Drivers know that smartphones distract. Trying to limit distraction, drivers can use handsfree devices, where they onlybriefly glance at the smartphone. However, the cognitive cost of switching tasks from driving to communicating back todriving adds an underappreciated, potentially long period to the total distraction time. This project measured the effectsof handsfree smartphones on driving behaviors by engaging ninety-seven 21- to 78-year-old individuals whoselfidentified as active drivers and smartphone users in a simulated driving scenario that included smartphonedistractions. Peripheral-cue and car-following tasks were used to assess driving behavior, along with synchronized eyetracking. This research found that simulated driving performance drops to dangerous levels after smartphone distractionfor all ages and for both voice and texting. The participants swerved for 15.1 seconds after a voice distraction and for alonger 20.6 seconds after a text distraction. Participants from the 71+ age group missed seeing about 50% of peripheralcues within 4 seconds of the distraction. Coherence with the lead car during following task dropped from 0.54 to 0.045during distraction, and seven participants rear-ended the lead car.

BACKGROUND: Dietary supplement (DS) use is common and increasing among older adults, though much data available on use frequencies are from surveys and performed cross-sectionally. This paper sought to assess the frequency and pattern of dietary supplement use among older adults over time. METHODS: A secondary analysis of data from the AAA LongROAD study, a longitudinal prospective cohort study of older adult drivers, using data from baseline and the first two years of follow up included a total of 2990 drivers aged 65-79 years recruited at five study sites across the US from July 2015 to March 2017. Participants underwent baseline and annual evaluations, which included a brown bag medication review. DS were identified and categorized according to type and key components. Prevalence and pattern of DS use over time and relationship to demographics were measured with frequency and Chi squared analyses. RESULTS: 84% of participants took at least one dietary supplement during the 2-year study period, and 55% of participants continually reported use. DS accounted for approximately 30% of the total pharmacologic-pill burden in all years. Participants who were White non-Hispanic, female, 75-79 years of age at baseline, and on more non-supplement medications took significantly more dietary supplements (P < 0.05). Vitamin D, multivitamins, calcium, and omega-3 formulations were the most common supplements, with stable use over time. Use of individual herbal supplements and cannabis products was uncommon (< 1% participants per year). CONCLUSIONS: DS use among older adults is common and relatively stable over time and contributes to polypharmacy. In clinical settings, providers should consider the influence of DS formulations on polypharmacy, and the associated cost, risk of medication interactions, and effect on medication compliance.