How distracting is chronic pain? The impact of chronic pain on driving behaviour and hazard perception

Article

Vaezipour, Atiyeh, Horswill, Mark S., Andrews, Nicole E., Johnston, Venerina, Delhomme, Patricia and Oviedo-Trespalacios, Oscar. 2022. "How distracting is chronic pain? The impact of chronic pain on driving behaviour and hazard perception." Accident Analysis and Prevention. 178. https://doi.org/10.1016/j.aap.2022.106856
Article Title

How distracting is chronic pain? The impact of chronic pain on driving behaviour and hazard perception

ERA Journal ID13370
Article CategoryArticle
AuthorsVaezipour, Atiyeh, Horswill, Mark S., Andrews, Nicole E., Johnston, Venerina, Delhomme, Patricia and Oviedo-Trespalacios, Oscar
Journal TitleAccident Analysis and Prevention
Journal Citation178
Article Number106856
Number of Pages10
Year2022
PublisherElsevier
Place of PublicationUnited Kingdom
ISSN0001-4575
1879-2057
Digital Object Identifier (DOI)https://doi.org/10.1016/j.aap.2022.106856
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0001457522002913
Abstract

In road safety research, few studies have examined driving behaviour in chronic pain cohorts. The aim of this
study was to investigate driving behaviour among drivers experiencing chronic pain. We compared individuals
with chronic pain with age-gender matched healthy controls. Participants completed: (i) an anonymous online
survey that included participant demographics, transport characteristics, self-reported driving behaviour, and
pain characteristics (ii) a response-time hazard perception test and a verbal-response hazard prediction test for
drivers, and (iii) a driving diary in which participants recorded their driving over two weeks. The results showed
that participants with chronic pain were not significantly worse than controls for hazard perception and prediction
test scores, self-reported attention-related errors, driving errors, driving violations, and involuntary distraction.
Drivers with chronic pain did report significantly more driving lapses but this effect became non-significant
when variables confounded with chronic pain, such as fatigue, were adjusted for. We also found that participants
who reported particularly high levels of chronic pain performed worse in the hazard prediction test compared to
the control group (and this effect could not be accounted for by other variables associated with chronic pain). In
addition, participants with chronic pain reported significantly higher driving workload (mental demand, physical demand, effort, and frustration) compared with controls. The findings of this study provide new insights into driving behaviour in individuals with chronic pain and recommendations for future research in terms of driving
assessment and self-regulation strategies are provided.

KeywordsDriver behaviour ; Distracted driving ; Chronic pain ; Hazard perception ; Human factors ; Driving assessment
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420109. Rehabilitation
Byline AffiliationsUniversity of Queensland
Royal Brisbane and Women’s Hospital, Australia
Paris City University, Francde
Queensland University of Technology
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