Open research questions in Older Adults Driving Studies
106 unresolved questions extracted from the limitations and future-work sections of 1,012 Older Adults Driving Studies papers in our library. Each links back to the study that raised it.
What the literature leaves open
Small sample size, - Limited to adult ICU survivors who received mechanical ventilation and/or extracorporeal membrane oxygenation, - Study was paused during the 2020-21 waves of the pandemic
Comprehensive Driving Assessment to Enable Driving Resumption in Adults Recovering From Critical Illness: A Prospective Cohort Study · 2026 · DOIThere is a need to determine the driving ability of adult ICU survivors after hospital discharge. There is a lack of understanding of the factors associated with driving resumption in adult ICU survivors.
Comprehensive Driving Assessment to Enable Driving Resumption in Adults Recovering From Critical Illness: A Prospective Cohort Study · 2026 · DOIThere is a lack of research on the role of giving up other transport modes in mobility decline, except for research on driving cessation. Little is known about the process of ceasing to use public transport and its effects on health and mobility. The study aims to fill this gap by exploring public transport use cessation among older adults.
“I love public transport, but now I’m too afraid to use it”: a qualitative study of public transport use cessation among older adults · 2025 · DOIHowever, the long-term trajectories of depressive symptoms and their associations with MCR remain unclear.
Association between depressive symptom trajectories and motoric cognitive risk syndrome in older adults: a cohort study · 2026 · DOIFurther research should consider a wider range of settings and focus on underexplored attributes to better promote mobility and social participation among older adults.
An updated synthesis of environmental factors influencing mobility and social participation in older adults: results from a scoping review · 2025 · DOIOlder adults with mild cognitive impairment (MCI) often experience subtle driving changes before formal dementia diagnosis, but longitudinal, real-world evidence is limited.
Association of Daily Driving Behaviors With Mild Cognitive Impairment in Older Adults Followed Over 10 Years · 2025 · DOIThe association between MCI, MCR, and their co-occurrence with dementia risk in the elderly Chinese population remains unclear.
Differential dementia risks of motoric cognitive risk syndrome and mild cognitive impairment among older adults in China: a 7-year cohort study · 2025 · DOIDriving is integral for maintaining independence and functional mobility, but the risk factors for driving cessation, particularly in the context of normal aging and preclinical AD, are not well understood.
Pain interference has previously been linked with cognitive deterioration; however, its specific relationship with MCR remains unclear.
Association between pain interference and motoric cognitive risk syndrome in older adults: a population-based cohort study · 2024 · DOIFuture studies should examine the scanning behaviors of drivers with HVFL in a larger sample size. Future studies should control for other factors that may affect driving behavior. Future studies should develop and test interventions to improve the driving safety of individuals with HVFL.
Head Scanning by Drivers With Left Homonymous Visual Field Loss: A Naturalistic Driving Pilot Study · 2026 · DOIHowever, little is known about how drivers with HVFL scan in daily driving because most prior studies have been conducted in a driving simulator or during a road test in an unfamiliar vehicle.
Head Scanning by Drivers With Left Homonymous Visual Field Loss: A Naturalistic Driving Pilot Study · 2026 · DOIFuture research should focus on developing functionally relevant, real-world measures to better guide clinical practice and policy. Emerging technologies, such as semi-autonomous and autonomous vehicle technologies, may offer new opportunities to preserve mobility.
Emerging research focuses on improving identification of drivers at risk through multidomain and technology-based assessment approaches. Digital risk prediction models integrating visual, cognitive, and demographic factors may provide more accurate estimates of driving safety than single-test screening. Advances in functional vision assessment, including digital visual field and contrast sensitivity measures and computerized cognitive–visual testing, may also improve clinical evaluation of driving ability. An important area for future research is the development of functionally relevant, sensory-adapted mobility measures that better capture how individuals with visual impairment interact with real-world driving environments. Such approaches may help bridge the gap between clinical ● Nguyen H, Luca Di Tanna G, Coxon K, Brown J, Ren K, Ramke J, et al. Associations between vision impairment and driving performance and the effectiveness of vision-related interventions: A systematic review. Transportation Research Interdisciplinary Perspectives. 2023 Jan;17:100753. h t t p s: / / d o i. o r g / 1 0. 1 0 1 6 / j. t r i p. 2 0 2 2. 1 0 0 7 5 3. ○ This recent systematic review is highly relevant because it synthesizes evidence linking visual impairment with driving performance and reviews the effectiveness of vision-related interventions. It also highlights that multiple visual domains, rather than visual acuity alone, are relevant to driving safety. ● Stamatelos P, Economou A, Yannis G, Stefanis L, Papageorgiou SG. Parkinson’s Disease and Driving 1 3Current Treatment Options in Neurology (2026) 28:11 Fitness: A Systematic Review of the Existing Guidelines. Mov Disord Clin Pract. 2024 Mar;11(3):198–208. https:/ /doi.or g/10.10 02/md c3.13942. ○ This reference is particularly important because it systematically reviews existing guidance on driving fitness in Parkinson’s disease and shows that multidomain assessment, including motor, cognitive, visual, sleep, and medication-related factors, is emphasized, while specific test recommendations and cutoff values remain inconsistent. ● Biassoni F, Gnerre M. Understanding Elderly Drivers’ Perception of Advanced Driver Assistance Systems: A Systematic Review of Perceived Risks, Trust, Ease of Use, and Usefulness. Geriatrics. 2024 Nov 5;9(6):144. https:/ /doi.or g/10.33 90/ge riatrics9060144. ○ This systematic review is relevant because it examines factors influencing older adults’ acceptance and use of ADAS, including trust, perceived usefulness, safety, and ease of use. It is useful for understanding barriers to real-world adoption of these technologies in older drivers. ● García-Lozada D, Rivera-Pinzón F, Ibáñez-Pinilla E. Relationship Between Visual Acuity, Colour Vision, Contrast Sensitivity and Stereopsis, and Road Traffic Accidents: A Systematic Review and Meta-Analysis. Safety. 2025 Jul 28;11(3):71. h t t p s: / / d o i. o r g / 1 0. 3 3 9 0 / s a f e t y 1 1 0 3 0 0 7 1. ○ This recent meta-analysis is useful because it compares several visual domains in relation to road traffic accidents and shows that evidence is stronger and more consistent for some settings and driver groups than others. It also reinforces that visual acuity alone is an incomplete marker of driving risk. ● Livingston G, Huntley J, Liu KY, Costafreda SG, Selbæk G, Alladi S, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet Standing Commission. Lancet. 2024;404(10452):572–628. https:/ /doi.or g/10.10 16/S0 140-6736(24)01296-0.
Existing research has not fully addressed the factors associated with life-space mobility in older adults with chronic respiratory disease. There is a need for comprehensive analysis of the demographic, clinical, financial, social, and environmental factors associated with life-space mobility.
Factors associated with life-space mobility in older adults with chronic respiratory disease: IMIAS study · 2026 · DOIThere is a need to understand the relationship between mild cognitive impairment and driving behavior. Prior studies have limitations, such as small sample sizes or simulation-only designs.
Predicting mild cognitive impairment using naturalistic driving and trip destination modeling · 2026 · DOIThe long-term viability and equity of mobility options for older individuals remain uncertain. Systematic intersectional evaluation is still needed to guarantee both effectiveness and equity.
Active ageing, social inclusion, and public transportation: A policy analysis and narrative review · 2026 · DOITransport disadvantage faced by older adults and people with reduced mobility. Limited access to transport systems and services. Need for inclusive SAV design and policies governing their introduction.
Shared autonomous vehicles and inclusive mobility: perceptions of older adults and people with reduced mobility in Athens, Greece · 2026 · DOIThere is little evidence on how older adults and people with reduced mobility perceive SAVs, particularly in southern European contexts. The study aims to fill this gap by analysing perceptions referring to SAV benefits and barriers among older adults and people with reduced mobility in the Athens metropolitan area.
Shared autonomous vehicles and inclusive mobility: perceptions of older adults and people with reduced mobility in Athens, Greece · 2026 · DOIThere is a limited understanding of the psychological aspects of consumption and accessibility among electric vehicle users in Kerala. Most previous studies examine purchase intention before adoption rather than psychological adaptation after ownership.
The Psychological Aspects of Consumption and Accessibility of Electric Vehicle Users in Kerala · 2026 · DOIAbstract Background Though independent mobility has a considerable impact on an individual’s quality of life, employability, and social participation, few studies have examined the impact of specialized mobility services for people with visual impairments (PVI) globally.
Impact of specialized mobility services on independent travel, economic outcomes, and well-being for people with low vision and blindness: an international survey · 2026 · DOIOfficial road traffic accident data was incomplete, inconsistent, or not digitized. Information recorded at the scene or in hospital records was subjective or lacked detailed technical investigation. The unavailability of resources was another limitation.
Limited literature exists specifically for mid-sized urban centers like Sialkot. There is a need to study the modern causes and trends of RTAs in Sialkot City.
Further research could investigate the use of objective standards with specific numerical thresholds. Research could explore the application of the AFSI in different cultural contexts.
The need for a comprehensive tool to assess and enhance supermarket age friendliness for older customers. The lack of a standardized instrument to evaluate supermarket age friendliness.
Investigating the effectiveness of incorporating self-assessment and objective risk stratification in clinical driving evaluations, - Examining the relationship between self-reported driving concerns and crash risk in female drivers, - Developing more comprehensive and accurate methods for identifying high-risk drivers
Self‐Reported Driving Problems Predict Future Traffic Crashes in Older Men: Prevalence and Determinants of Unrecognized Imminent Risk · 2026 · DOI
Most-cited papers in Older Adults Driving Studies
- Performance‐Oriented Assessment of Mobility Problems in Elderly Patients · Journal of the American Geriatrics Society · 1986 · 2,550 citations
- Measuring Life‐Space Mobility in Community‐Dwelling Older Adults · Journal of the American Geriatrics Society · 2003 · 836 citations
- Cognitive, sensory and physical factors enabling driving safety in older adults · Clinical Psychology Review · 2004 · 819 citations
- Mobility in Older Adults: A Comprehensive Framework · The Gerontologist · 2010 · 771 citations
- DECLINING RATES OF PHYSICAL ACTIVITY IN THE UNITED STATES: What Are the Contributors? · Annual Review of Public Health · 2004 · 660 citations
- The Mobility Inventory for Agoraphobia · Behaviour Research and Therapy · 1985 · 642 citations
- Context change and travel mode choice: Combining the habit discontinuity and self-activation hypotheses · Journal of Environmental Psychology · 2007 · 520 citations
- Mobility Difficulties and Physical Activity as Predictors of Mortality and Loss of Independence in the Community‐Living Older Population · Journal of the American Geriatrics Society · 2000 · 511 citations
- Busy Bodies: Activity, aging, and the management of everyday life · Journal of Aging Studies · 2000 · 505 citations
- Active commuting and cardiovascular risk: A meta-analytic review · Preventive Medicine · 2007 · 492 citations
Most recent work
- Accessibility challenges for older adults and people with disabilities: An urban mobility perspective in the age of smart transport technologies · Cities · 2026
- The bidirectional dynamic relationship between depression symptoms and activities of daily living disability among the elderly: Evidence from three-wave longitudinal data · Journal of Affective Disorders · 2026
- Crossing in the dark: Investigating the effect of vehicle kinematics and eHMI on older pedestrians’ crossing behavior in a virtual reality experiment · Journal of Safety Research · 2026
- Head Scanning by Drivers With Left Homonymous Visual Field Loss: A Naturalistic Driving Pilot Study · American Journal of Occupational Therapy · 2026
- Access to Healthcare: How Transportation Challenges Affect Chronically Ill Populations in Dallas, TX, and Detroit, MI · Sustainability · 2026
- Associations between impaired intrinsic capacity and emergency room visits among community-dwelling older adults · The journal of nutrition health & aging · 2026
- Polysubstance impairment detected in fatally injured drivers, United States, 2018–2022 · Accident Analysis & Prevention · 2026
- Assessing the visual walkability perceptions of urban streets via the lens of older adults: A case study in Shanghai · Applied Geography · 2026
- Age friendly, but for whom? Socio-spatial heterogeneity in functional and symbolic meanings of concessionary fares and priority seating in Hong Kong · Urban Studies · 2026
- Associations of external environment with life-space mobility among community-dwelling older adults: the potential mediating role of intrinsic capacity · BMC Geriatrics · 2026
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