about Multitasking? • Most neurologists say multitasking is a myth – Brain is not capable of truly “multitasking” – however, it can switch quickly between multiple tasks – When “switching” happens so fast it seems to be multitasking – like talking on the phone while driving – Both tasks suffer from a lack of full attention – Each “switch” tables about 0.3 of a second • Time we travel about 2-3 car-lengths at highway speed – Only about 2.5% of the human population is physiologically capable of focusing on more than 1 task at a time • https://www.youtube.com/watch?v=vI_mr2dIKw&feature=player_detailpage&list=PLvoTWd h6WdyaFyf4g4rrrWanqPKyfTB8B Laws Against Distracted Driving • Primary law: – Officer can ticket the driver for the offense without any other traffic violation taking place – Secondary law means the officer can only ticket if the driver has been pulled over for another violation • Missouri has a primary ban on texting for drivers younger than 21 Hand-held Bans Texting Bans All Cellphone Use Ban for Young Drivers Do the Laws Work? • Laws lead to a 50% reductions in cellphone use immediately after laws are enacted – Long-term effectiveness is weaker – No data to show that laws decrease injury or death And finally…. Psychologists at Harvard recommend one of the keys to happiness is: “living in the moment” – If we allow our minds to wander, we might miss moments we would actually enjoy Useful websites http://www.distraction.gov/ http://Textinganddrivingsafety.com http://www.iihs.org/ http://www.cdc.gov/motorvehiclesafety/ http://www.nsc.org/safety_road/Distracted_D riving/Pages/distracted_driving.aspx • http://exchange.aaa.com/safety/distracteddriving/the-risks-of-distracted-driving/ • • • • • References • • • • • • • • • • Foss R, Feaganes J, Rodgman E. Initial effects of graduated driver licensing on 16-year-old driver crashes in North Carolina. JAMA. 2001; 286:1588–1592. [PubMed: 11585481] Ranney TA. Driver Distraction: A Review of the Current State-of-Knowledge. DOT HS 810 787. Washington, DC: NHTSA; 2008. Redelmeier DA, Tibshirani RJ. Association between cellular-telephone calls and motor vehicle collisions. N Engl J Med. 1997;336: 453–458. [PubMed: 9017937 McCartt AT, Braver ER, Geary LL. Drivers’ use of handheld cell phones before and after New York State’s cell phone law. Prev Med. 2003;36: 629–635. [PubMed: 12689809] Knudsen, Eric I (2007). "Fundamental Components of Attention". Annual Review of Neuroscience 30 (1): 57–78. PMID 17417935 Fan, J., McCandliss, B. D., Flombaum, J. I., Thomas, K. M., & Posner, M. I. (2001). Comparing images of conflict in frontal cortex. Annual meeting of the Cognitive Neuroscience Society, New York, NY Sternberg; Sternberg, Karin (2012). Cognitive Psychology (Textbook) (Robert J. ed.). Cengage Learning. ISBN 978-1133313915 Abouk R, Adams S. Texting Bans and Fatal Accidents on Roadways: Do They Work? Or Do Drivers Just React to Announcements of Bans? Am Econ J Appl Econ. 2013;5:179–99. Braitman KA, McCartt AT. National Reported Patterns of Driver Cellphone Use. Traffic Inj Prev. 2010;11:543–8. [PubMed] Sperber, D., Shiell, A., and Fyie, K. (2010). The cost-effectiveness of a law banning the use of cellular phones by drivers. 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