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Edible cannabis use on simulated driving performance
Journal article   Open access   Peer reviewed

Edible cannabis use on simulated driving performance

Nae Y. Won, Sarah Bird, Julia Wrobel, Timothy Brown and Ashley Brooks-Russell
Traffic injury prevention
11/12/2025
DOI: 10.1080/15389588.2025.2574271
PMCID: PMC12967284
PMID: 41223382
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC12967284/View
Open Access

Abstract

Objective: To assess driving performance after consuming edible cannabis using a driving simulator, examining frequency of use, THC dose, and rural versus urban settings. Methods: Adults in Denver, Colorado (N = 88), between 25 and 55 years old, were recruited from November 2023 to July 2024 and assigned to groups based on past 90-day cannabis use: daily (N = 29), occasional (N = 30), or no recent use (i.e., comparison group; N = 29). This within-subjects study compared driving performance (i.e., speed, lane departures per minute, and standard deviation of lateral placement (SDLP)) using a validated driving simulator (miniSim (TM)) at baseline and two post-consumption tests (52 and 119 min). Linear mixed models were used to evaluate performance. Results: Daily-use group drove slower than the occasional-use group (decrease in average speed from pretest of 2.49 mph (urban, p < 0.01 post-1); 1.80 mph (p = 0.02 post-2)) and the comparison group (decrease in average speed from pretest of 2.70 mph (urban, p < 0.01 post-1); 2.68 mph (urban, p < 0.01 post-2)). Lane departures increased in the occasional-use group from 0.17 at pretest to 0.47 in post-1 and 0.40 in post-2 (p < 0.01). Their rural SDLP increased: post-1 (29.37 cm, p < 0.01), post-2 (29.81 cm, p < 0.01), versus pretest (25.45 cm). This group had significantly greater change in lane departures than both the comparison group (0.26, p < 0.01) and daily-use group (0.34, p < 0.01) in post-1. In post-2, the change remained greater than the daily-use group (0.20, p = 0.02). Conclusion: Our study found significant changes in driving performance following edible cannabis use, including findings related to effect duration, use frequency, and road settings. The occasional-use group showed greater impairment than daily-use group, suggesting tolerance contributes to outcomes beyond THC concentration alone.
Technology Transportation Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology

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