Catherine Gabaude

Mind wandering and driving: responsibility case-control study

Objective To assess the association between mind wandering (thinking unrelated to the task at hand) and the risk of being responsible for a motor vehicle crash. Design Responsibility case-control study. Setting Adult emergency department of a university hospital in France, April 2010 to August 2011. Participants 955 drivers injured in a motor vehicle crash. Main outcome measures Responsibility for the crash, mind wandering, external distraction, negative affect, alcohol use, psychotropic drug use, and sleep deprivation. Potential confounders were sociodemographic and crash characteristics. Results Intense mind wandering (highly disrupting/distracting content) was associated with responsibility for a traffic crash (17% (78 of 453 crashes in which the driver was thought to be responsible) v 9% (43 of 502 crashes in which the driver was not thought to be responsible); adjusted odds ratio 2.12, 95% confidence interval 1.37 to 3.28). Conclusions Mind wandering while driving, by decoupling attention from visual and auditory perceptions, can jeopardise the ability of the driver to incorporate information from the environment, thereby threatening safety on the roads.

Distraction and driving: results from a case-control responsibility study of traffic crash injured drivers interviewed at the emergency room

BACKGROUND Use of cellular phones has been shown to be associated with crashes but many external distractions remain to be studied. OBJECTIVE To assess the risk associated with diversion of attention due to unexpected events or secondary tasks at the wheel. DESIGN Responsibility case-control study. SETTING Adult emergency department of the Bordeaux University Hospital (France) from April 2010 to August 2011. PARTICIPANTS 955 injured drivers presenting as a result of motor vehicle crash. MAIN OUTCOME MEASURES The main outcome variable was responsibility for the crash. Exposures were external distraction, alcohol use, psychotropic medicine use, and sleep deprivation. Potential confounders were sociodemographic and crash characteristics. RESULTS Beyond classical risk factor found to be associated with responsibility, results showed that distracting events inside the vehicle (picking up an object), distraction due to driver activity (smoking) and distracting events occurring outside were associated with an increased probability of being at fault. These distraction-related factors accounted for 8% of injurious road crashes. LIMITATIONS Retrospective responsibility self-assessment. CONCLUSIONS Diverted attention may carry more risk than expected. Our results are supporting recent research efforts to detect periods of driving vulnerability related to inattention.

Alleviating simulator sickness with galvanic cutaneous stimulation.

Objective: In a driving simulation, we investigated the efficacy of galvanic cutaneous stimulation (GCS) provided during curves or intermittently during the whole circuit to mitigate simulator syndrome (SS). Background: The literature on how GCS decreases SS, although scarce, has demonstrated the effectiveness of this technique. Stimulation with this and similar techniques has usually been provided in curves or continuously during the whole circuit but never intermittently. This stimulation method could generate a continued activation of processes related to GCS mitigating SS. Method: Fifteen drivers (8 men; mean age = 25.5 years) participated in this experiment. We compared the total scores of the Simulator Sickness Questionnaire (SSQ) across three stimulation conditions: (a) curve GCS condition, whereby GCS was provided in curves; (b) intermittent GCS condition, whereby GCS was provided intermittently during the whole circuit; and (c) no-stimulation condition, whereby no stimulation was provided (baseline condition). Results: The experimental outcomes revealed that GCS decreased SS in both the curve and intermittent stimulation conditions. Conclusion: We provide evidence that GCS is an effective countermeasure to decrease SS. It could be applied indifferently in curves or intermittently during the whole circuit. Application: For future interventions, we recommend the use of GCS to mitigate SS with similar intermittent stimulation programs. These programs have a crucial advantage as they are easily integrated into the simulator setup without the necessity of generating a complicated experimental design to stimulate during the curves.

Capturing how age-friendly communities foster positive health, social participation and health equity: a study protocol of key components and processes that promote population health in aging Canadians

BackgroundTo address the challenges of the global aging population, the World Health Organization promoted age-friendly communities as a way to foster the development of active aging community initiatives. Accordingly, key components (i.e., policies, services and structures related to the communities’ physical and social environments) should be designed to be age-friendly and help all aging adults to live safely, enjoy good health and stay involved in their communities. Although age-friendly communities are believed to be a promising way to help aging Canadians lead healthy and active lives, little is known about which key components best foster positive health, social participation and health equity, and their underlying mechanisms.This study aims to better understand which and how key components of age-friendly communities best foster positive health, social participation and health equity in aging Canadians. Specifically, the research objectives are to:1)Describe and compare age-friendly key components of communities across Canada2)Identify key components best associated with positive health, social participation and health equity of aging adults3)Explore how these key components foster positive health, social participation and health equityMethodsA mixed-method sequential explanatory design will be used. The quantitative part will involve a survey of Canadian communities and secondary analysis of cross-sectional data from the Canadian Longitudinal Study on Aging (CLSA). The survey will include an age-friendly questionnaire targeting key components in seven domains: physical environment, housing options, social environment, opportunities for participation, community supports and healthcare services, transportation options, communication and information. The CLSA is a large, national prospective study representative of the Canadian aging population designed to examine health transitions and trajectories of adults as they age. In the qualitative part, a multiple case study will be conducted in five Canadian communities performing best on positive health, social participation and health equity.DiscussionBuilding on new and existing collaborations and generating evidence from real-world interventions, the results of this project will help communities to promote age-friendly policies, services and structures which foster positive health, social participation and health equity at a population level.

Different effects in tactile attention between the thumb and its metacarpus and the palm.

The aim of this study is to establish whether the thumb is represented independently of the palm. An exogenous spatial cueing paradigm was used, where participants had to detect a tactile stimulus that could appear on the proximal and distal phalanges or metacarpus of the thumb (thenar area; Experiment 1) and the metacarpus of the thumb or hypothenar area of the palm (Experiment 2) of the left hand. Our results suggest the thumb and its metacarpus share the same mental representation, which is distinct from the representation of the palm.

Enhancing Older Drivers' Safety: On Effects Induced by Stereotype Threat to Older Adults' Driving Performance,Working Memory and Self-Regulation

In a study concerned with driving behaviors of older drivers (mean age 70 years) in a driving simulator, our findings indicate that telling older drivers that they are more at risk of accidents because of their age and their driving performance-related decline (i.e., exposing them to a stereotype threat concerning older drivers) severely impairs their self-regulatory skills. Moreover, our results show that this is at least partly due to exhaustion of the executive resources (older drivers under stereotype threat tended to contradict the stereotype of being slow by driving faster), appearing also through working memory overload (older drivers under stereotype threat performed markedly less well in a modular arithmetic task than drivers in the control condition). We thus complete the existing evidence that older drivers’ performance may be affected by socially-grounded factors, suggesting that simply being investigated may be enough to tax many capabilities in older people. We also propose that stereotype threat might be at least a partial explanation for why older drivers sometimes have poorer self-regulation performances after attending rehabilitation programs designed to make older drivers safer ones.

Effect of personalised citizen assistance for social participation (APIC) on older adults’ health and social participation: study protocol for a pragmatic multicentre randomised controlled trial (RCT)

Introduction The challenges of global ageing and the growing burden of chronic diseases require innovative interventions acting on health determinants like social participation. Many older adults do not have equitable opportunities to achieve full social participation, and interventions might underempower their personal and environmental resources and only reach a minority. To optimise current practices, the Accompagnement-citoyen Personnalisé d’Intégration Communautaire (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation. Methods and analysis A pragmatic multicentre, prospective, two-armed, randomised controlled trial will evaluate: (1) the short-term and long-term effects of the APIC on older adults’ health, social participation, life satisfaction and healthcare services utilisation and (2) its cost-effectiveness. A total of 376 participants restricted in at least one instrumental activity of daily living and living in three large cities in the province of Quebec, Canada, will be randomly assigned to the experimental or control group using a centralised computer-generated random number sequence procedure. The experimental group will receive weekly 3-hour personalised stimulation sessions given by a trained volunteer over the first 12 months. Sessions will encourage empowerment, gradual mobilisation of personal and environmental resources and community integration. The control group will receive the publicly funded universal healthcare services available to all Quebecers. Over 2 years (baseline and 12, 18 and 24 months later), self-administered questionnaires will assess physical and mental health (primary outcome; version 2 of the 36-item Short-Form Health Survey, converted to SF-6D utility scores for quality-adjusted life years), social participation (Social Participation Scale) and life satisfaction (Life Satisfaction Index-Z). Healthcare services utilisation will be recorded and costs of each intervention calculated. Ethics and dissemination The Research Ethics Committee of the CIUSSS Estrie – CHUS has approved the study (MP-31-2018-2424). An informed consent form will be read and signed by all study participants. Findings will be published and presented at conferences. Trial registration number NCT03161860; Pre-results.

Influence of Prior Use of the Same or Different Effectors in a Reaching Action

Use of different effectors in two consecutive actions could generate an attentional shift between the effectors with shorter latencies in the second action of reaching. 18 participants (10 men; M age = 21.3 yr.) participated in an experiment with two main variables: (1) effector switching with two levels (Switching and No Switching), where the participants use or do not use a different motor effector for each action; (2) lifting muscles, i.e., the muscles involved in the first phase of the reaching, with two levels (finger-lifting muscle and palm-lifting muscle). Premotor time, Motor time, Reaction time, Movement time, and Total time were measured. For Premotor, Movement, and Total times, faster responses were observed when there was no switching of the effector. This delay could be due to an attentional shift between motor effectors and its relations with motor processes. Possible applications include the ergonomic design of device controls, considering that the use of the same effector is beneficial when fast reaction times are sought.

Do distinct mind wandering differently disrupt drivers? Interpretation of physiological and behavioral pattern with a data triangulation method

MW is damaging for tasks requiring sustained and divided attention, for example driving. Recent findings seem to be indicating that off-task thoughts differently disrupt drivers. The present paper delved into characteristics of off-task thoughts to assess their respective detrimental impact on driving. Twenty volunteers had to declare their MW thoughts and get intentionally involved in Problem-Solving Thoughts (PST) according to instructions. Heart rate and oculometric behavior were collected during the two sessions. Results showed that MW and PST led to a fixed gaze. MW might also led to a cognitive effort necessary to switch from task-unrelated to task-related focus. Similarities and differences between intentional and unintentional off-task thoughts were discussed in greater detail. By designing a detection algorithm, it could be possible to detect disruptive MW during risky situations while permitting the mind to wander when the driving demand is low.

Enhancing Older Drivers' Safety: On Effects Induced by Stereotype Threat to Older Adults' Driving Performance, Working Memory and Self-Regulation

We tested whether informing women about stereotype threat is a useful intervention to improve their performance in a threatening testing situation. Men and women completed difficult math problems described either as a problem-solving task or as a math test. In a third (teaching-intervention) condition, the test was also described as a math test, but participants were additionally informed that stereotype threat could interfere with womens math performance. Results showed that women performed worse than men when the problems were described as a math test (and stereotype threat was not discussed), but did not differ from men in the problem-solving condition or in the condition in which they learned about stereotype threat. For women, attributing anxiety to gender stereotypes was associated with lower performance in the math-test condition but improved performance in the teaching-intervention condition. The results suggest that teaching about stereotype threat might offer a practical means of reducing its detrimental effects.