On‐road driving assessment in dementia

Driving assessments for older adult patients: Interviews with general practitioners to gauge current strategies and future directions

“…Although there are guidelines provided in Austroads' Assessing fitness to drive, 5 the nature of dementia and age-related decline means assessment needs to be individualised, and there is a lack of consistency among existing findings regarding cognitive testing and driving. 6 The main physical test used to assess driving fitness is a standardised on-road driving test, 7 while proposed neuropsychological tests include, but are not limited to, the trail-making test, 8 clock drawing test, 9 Weschsler digit symbol substitution test 10 and the Mini Mental State Examination (MMSE). 6,11 A composite cognitive test was proposed by Clark 12 and includes the MMSE, trail-making test-A and the Wechsler Adult Intelligence Scale-block, with a sensitivity and specificity of 82% and 90% for dementia, respectively.…”