Some options for assessing older driver fitness to drive for licensing purposes
Several licensing models around the world use a screening test in assessing older drivers? fitness
to drive. For example, the proposed Australasian older driver licensing model incorporates a
screening assessment of older drivers identified as being at-risk by health or other authorities.
Some drivers are either ?failed? or ?passed? ? with drivers whose test performance has been
inconclusive, being referred for further in-depth assessment.
The Useful Field of View (UFOV) screening test has been extensively evaluated over the past
decade or so, with results commonly confirming a statistically significant association between test
performance and various measures of crash risk. Arguably, this test holds the most potential for
An Austroads project currently being conducted in Western Australia involves a case-control
study to assess the usefulness of UFOV and other assessment options to licensing authorities
when assessing older drivers. Around 60 Cases (drivers aged 75 years and older in at-fault
crashes within the previous six months) and 60 Controls (drivers aged 75 years and older who
have been crash-free over the previous two years) are being compared across a range of measures
including performance on the UFOV.
Preliminary results based on 39 Cases and 39 Controls indicate that several measures have a
statistically significant association with recent crash involvement. Once all testing has been
completed, more sophisticated statistical analyses (e.g. a regression analysis, diagnostic accuracy
testing) will be undertaken to evaluate the effectiveness of using these tests for screening older
This paper explores the different ways in which UFOV and other measures of fitness to drive
might assist in the assessment of older drivers generally and within the Australasian licensing