Skip Navigation
Phone: 800-275-6401

Geisinger resident's study is first to assess effects of ADHD, inexperience, texting on driving

CONTACT:  Mike Ferlazzo: 570-214-7410, 515-450-2908 (c),
Aug. 28, 2013


DANVILLE, Pa. – Teen drivers diagnosed with attention-deficit/hyperactivity disorder (ADHD) were found to have more variability in their speed and tended to veer out of their lane more frequently than teens without ADHD – and texting just made their performance worse. These findings were recorded as part of a new study led by Megan Narad (right), M.A., a Geisinger Medical Center clinical psychology resident.

She and seven other researchers from the Center for ADHD at Cincinnati Children’s Hospital Medical Center studied the performances of 61 new teen drivers (28 with ADHD, 33 without) during 40-minute tests on a driving simulator under three conditions – no distraction, cell phone conversation and texting. Their study was published in the Aug. 12 edition of JAMA Pediatrics.

Their study is the first to assess the combined effects of ADHD, driving inexperience and cell phone distraction/texting among teen drivers.

“There are some studies on texting and driving, others on ADHD and driving, and some on even novice driving, but there’s not one that looks at all three of those driving risk factors,” said Narad, who conducted the research for her doctoral dissertation at the University of Cincinnati.

Prior to their simulations, a much larger proportion of ADHD subjects reported receiving at least one traffic violation (17 percent) compared with the non-ADHD subjects (6 percent). The researchers chose to test ADHD subjects without medication to more accurately evaluate their ADHD-related deficits.

The effects of cell phone distraction were found to be large and evident for all subjects, resulting in changes in average speed, speed variability and variability of lane position. Texting was the most impairing distraction to all subjects, and particularly compounded the negative performance of ADHD drivers.

“It makes it even worse. They’re starting off at a deficit [because of the ADHD], so they’re more distracted already, and then we’re adding this other distraction [texting] into their driving performance,” said Narad. “It’s this kind of additive problem that is even scarier than a typical 16- or 17-year-old who is driving.”

The authors wrote that their study highlights the need for education and enforcement of regulations against texting for drivers from this age group.

“I don’t think any teenager or novice driver should have the distraction of a phone, whether it’s being used for texting, email, or whatever it is,” Narad said. “This study was alarming to be a part of, seeing how these kids, who aren’t experienced drivers yet, were distracted by cell phone use. It may not be a big deal in a simulator, but it’s a big deal out on the road.”

The researchers also recorded the eye gazes of the subjects during their driving simulations under the three conditions and they’re analyzing those findings for a future study.

About Geisinger Health System
Geisinger Health System is an integrated health services organization widely recognized for its innovative use of the electronic health record, and the development of innovative care models such as ProvenHealth Navigator® and ProvenCare®. As the nation’s largest rural health services organization, Geisinger serves more than 2.6 million residents throughout 44 counties in central and northeastern Pennsylvania. The physician-led system is comprised of more than 19,000 employees, including a 1,000-member multi-specialty group practice, six hospital campuses, two research centers and a 413,000-member health plan, all of which leverage an estimated $6.1 billion positive impact on the Pennsylvania economy. The health system and the health plan have repeatedly garnered national accolades for integration, quality and service. In addition to fulfilling its patient care mission, Geisinger has a long-standing commitment to medical education, research and community service. For more information, visit, or follow the latest Geisinger news and more on Twitter and  Facebook.