Validity, reliability and predictive accuracy of the Driving Awareness Questionnaire

Kay, Lynnette; Bundy, Anita; Clemson, Lindy

doi:10.1080/09638280802509553

Cited by 20 publications

(25 citation statements)

References 24 publications

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“…Several relatively new Driving‐Specific Tools (Table 2B) were found to be predictive. DriveAware (Kay, Bundy & Clemson, 2009b), a self‐report questionnaire taking 10–20 minutes to administer and DriveSafe (Kay et al. , 2009a), a visual recognition test projected onto a screen taking 20–30 minutes to administer, when administered together and measured against an on‐road driving assessment, have sensitivity/specificity ranging from 42/97 to 95/45 depending on the cut‐offs used (Kay et al.…”

Section: Resultsmentioning

confidence: 99%

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Assessing executive function in relation to fitness to drive: A review of tools and their ability to predict safe driving

Asimakopulos

Boychuck

Sondergaard

et al. 2011

Aus Occup Therapy J

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Among the 53 tools, there were 27 general assessments of cognition, 19 driving-specific and seven activities of daily living/instrumental activities of daily living assessments. No single tool measured all executive function components: working memory was the most common (n = 20/53). Several tools demonstrated strong predictive validity and clinical utility. For example, tools, such as the Trail Making Test and the Maze Task, have the shortest administration time (i.e. often less than 10 minutes) and the most easily accessible method of administration (i.e. pen and paper or verbal). Driving-specific tools range from short questionnaires, such as the 10-minute Manchester Driving Behaviour Questionnaire, to more complex tools requiring about 45 minutes to administer. CONCLUSIONS AND SIGNIFICANCE OF THE STUDY: The appropriateness of a tool depends on the individual being assessed and on practical constraints of the clinical context. The Driving Executive Function Tool Guide provides useful information that should facilitate decision-making and selection of appropriate executive function tools in relation to driving.

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Section: Resultsmentioning

confidence: 99%

“…An individual with insight, but with impairments in other components of EF, may be able to compensate by adopting less risky driving behaviour (Daigneault et al. , 2002), whereas an individual with reduced self‐awareness is likely to be unsafe regardless of how he scores on other EF constructs (Kay et al. , 2009b).…”

Section: Discussionmentioning

confidence: 99%

Assessing executive function in relation to fitness to drive: A review of tools and their ability to predict safe driving

Asimakopulos

Boychuck

Sondergaard

et al. 2011

Aus Occup Therapy J

View full text Add to dashboard Cite

show abstract

“…However, quantitative research by Kay et al . () and Lincoln et al . () found higher than previously obtained correlation between accuracy of clinic‐based test scores and on‐road assessments.…”

Section: Resultsmentioning

confidence: 88%

An integrative review: understanding driving retirement decisions for individuals living with a dementia

Andrew

Traynor

Iverson

2015

Journal of Advanced Nursing

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Aim. To synthesise primary research exploring decision making practices used to determine the time to retire from driving for individuals living with a dementia. Background. Driving requires complex cognitive and physical skills potentially compromised due to the progressive nature of dementia. Whilst on-road assessments are considered reliable indicators of driving capacity by clinicians, drivers with dementia disagree. Design. Integrative literature review informed by Whittemore & Knafl (2005). Data sources. Electronic database search of Medline, CINAHL, Web of Science, Google Scholar 1997-2012; and incremental hand search. Review methods. Primary studies published in peer reviewed journals were appraised against quality assessment criteria using CASP methodological assessment tools. Results. A total of 43 studies were retained for synthesis. Key findings were abstracted and a themes matrix was generated to identify patterns of meaning. Six themes emerged: (i) dementia may compromise the complex task of driving; (ii) defining onset and severity of dementia is problematic; (iii) symptom progression impacts on driving skills; (iv) assessment of fitness to drive remains subjective; (v) some drivers are reluctant to accept negative assessment outcomes; and (vi) the search for effective strategies to enhance acceptance of driver retirement continues. Conclusion. This integrative literature review identified a large body of knowledge exploring the issues of driving cessation for drivers with dementia. However a challenge remains for practitioners, drivers and their family carers regarding how best to address this highly emotive issue. Findings could inform a structured approach to address this sensitive topic in a timely manner.

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“…There are a number of assessments which evaluate visual attention however, we elected to administer the DriveSafe assessment tool as it assesses visual attention in a series of driving scenes and also considers awareness of functional limitations [48]. DriveSafe produces an overall score and has also been validated against on-road driving performance [49]. …”

Section: Methodsmentioning

confidence: 99%

A randomized trial to evaluate the effectiveness of an individual, education-based safe transport program for drivers aged 75 years and older

et al. 2013

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BackgroundThere are concerns over safety of older drivers due to increased crash involvement and vulnerability to injury. However, loss of driving privileges can dramatically reduce independence and quality of life for older members of the community. The aim of this trial is to examine the effectiveness of a safe transport program for drivers aged 75 years and older at reducing driving exposure but maintaining mobility.Methods and designA randomised trial will be conducted, involving 380 drivers aged 75 years and older, resident in urban and semi-rural areas of North-West Sydney. The intervention is an education program based on the Knowledge Enhances Your Safety (KEYS) program, adapted for the Australian context. Driving experience will be measured objectively using an in-vehicle monitoring device which includes a global positioning system (GPS) to assess driving exposure and an accelerometer to detect rapid deceleration events. Participation will be assessed using the Keele Assessment of Participation (KAP). Data will be analysed on an intention-to-treat basis; the primary outcomes include driving exposure, rapid deceleration events and scores for KAP. Secondary outcomes include self-reported measures of driving, socialisation, uptake of alternative forms of transport, depressive symptoms and mood. A detailed process evaluation will be conducted, including examination of the delivery of the program and uptake of alternative forms of transport. A subgroup analysis is planned for drivers with reduced function as characterized by established cut-off scores on the Drivesafe assessment tool.DiscussionThis randomised trial is powered to provide an objective assessment of the efficacy of an individually tailored education and alternative transportation program to promote safety of older drivers but maintain mobility. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12612000543886.

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Validity, reliability and predictive accuracy of the Driving Awareness Questionnaire

Abstract: This short and easy-to-administer test could provide a useful tool with sound psychometric properties to measure awareness of driving ability.

Cited by 20 publications

References 24 publications

Assessing executive function in relation to fitness to drive: A review of tools and their ability to predict safe driving

Assessing executive function in relation to fitness to drive: A review of tools and their ability to predict safe driving

An integrative review: understanding driving retirement decisions for individuals living with a dementia

A randomized trial to evaluate the effectiveness of an individual, education-based safe transport program for drivers aged 75 years and older

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