Aiding medical professionals in fitness-to-drive screenings for elderly drivers: development of an office-based screening tool

Urlings, Judith; Cuenen, Ariane; Brijs, Tom; Lutin, Mark; Jongen, Ellen

doi:10.1017/s1041610217002678

Cited by 16 publications

(22 citation statements)

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“…The CDT is included in many studies [57][58][59] that aimed to identify the best predictive set of tests for pass/fail driving outcome. Nevertheless, there is little evidence linking the CDT to specific driving behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…The limited sample size was partly due to simulator sickness, which is a common problem reported by many studies. Various countermeasures were adopted to mitigate this effect, including individualizing the accommodation phase [34] and simplifying the simulator scenarios [11,57]. A further limitation is that the present study used only parameters put out by the software automatically, to assess driving performance.…”

Section: Discussionmentioning

confidence: 99%

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Driving Performance and Its Correlation with Neuropsychological Tests in Senior Drivers with Cognitive Impairment in Japan

Peng

Nishimoto

Kinoshita

2021

JAD

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Background: With the rapid aging of the population, the issue of driving by dementia patients has been causing increasing concern worldwide. Objective: To investigate the driving difficulties faced by senior drivers with cognitive impairment and identify the specific neuropsychological test that can reflect specific domains of driving maneuvers. Methods: Senior drivers with cognitive impairment were investigated. Neuropsychological tests and a questionnaire on demographic and driving characteristics were administered. Driving simulator tests were used to quantify participants’ driving errors in various domains of driving. Results: Of the 47 participants, 23 current drivers, though they had better cognitive functions than 24 retired drivers, were found to have impaired driving performance in the domains of Reaction, Starting and stopping, Signaling, and Overall (wayfinding and accidents). The parameters of Reaction were significantly related to the diagnosis, and the scores of MMSE, TMT-A, and TMT-B. As regards details of the driving errors, “Sudden braking” was associated with the scores of MMSE (ρ= –0.707, p < 0.01), BDT (ρ= –0.560, p < 0.05), and ADAS (ρ= 0.758, p < 0.01), “Forgetting to use turn signals” with the TMT-B score (ρ= 0.608, p < 0.05), “Centerline crossings” with the scores of MMSE (ρ= –0.582, p < 0.05) and ADAS (ρ= 0.538, p < 0.05), and “Going the wrong way” was correlated with the score of CDT (ρ= –0.624, p < 0.01). Conclusion: Different neuropsychological factors serve as predictors of different specific driving maneuvers segmented from driving performance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Driving Performance and Its Correlation with Neuropsychological Tests in Senior Drivers with Cognitive Impairment in Japan

Peng

Nishimoto

Kinoshita

2021

JAD

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“…Moreover, based on a literature review [19,34], variables with effect size greater than 0.3 were selected for further analysis. Such a rule is feasible in practice but still lacks well-grounded theoretical support.…”

Section: Limitationsmentioning

confidence: 99%

Assessing Fitness-To-Drive among Older Drivers: A Comparative Analysis of Potential Alternatives to on-Road Driving Test

Shen

Zahoor

Tan

et al. 2020

IJERPH

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To enable older drivers to maintain mobility without endangering public safety, it is necessary to develop more effective means of assessing their fitness-to-drive as alternatives to an on-road driving test. In this study, a functional ability test, simulated driving test, and on-road driving test were carried out for 136 older drivers. Influencing factors related to fitness-to-drive were selected based on the correlation between the outcome measure of each test and the pass/fail outcome of the on-road driving test. Four potential alternatives combining different tests were considered and three modeling techniques were compared when constructing the fitness-to-drive assessment model for the elderly. As a result, 92 participants completed all of the tests, of which 61 passed the on-road driving test and the remaining 31 failed. A total of seven influencing factors from all types of tests were selected. The best model was trained by the technique of gradient boosted machine using all of the seven factors, generating the highest accuracy of 92.8%, with sensitivity of 0.94 and specificity of 0.90. The proposed fitness-to-drive assessment method is considered an effective alternative to the on-road driving test, and the results offer a valuable reference for those unfit-to-drive older drivers to either adjust their driving behavior or cease driving.

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“…These tests assess across all three functional domains and are potentially readily accessible in general practice. When tested in Belgian drivers aged ≥ 70 years, the three tests together correctly classified two‐thirds of drivers compared with the on‐road driving assessment . Preliminary use of the toolkit in three Australian GP practices (JM, GS) suggests that the toolkit is acceptable to both patients and practitioners, and that the tests can be completed in a timely fashion.…”

mentioning

confidence: 97%

“…Ideally, a toolkit would assess across all three functional domains and have face validity with older drivers, as some older drivers may, for example, consider memory tests irrelevant to their driving ability. A toolkit developed and tested by a Belgian group looks promising . This toolkit comprises visual acuity using the Snellen chart, the Functional Reach Test, and a road signs recognition test (a component of the Stroke Drivers Screening Assessment).…”

mentioning

confidence: 99%

Assessing fitness to drive in older people: the need for an evidence‐based toolkit in general practice

Wallis

Matthews²,

Spurling

2020

Medical Journal of Australia

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Aiding medical professionals in fitness-to-drive screenings for elderly drivers: development of an office-based screening tool

Cited by 16 publications

References 50 publications

Driving Performance and Its Correlation with Neuropsychological Tests in Senior Drivers with Cognitive Impairment in Japan

Driving Performance and Its Correlation with Neuropsychological Tests in Senior Drivers with Cognitive Impairment in Japan

Assessing Fitness-To-Drive among Older Drivers: A Comparative Analysis of Potential Alternatives to on-Road Driving Test

Assessing fitness to drive in older people: the need for an evidence‐based toolkit in general practice

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