Interaction driver-bicyclist on rural roads: Effects of cross-sections and road geometric elements.

The interaction of motorists and bicyclists, particularly during passing maneuvers, is cited as one of the primary causes of bicyclist fatalities. This paper reports the results of a driving simulator study, which sought to analyze the effects that three cross-section configurations of a two-lane rural road and four geometric elements of the road have on driver behavior, during the interaction with a cyclist. A two-lane rural road, about 11km long, was designed and implemented in an advanced-interactive driving simulator. Three different cross-sections (all with same width, but with and without a bicycle lane and for different widths of bicycle lane) were tested. Forty participants carried out three driving sessions (one for each road alignment with different cross-section) and were exposed to the condition of bicycle traffic along four geometric elements of the alignment (2 tangents with different lengths, right curve and left curve). The driving simulator experiments were designed in such a way that, along the sections where the driver-cyclist interactions occurred, the oncoming traffic was absent. Overall, 468 speed profiles and 468 lateral position profiles were plotted to obtain the descriptive variables of the driver behavior during the interaction with the cyclist. The influences of cross-sections, geometric elements and bicycle traffic conditions on driver behavior were evaluated by a multivariate variance analysis. The presence of the cyclist determined different levels of influence on driver's trajectory for the three cross-sections. A wider bicycle lane ensured a higher later clearance distance between driver and cyclist, allowing safer overtaking maneuver. The interferences of the cyclist on driver's behavior depended on the geometric elements. On tangents, the lowest lateral clearances were recorded and no speed reduction was observed, compared to the cyclist absence condition. On the left curve, the higher lateral clearance was recorded, due to the concordant tendencies of the driver to move away from the cyclist and to cut the curve. This determined an excessive and risky displacement of the vehicle to the opposing lane, whose criticality was also emphasized by the high speed adopted by the driver. On the right curve, the lateral clearance was higher than that recorded on the tangents, probably due to the necessity of the driver to perform the demanding maneuver of entering in the right curve, which also determined a speed reduction compared to the cyclist absence condition. The obtained results provide suggestions for the most efficient cross-section reorganization of existing two-lane rural roads in order to improve the road safety.

Reducing Fall Risk with Combined Motor and Cognitive Training in Elderly Fallers.

BACKGROUND: Falling is a major clinical problem in elderly people, demanding effective solutions. At present, the only effective intervention is motor training of balance and strength. Executive function-based training (EFt) might be effective at preventing falls according to evidence showing a relationship between executive functions and gait abnormalities. The aim was to assess the effectiveness of a motor and a cognitive treatment developed within the EU co-funded project I-DONT-FALL. METHODS: In a sample of 481 elderly people at risk of falls recruited in this multicenter randomised controlled trial, the effectiveness of a motor treatment (pure motor or mixed with EFt) of 24 one-hour sessions delivered through an i-Walker with a non-motor treatment (pure EFt or control condition) was evaluated. Similarly, a 24 one-hour session cognitive treatment (pure EFt or mixed with motor training), delivered through a touch-screen computer was compared with a non-cognitive treatment (pure motor or control condition). RESULTS: Motor treatment, particularly when mixed with EFt, reduced significantly fear of falling (F(1,478) = 6.786, p = 0.009) although to a limited extent (ES -0.25) restricted to the period after intervention. CONCLUSIONS: This study suggests the effectiveness of motor treatment empowered by EFt in reducing fear of falling.

Effects of safety measures on driver's speed behavior at pedestrian crossings.

This paper reports the results of a multi-factorial experiment that was aimed at the following: (a) analyzing driver's speed behavior while approaching zebra crossings under different conditions of vehicle-pedestrian interaction and with respect to several safety measures and (b) comparing safety measures and identifying the most effective treatment for zebra crossings. Three safety countermeasures at pedestrian crossings (curb extensions, parking restrictions and advanced yield markings) and the condition of no treatment (baseline condition) were designed on a two-lane urban road and implemented in an advanced driving simulator. Several conditions of vehicle-pedestrian interaction (in terms of the time left for the vehicle to get to the zebra crossing at the moment the pedestrian starts the crossing) were also simulated. Forty-two drivers completed the driving in the simulator. Based on the recorded speed data, two analyses were performed. The first analysis, which focused on the mean speed profiles, revealed that the driver's speed behavior was affected by conditions of vehicle-pedestrian interaction and was fully consistent with previous findings in the literature and with the Threat Avoidance Model developed by Fuller. Further analysis was based on variables that were obtained from the speed profiles of drivers (the speed at the beginning of the deceleration phase, the distance from the zebra crossing where the deceleration began, the minimum speed value reached during the deceleration, the distance from the pedestrian crossing where the braking phase ended and the average deceleration rate). Multivariate variance analysis (MANOVA) revealed that there was a significant main effect for safety measures and for pedestrian conditions (the presence and absence of a pedestrian). The results identified that the curb extension was the countermeasure that induces the most appropriate driver's speed behavior while approaching the zebra crossing. This conclusion was also confirmed by outcomes of the questionnaire on the countermeasure's effectiveness. More than 80% of the drivers perceived that the curb extensions were effective, which indicates that when this countermeasure was present, the drivers were more willing to yield and that the visibility of the pedestrian crossing was better. For this countermeasure, the lowest number of interactions in which the drivers did not yield to a pedestrian was also recorded.