A Prospective Study of Cognitive Tests to Predict Performance on a Standardised Road Test in People with Dementia

This article reports on a prospective study of cognitive tests that are used to predict performance of automobile drivers with dementia. The authors aim was to check the accuracy of a cognitive test battery designed by Lincoln and colleagues, as well as to determine if the test battery could be improved by shortening it, and including additional cognitive tests, and a measure of previous driving. Participants with dementia (n = 75), who were still driving, were assessed on cognitive tests including measures of concentration, executive function, visuospatial perception, verbal recognition memory, and speed of information processing. Patients were then assessed on the Nottingham Neurological Driving Assessment (NNDA) by an approved driving instructor (ADI), blind to cognitive test results. Of the 75 participants, 65 were also assessed by means of a road test. The participants were aged 59-88 years and 49 were men. Time driving varied from 19 to 73 years. The results of the road test determined that 13 participants were unsafe and 52 safe to drive. The previously identified test battery predicted safety to drive in most patients. The authors conclude that including additional tests reduced the misclassification rate but requires independent validation. They suggest that the cognitive test battery might be used in clinical practice to identify patients with dementia who would benefit from on-road assessment.

• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/issn/08856230
• Authors:
  • Lincoln, Nadina B
  • Taylor, Jenny L
  • Vella, Kristina
  • Bouman, Walter P
  • Radford, Kathryn A
• Publication Date: 2010-5

Language

• English

Media Info

• Media Type: Print
• Features: References; Tables;
• Pagination: pp 489-496
• Serial:
  • International Journal of Geriatric Psychiatry
  • Volume: 25
  • Issue Number: 5
  • Publisher: Wiley (John) & Sons, Limited
  • ISSN: 0885-6230
  • Serial URL: https://onlinelibrary.wiley.com/journal/10991166

Subject/Index Terms

• TRT Terms: Automobile drivers; Cognition; Cognitive impairment; Dementia; Diagnosis; Driving tests; Memory; Neurology; Road tests
• Subject Areas: Highways; Safety and Human Factors; I83: Accidents and the Human Factor;

Filing Info

• Accession Number: 01352293
• Record Type: Publication
• Files: TRIS
• Created Date: Sep 21 2011 7:14AM