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January 28, 2013Accident Analysis & PreventionOpen Access

Comparison of driving simulator performance with real driving after alcohol intake: A randomised, single blind, placebo-controlled, cross-over trial

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Key result

Ethanol intake demonstrated a positive dose-response relationship with increased standard deviation of lateral position in both the driving simulator and on a real test track (p<0.001 for both).

Why the study?

Does ethanol affect driving performance in a simulator consistently with real driving?

Population

20 healthy male volunteers

Comparison

Ethanol titrated to blood alcohol concentration… vs Sober (placebo drinks and placebo pills)

Design

RCT, randomised, cross-over, single-blind

Follow-up

1h duration per trial

Authors

AHArne HellandNorwegian University of Science and TechnologyGJGunnar D. JenssenSINTEFLLLone-Eirin LervågSINTEF

Discussion

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Overview

Driving simulators reliably detect ethanol impairment; confirms SDLP external validity as a surrogate for real-world driving studies.

Study Design

Type

RCT (n=20)

Blinding

Single-blind

Randomization

Cross-over

Structured PICO

Does ethanol affect driving performance in a simulator consistently with real driving?

P
Population
20 healthy male volunteers
I
Intervention
Ethanol titrated to blood alcohol concentration (BAC) levels of 0.5g/L and 0.9g/L
C
Comparator
Sober (placebo drinks and placebo pills)
O
Outcome
Standard deviation of lateral position (SDLP; "weaving")surrogate

Main Result

p-value: p=<0.001

SDLP in a driving simulator is a sensitive measure of ethanol-impaired driving, showing relative external validity compared to real driving.

Limitations

  • Lack of perceived danger in the simulator may cause reckless driving and striking dissimilarities in a few test subjects compared to real driving.
  • Lack of perceived danger in the simulator causing reckless driving in a few test subjects

Cite This Study

Helland et al. (2013) conducted an RCT in Healthy (n=20). Ethanol vs. Sober (placebo drinks and pills) was evaluated on Standard deviation of lateral position (SDLP; "weaving") (p=<0.001). Ethanol intake demonstrated a positive dose-response relationship with increased standard deviation of lateral position in both the driving simulator and on a real test track (p<0.001 for both).

synapsesocial.com/papers/6a181e8eaeefdf6d9c1360a0https://doi.org/10.1016/j.aap.2012.12.042
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alcohol dose effects on brain circuits during simulated driving: An fMRI study2008 · 87 citations
  2. 2The sensitivity of laboratory tests assessing driving related skills to dose-related impairment of alcohol: A literature review2016 · 67 citations
  3. 3The effects of alcohol on the cognitive function of males and females and on skills relating to car driving1992 · 49 citations
  4. 4Drug and Ethanol Effects on the Clinical Test for Drunkenness: Single Doses of Ethanol, Hypnotic Drugs and Antidepressant Drugs1994 · 39 citations
  5. 5A PC‐Based Software Test for Measuring Alcohol and Drug Effects in Human Subjects1996 · 18 citations