Abstract

PurposeWe conducted a driving simulator study to investigate the effects of monitoring intersection cross traffic on gaze behaviors and responses to pedestrians by drivers with hemianopic field loss.MethodsSixteen HFL and sixteen normal vision participants completed two drives in an urban environment. At 30 intersections, a pedestrian ran across the road when the participant entered the intersection, requiring a braking response to avoid a collision. Intersections with these pedestrian events had either no cross traffic, one approaching car from the side opposite the pedestrian location, or two approaching cars, one from each side at the same time.ResultsOverall, HFL drivers made more of cross-traffic on both the blind and seeing sides. They made more numerous and larger gaze scans when they fixated cars on both sides and had lower rates of unsafe responses to blind- but not seeing-side pedestrians. They were more likely to demonstrate compensatory blind-side fixation behaviors when there was no car on the seeing side. Fixation behaviors and unsafe response rates were most similar to those of NV drivers when cars were fixated on both sides.ConclusionFor HFL participants, making more scans, larger scans and safer responses to pedestrians crossing from the blind side were associated with looking at cross traffic from both directions. Thus, cross traffic might serve as a reminder to scan and provide a reference point to guide blind-side scanning of drivers with HFL. Proactively checking for cross-traffic cars from both sides could be an important safety practice for drivers with HFL.