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Older Drivers and Navigation Devices This project examined measures related to older adults’ driving performance while they drove to a familiar destination without navigation aids, and when following new routes they had not previously driven using paper directions or an electronic navigation system (ENS), often called a “GPS.” Phase 1 also explored the effects of experience/familiarity using an ENS on driving, route-following, and manual destination entry task performance. Phase 2 explored the impact of training in ENS use on driving behavior and destination entry performance. Phase 1 found that on average all age and familiarity groups exhibited better driving performance when using the ENS compared to paper directions. The 70-and-older group members who were previously unfamiliar with the use of an ENS had the poorest driving test scores. The Phase 1 destination entry task focused on determining whether the drivers could correctly enter addresses into the device. People in their 60s performed better on this task than did those in their 70s, and participants who were familiar with ENS outperformed those who were not. Phase 2 showed that training on the use of an ENS did not improve driving performance, but did improve performance on destination entry tasks. This study suggests that ENS systems are difficult for older drivers to program, but training such as that developed for the study can improve the ability of these drivers to correctly enter destinations. Any driving performance benefits the systems may afford drivers cannot be realized if a user cann't correctly input a destination or becomes frustrated and rejects the use of the ENS device altogether.	DOT HS 812 587
Feasibility of Modeling the Relationship Between Seat Belt Program Inputs and Outcomes The objective of this project was to determine the feasibility of building a model that could be used as a decision-making tool for State Highway Safety Offices (SHSOs) to help predict how resource adjustments could affect seat belt use (both positively and negatively) to avoid inadvertent negative effects on seat belt use rates and unrestrained fatalities. To accomplish this objective, the study focused on 1) exploring the existence, availability, and quality of data needed to build a useful model; 2) preparing a description of the types of models that may be worth exploring given the data that are likely available; and 3) discussing the implications of the findings for future model development. The overall conclusion of the study was that while the available evidence points to potential feasibility, it is not clear that the input variables would provide sufficient precision to create a useful predictive model due to limitations regarding what is available to the SHSOs.	DOT HS 812 524
The Effects of Medical Conditions on Driving Performance: A Literature Review and Synthesis This literature review relates changes in performance or safety outcome measures for older drivers to their medical conditions or medication use, and associated functional impairments.	DOT HS 812 526
Functional Safety Assessment of a Generic Accelerator Control System with Electronic Throttle Control in Gasoline Internal Combustion Engine Vehicles This report describes research to derive safety requirements related to the failures and countermeasures of the accelerator control system (ACS) with electronic faults, such as errant electronic throttle control (ETC) signals, following an industry process standard, specifically identification of safety requirements for ACS/ETC systems in motor vehicles powered by gasoline engines. It follows the Concept Phase process of ISO 26262 and applies Hazard and Operability study, Functional Failure Modes and Effects Analysis, and Systems Theoretic Process Analysis methods. It identifies 5 vehicle-level safety goals and 179 ACS/ETC system safety requirements (an output of the ISO 26262 and STPA processes). It observes opportunities to improve the risk assessment approach in ISO 26262. DOT HS 812 557.	DOT HS 812 557
Impaired Driving Leadership Model: Findings Based on Three State Case Studies - Report This report describes case studies of the Impaired-Driving Leadership Model implemented by New Mexico, Washington State and Oklahoma. Each case study highlights the process that led to each model’s implementation, elements of the model’s structure, key components of its operation, and observed impacts following implementation. The report also identifies common and distinguishing elements of each model, lessons learned, and recommendations for other States considering implementing the model. The report indicates improvements (declines) in impaired-driving fatalities over time following implementation.	DOT HS 812 516
Additional Analysis of National Child Restraint Use Special Study: Child Restraint Misuse (Research Note) This Research Note is the third in a series describing installation problems of child safety seats reported by the National Child Restraint Use Special Study. This report shows that in rear-facing infant and convertible seats, the most common misuses concerned: Child under 1 year old and angle of seat is 30° or less (42% of misuse cases); loose installation (seat moves 2 inches laterally, 29%); and harness slack (15%). In forward-facing car seats, the most common misuses were the following: loose installation (47%); harness slack (28%); and harness straps behind child’s arm, back, or leg (15%). In highback and backless booster seats, the most common misuses were the following: lap belt across abdomen or ribcage (59%); and shoulder belt behind arm or back (24%).	DOT HS 812 527
Pedestrian and Bicyclist Data Analysis (Research Note) This Research Note presents fatality and injury data for pedestrians and bicyclists, and identifies similarities and differences between these two types of non-motorist road users. The first section examines long-term trends for both pedestrian and bicyclist fatalities over 35 years, from 1980 to 2015. It focuses on fatality numbers and percentages, gender and age, and considers changes that have taken place over time. The second section examines characteristics of both pedestrian and bicyclist fatalities including urban or rural locations, hours of the day, light conditions, month of the year, day of the week, and non-motorist actions prior to the crashes.	DOT HS 812 205
Evaluation of Teen Seat Belt Demonstration Projects in Louisiana, Mississippi, New Mexico, and Texas Four States in NHTSA’s Region 6 began multi-wave teen seat belt demonstration projects in May 2009. They conducted four waves of paid media and law enforcement activities over the following year. Two of these waves were conducted immediately prior to statewide Click It or Ticket (CIOT) seat belt mobilizations (May 2009 and May 2010), and two were conducted independent of CIOT mobilizations. Enforcement and media indices indicated that these were strong programs. Awareness surveys conducted in three of the States indicated that media efforts and law enforcement agencies successfully reached the teen population in two States (Mississippi and Texas). Teen seat belt use increased in all four States, but only in Mississippi did teen belt use increase substantially more in the program than control area. The results of this evaluation were similar to those found in previous teen-focused demonstrations in Colorado and Nevada.	DOT HS 812 464
Age Versus Experience: Evaluation of Video Feedback Intervention For Newly Licensed Teen Drivers Event-triggered, video-based interventions can improve driving safety among young drivers. Nine states including Iowa allow drivers under 16 to operate motor vehicles but little is known about how younger drivers compare to16-year-old drivers in terms of risky driving behaviors. This project examined the effects of age, experience, and video-based feedback on the rate of unsafe driving events captured on video event recorders for 90 newly licensed teen drivers. Results show that young drivers who received feedback had lower rates of unsafe driving events relative to the control group. The results indicate that video-based feedback could have safety benefits for young drivers.	DOT HS 812 508
Countermeasures That Work: A Highway Safety Countermeasures Guide, Ninth Edition, 2017: This 9th edition of Countermeasures That Work is a basic reference to assist State Highway Safety Offices in selecting effective, evidence-based countermeasures for traffic safety problem areas. These areas include: Alcohol- and Drug-Impaired Driving; Seat Belts and Child Restraints; Speeding and Speed Management; Distracted and Drowsy Driving; Motorcycle Safety; Young Drivers; Older Drivers; Pedestrians; and Bicycles. The guide describes major strategies and countermeasures that are relevant to SHSOs; summarizes strategy/countermeasure use, effectiveness, costs, and implementation time; and provides references to the most important research summaries and individual studies.	DOT HS 812 478