Effects of Alzheimer's disease and mild cognitive impairment on driving ability: a controlled clinical study by simulated driving test

Frittelli, Cristina; Borghetti, D.; Iudice, Giovanni; Bonanni, Enrica; Maestri, Michelangelo; Tognoni, Gloria; Pasquali, Livia; Iudice, Alfonso

doi:10.1002/gps.2095

Cited by 135 publications

(114 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although there is evidence of driving rehabilitation in disabled adults [20, 22], the effects of interventions on safe driving were not clear in older adults with cognitive impairment [20, 21] who had low driving skills [23, 24]. More evidence from research is needed on older adults with cognitive impairment to propose recommendations regarding interventions for improving driving skills.…”

Section: Introductionmentioning

confidence: 99%

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

et al. 2018

View full text Add to dashboard Cite

Background: Driving cessation is strongly associated with adverse health outcomes in the older adults. Although there were numerous documentations of driving rehabilitation in disabled adults, the effects of interventions on safe driving were not clear in older adults with cognitive impairment who had low driving skills. Objective: This randomized controlled trial was designed to determine whether a safe driving skill program consisting of classroom and on-road training could enhance driving performance of older drivers with cognitive impairment in Japan. Methods: A total of 160 community-living older drivers participated in the randomized controlled trial with blinded endpoint assessment. Participants randomized to intervention underwent 10 1-h classroom sessions and 10 1-h on-road sessions focused on common problem areas of older drivers. Controls received 1 classroom education. On-road driving performance was assessed by certified driving school instructors in a driving school. The participants carried out dynamic vision and cognitive performance tests. Results: One hundred and forty-six (intervention group, n = 71) subjects completed the 3-month follow-up. Mean adherence to classroom-based vision training and driving simulator training and on-road training programs, including the 71 participants, was 99.0 ± 6.4 and 99.0 ± 7.2%, respectively. Regarding the safe driving skill score, there were group × time interactions (p < 0.01) indicating benefits of the intervention over time. Although there were no significant group × time interactions in cognitive tests, dynamic vision showed group × time interactions (p < 0.01). Conclusion: The driving skill program significantly improved safe driving performance in older adults with cognitive impairment who were at a potentially high risk of a car accident.

show abstract

Section: Introductionmentioning

confidence: 99%

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

et al. 2018

View full text Add to dashboard Cite

show abstract

“…It is relatively common - occurring in around 20% of people over the age of 65 years [2] - and is considered to be an intermediate stage between normal ageing and dementia, though not all people with MCI develop dementia [3,4]. One practical consequence of the condition is that it can affect a person's ability to drive [5,6,7]. For some, this may necessitate that they stop driving, either immediately or in the longer term.…”

Section: Introductionmentioning

confidence: 99%

Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Connors

Ames

Woodward

et al. 2017

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Background/Aims: Driving cessation is associated with significant morbidity in older people. People with mild cognitive impairment (MCI) may be at particular risk of this. Very little research has examined driving in this population. Given this, we sought to identify predictors of driving cessation in people with MCI. Methods: One hundred and eighty-five people with MCI were recruited from 9 memory clinics around Australia. People with MCI and their carers reported their driving status and completed measures of cognition, function, neuropsychiatric symptoms, and medication use at regular intervals over a 3-year period. Results: Of the 144 people still driving at baseline, 50 (27.0%) stopped driving during the study. Older age, greater cognitive and functional impairment, and greater decline in cognition and function at 6 months predicted subsequent driving cessation. Twenty-nine of the 50 people (58%) who stopped driving were diagnosed with dementia during the study; all except one of whom ceased driving after their dementia diagnosis. Conclusion: A significant proportion of people diagnosed with MCI stop driving over the following 3 years. This cannot be entirely attributed to developing dementia. Easily assessable characteristics - such as age, cognition, and function - and changes in these measures over 6 months predict driving cessation.

show abstract

“…Although a large number of studies suggest that individuals with moderate to severe dementia are unable to drive, there is no clear definition regarding the onset of dementia [62][63][64], relatively little is known about the driving performance of senior drivers with MCI [51,65], few studies demonstrate the relationship between MCI and driving performance [65][66][67][68][69][70][71][72][73], and there is no full consensus on the measurement of impairment in driving in seniors with MCI or whether they consequently have a higher risk of accidents compared to healthy people of the same age [51,64]. The available research from driving simulators and road studies suggests that drivers with MCI have prominent difficulties with navigation and decisions.…”

Section: Cognitive Ageing Aspects: Experience and Car Drivingmentioning

confidence: 99%

Psychological and Cognitive Aspects of Ageing: The Importance of Driving on Senior Living

Fernandes¹,

Esteves²,

Simões³

2018

JHS

View full text Add to dashboard Cite

Abstract:This research aims to understand the psychological, the social and cognitive aspects of ageing and assess the relevance of driving a personal automobile to seniors. We know that biological ageing is an inescapable fact, but is there also a psychological and a cognitive ageing? If so, is it related to getting older or to other factors? How relevant is continuing to drive to seniors, and how can the activity influence psychological and cognitive types of their ageing and self well-being? To answer these questions, we study several authors and concepts about mental health, development of ageing and their relationship to driving. We also explore psychological and cognitive changes associated with ageing, the principal behavioural changes of healthy senior people (with normal cognitive function) and MCI (mild cognitive impairment), as well as how driving inhibition can induce and affect psychological and cognitive characteristics. We conclude that low mental functioning is caused by a set of biological, psychological and social factors, connected in turn to environmental factors. The slowdown of cognitive activities and performances in seniors is not inevitably accompanied by a decrease in intellectual capacity, low sensory acuity, or slowing psychomotor skills. Other factors should be considered-such as health status, limitations, anxiety, lack of interest, motivation and attitudes. The loss of cognitive abilities and the prevalence of mild cognitive impairment increase with age and are a growing concern, especially among seniors who drive cars. However, we still lack specific evidence based on tests and criteria-in particular, on psychological and cognitive domains-to assess senior drivers actually at risk. It is important to establish a base of evidence to allow objective risk determination. The safest senior drivers should continue driving for as long as possible, thereby contributing to their mental health, independence and quality of life.

show abstract

Effects of Alzheimer's disease and mild cognitive impairment on driving ability: a controlled clinical study by simulated driving test

Abstract: Mild AD significantly impaired simulated driving fitness, while MCI limitedly affected driving performance. Unsafe driving behaviour in AD patients was not predicted by MMSE scores.

Cited by 135 publications

References 66 publications

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Psychological and Cognitive Aspects of Ageing: The Importance of Driving on Senior Living

Contact Info

Product

Resources

About