# Medical Marijuana Use and Driving Performance: A Test of Psychomotor Function in Adults 50 and Older

> **NIH NIH R21** · FLORIDA STATE UNIVERSITY · 2021 · $150,342

## Abstract

PROJECT SUMMARY
Approximately 6.9 million people in the state of Florida are age 50 and older, and estimates of chronic or severe
non-malignant pain in this population range from 35-52%. Of the 33 states (including Florida) with laws that
legalize marijuana for medical use, chronic or severe non-malignant pain, conditions with greater prevalence in
mid to late life, are recognized as common ailments for which physicians prescribe medical marijuana. In the
U.S., chronic pain is the most frequently endorsed reason for medical marijuana use. However, little is known
about marijuana use during late-middle age (ages 50–64) and older adulthood (ages 65 and older). While
medical marijuana may benefit older adults by reducing pain, the impact of sustained medical marijuana use on
functioning during real world tasks such as driving is underexamined. Currently, we do not have enough
scientific evidence to differentiate “per se” (quantity of marijuana) versus “impairment” (behaviors
exhibited) in driving under the influence cases that involve marijuana use. Physicians, patients and policy
makers need data driven guidelines regarding how medical marijuana use affects functioning during real world
tasks such as driving among older adults and the potential adverse effects of use. To that end, the National
Institute on Drug Abuse (NIDA) and the National Institute on Aging have called for data on medical marijuana
and driving performance and medical marijuana use and adverse effects among older adults in particular. A
study that examines older adults pre-exposure to medical marijuana and systematically tracks medical marijuana
initiation, dosage, and psychomotor functioning will provide evidence of the association between quantity of use
and impairment. Thus, the proposed study will test medical marijuana use as the exposure variable in adults age
50 and older and simulated driving performance (i.e. errors in response time, attention, and executive functioning
tasks that predict on-road performance) as the primary outcome. Further, we will explore the association between
medical marijuana use and adverse effects. To accomplish this, we propose the following aims: Aim 1: Test the
association between medical marijuana use and driving errors that predict on-road performance, on a high-
fidelity driving simulator, in adults 50 and older with chronic or severe non-malignant pain. Aim 2: Examine the
association between medical marijuana use factors (dosage, frequency, CBD vs THC products, and route of
administration) and adverse effects in adults age 50 and older. The proposed study is significant because it will
prospectively evaluate medical marijuana use and provide an evidence base on the association between use
and driving performance and adverse events. The study will obtain detailed marijuana exposure through
electronic medical records and blood draws together with repeated measures of driving performance and reports
of adverse effects. Further, we will use a c...

## Key facts

- **NIH application ID:** 10263908
- **Project number:** 5R21DA048067-02
- **Recipient organization:** FLORIDA STATE UNIVERSITY
- **Principal Investigator:** SHERRILENE CLASSEN
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $150,342
- **Award type:** 5
- **Project period:** 2020-09-30 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10263908

## Citation

> US National Institutes of Health, RePORTER application 10263908, Medical Marijuana Use and Driving Performance: A Test of Psychomotor Function in Adults 50 and Older (5R21DA048067-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10263908. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
