Development of a Test Battery to Identify Older Drivers at Risk for Self‐Reported Adverse Driving Events

Richardson, Emily D.; Stowe, Meredith H.; Miller, Eydie; Brass, Lawrence M.; Cooney, Leo M.; Tinetti, Mary E.

doi:10.1111/j.1532-5415.1998.tb01071.x

Cited by 170 publications

(143 citation statements)

References 49 publications

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“…56 In an automobile driving situation, increased CS would allow for earlier and more accurate detection of objects. 57,58 Given that automobile safety often is the result of a split-second reaction to rapidly changing environmental conditions, this kind of improvement, no matter how small, would improve outcomes. 59 Indeed, some countries in Europe recently have added measures of CS (rather than performing measures of visual acuity alone) for assessing eligibility criteria to drive.…”

Section: Discussionmentioning

confidence: 99%

Enrichment of Macular Pigment Enhances Contrast Sensitivity in Subjects Free of Retinal Disease: Central Retinal Enrichment Supplementation Trials – Report 1

Nolan

Power

Stringham

et al. 2016

Invest. Ophthalmol. Vis. Sci.

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METHODS. Subjects consumed daily a formulation containing 10 mg L, 2 mg Z, and 10 mg MZ (active group; n ¼ 53) or placebo (n ¼ 52) for a period of 12 months. Study visits were at baseline, 3, 6, and 12 months. Contrast sensitivity at 6 cycles per degree (cpd) was the primary outcome measure (POM). Secondary outcome measures included CS at other spatial frequencies, best-corrected visual acuity (BCVA), glare disability, photostress recovery, and light scatter. Macular pigment optical density (MPOD) was measured using dual-wavelength autofluorescence, and serum carotenoid concentrations were analyzed using high performance liquid chromatography (HPLC).RESULTS. Compared to placebo, statistically significant improvements from baseline CS were detected at 6 (P ¼ 0.002) and 1.2 (P ¼ 0.004) cpd in the active group. Additionally, improvements in CS were commensurate with the observed increases in retinal concentrations of these carotenoids (r ¼ 0.342, P ¼ 0.002 at 6 cpd). CONCLUSIONS.These results indicate that dietary fortification with the macular carotenoids can have meaningful effects on visual function.

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Section: Discussionmentioning

confidence: 99%

Enrichment of Macular Pigment Enhances Contrast Sensitivity in Subjects Free of Retinal Disease: Central Retinal Enrichment Supplementation Trials – Report 1

Nolan

Power

Stringham

et al. 2016

Invest. Ophthalmol. Vis. Sci.

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“…Outcome is recorded in seconds using a stop watch. Marottoli method (Marottoli et al, 1998) Test examines neck range of motion and peripheral vision: Standardized number cards are taped to a wall. The participant stands with back to the same wall and turns head to read the card out loud using peripheral vision.…”

Section: Discussionmentioning

confidence: 99%

Stability of physical assessment of older drivers over 1 year

Smith

Porter

et al. 2013

Accident Analysis & Prevention

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Older adults represent the fastest-growing population of drivers with a valid driver's licence.Also common in this age group are multiple chronic medical conditions that may have an effect on physical function and driving ability. Determining the reliability of physical measures used to assess older drivers' functional ability is important to identifying those who are safe to continue driving. Most previous reliability studies of clinical physical measures of health used test-retest intervals shorter than those between patient visits with a clinician. In the present study we examined a more clinically representative interval of 1 year to determine the stability of commonly used physical measures collected during the Candrive II prospective cohort study of older drivers. Reliability statistics indicate that the sequential finger-thumb opposition, rapid pace walk and the Pelli-Robson contrast sensitivity tests have adequate stability over 1 year.Poor stability was observed for the one-legged stance and Snellen visual acuity test. Several assessments with nominal data (Marottoli method [functional neck range of motion], whispered voice test, range of motion and strength testing) lacked sufficient variability to conduct reliability analyses; however, a lack of variability between test days suggests consistency over a 1-year time frame. Our results provide evidence that specific physical measures are stable in monitoring functional ability over the course of a year.

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“…To pass, the individual must complete the task without rotating the body below the waist. This task measures the head/neck flexibility (Marottoli et al, 1998).…”

Section: Physical Measuresmentioning

confidence: 99%

Longitudinal Assessment of Older Drivers in a DMV Setting

Ball

Roenker

Wadley

et al. 2005

Driving Assessment 2005 : Proceedings of the 3rd International Driving Symposium on Human Factors in Driver Assessment, Trainin

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Summary:A brief battery of functional assessments designed to detect crash risk among older drivers was developed and evaluated initially in 1999 in Maryland motor vehicle licensing sites following the routine vision screening exam. This battery contained a number of cognitive tests (e.g., UFOV ® subtest 2, the closure subtest of the Motor Free Visual Perception Test (MVPT), Trails A and B, cued recall, delayed recall), and several physical measures (e.g., Rapid Pace Walk, Head and Neck Rotation, Foot Tap, Arm Reach). Older adults (N=4,173; mean age = 69 years) were approached by the staff after license renewal and asked to help evaluate the brief battery. Of the 4,173 older adults approached at the field sites, 2,114 individuals 55-96 years of age participated. Subsequently, the original sample of 2,114 participants was invited to come in once again, during their fiveyear license renewal cycle, and the functional tests were administered once again. To date, 939 individuals have completed the second screening evaluation. An examination of the crash data from the interval between assessments for these individuals indicates that the same cognitive measures are predictive of at-fault crashes. Furthermore, approximately 10% of those passing the assessment in 1999 are now failing the assessment in 2004. Performance-based cognitive measures are predictive of future at-fault motor vehicle collisions among older adults. Cognitive performance, in particular, is a salient predictor of subsequent crash involvement among older adults. High-risk older drivers can be identified through brief, performance-based measures administered in a DMV setting.

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Development of a Test Battery to Identify Older Drivers at Risk for Self‐Reported Adverse Driving Events

Cited by 170 publications

References 49 publications

Enrichment of Macular Pigment Enhances Contrast Sensitivity in Subjects Free of Retinal Disease: Central Retinal Enrichment Supplementation Trials – Report 1

Enrichment of Macular Pigment Enhances Contrast Sensitivity in Subjects Free of Retinal Disease: Central Retinal Enrichment Supplementation Trials – Report 1

Stability of physical assessment of older drivers over 1 year

Longitudinal Assessment of Older Drivers in a DMV Setting

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