Predicting driving ability using DriveSafe and DriveAware in people with cognitive impairments: A replication study

Hines, Ashleigh; Bundy, Anita

doi:10.1111/1440-1630.12112

Cited by 14 publications

(14 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, the test involves a visual search component, where participants scan the images to obtain information about road users within it, as well as a memory component, where participants need to recall the types and location of road users after the image disappears; both visual search and memory abilities have been shown to be important contributors to driving safety. The DriveSafe, in conjunction with a questionnaire that evaluates self‐awareness of driving capabilities (the DriveAware), has been reported to have sensitivity and specificity levels of 95% and 96% respectively for discriminating between unsafe and safe drivers as classified by their driving performance in an on‐road assessment …”

Section: Introductionmentioning

confidence: 97%

Blur, eye movements and performance on a driving visual recognition slide test

Lee

Wood

Black

2015

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

Blur reduced DriveSafe scores for both age groups and this effect was greater for the young drivers. The decrease in number of fixations and fixation duration on road users, as well as the reduction in saccade amplitudes under the blurred condition, highlight the difficulty experienced in performing the task in the presence of optical blur, which suggests that uncorrected refractive errors may have a detrimental impact on aspects of driving performance.

show abstract

Section: Introductionmentioning

confidence: 97%

Blur, eye movements and performance on a driving visual recognition slide test

Lee

Wood

Black

2015

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

show abstract

“…Educational resources include the American Medical Association Physician's Guide to Assessing and Counseling Older Drivers and the AARP online resources and driver safety courses. Occupational therapists who specialize in driver assessment and intervention to extend safe driving, typically through physician referral, provide supportive assistance to older drivers. Older adults may not know the best way to transition from driving to using other transportation because of a lack of referral pathways between doctors and driver rehabilitation specialists, inadequate education by healthcare providers to clients and their families, and a lack of public policies that promote accessible transportation alternatives for older adults.…”

mentioning

confidence: 99%

Driving with Mild Cognitive Impairment or Dementia: Cognitive Test Performance and Proxy Report of Daily Life Function in Older Women

Vaughan

Hogan

Rapp

et al. 2015

J American Geriatrics Society

View full text Add to dashboard Cite

OBJECTIVES To investigate associations between proxy report of cognitive and functional limitations and cognitive performance and current or former driving status in older women with mild cognitive impairment (MCI) and all-cause dementia. DESIGN Cross-sectional data analysis of retrospectively identified older women with adjudicated MCI and all-cause dementia in the Women’s Health Initiative Memory Study—Epidemiology of Cognitive Health Outcomes (WHIMS-ECHO). SETTING Academic medical center. PARTICIPANTS Women (mean age ± standard deviation 83.7 ± 3.5) adjudicated with MCI or dementia during Year 1, 2, 3, or 4 of the WHIMS-ECHO follow-up period (N = 385). MEASUREMENTS The telephone-administered cognitive battery included tests of attention, verbal learning and memory, verbal fluency, executive function, working memory, and global cognitive function plus self-report measures of depressive symptomatology. The Dementia Questionnaire (DQ) was administered to a knowledgeable proxy (family member, friend). RESULTS Sixty percent of women with MCI and 40% of those with dementia are current drivers. Proxy reports of functional limitations in instrumental activities of daily living (IADLs) are associated with current driving status in women with MCI, whereas performance-based cognitive tests are not. In women with dementia, proxy reports of functional limitations in IADLs and performance-based cognitive tests are associated with current driving status, as expected. CONCLUSION These findings have clinical implications for the importance of evaluating driving concurrently with other instrumental functional abilities in MCI and dementia. Additional work is needed to determine whether proxy report of cognitive and functional impairments should help guide referrals for driving assessment and rehabilitation or counseling for driving transition.

show abstract

“…62 A study in the Australian population piloted a simulator software (DriveSafe DriveAware, indigo, Nedlands, Australia) in patients with HD in an attempt to avoid the cumbersome process and expenses of an actual on-road driving assessment. Despite being able to determine accurately 90% of patients with driving impairment in a study involving elderly patients, 83 this pilot study of 26 patients concluded that this software underestimated the role of cognitive impairment in the ability of HD patients to drive. In other words, patients with significant cognitive impairment would have been labeled as "passable" by the DriveSafe software.…”

Section: Driving and Huntington's Diseasementioning

confidence: 90%

Driving Impairment in Movement Disorders

Makhoul

Jankovic

2023

Movement Disord Clin Pract

View full text Add to dashboard Cite

Background Driving may be adversely affected by any movement disorder, but has been mostly studied in Parkinson's disease (PD). Few studies have addressed driving impairment in patients with Huntington's disease (HD); driving in other movement disorders such as dystonia, blepharospasm and Tourette syndrome (TS) has not been adequately evaluated. Objectives The aim of this review is to summarize the findings of driving impairment in movement disorders and evaluate the usefulness of clinical tools in guiding clinicians whether to refer patients for driving assessment. Methods A review of literature was performed on PubMed and articles on driving and movement disorders were identified using a Boolean phrase. Results We were able to identify 66 articles that fulfilled the target subject: impairment of driving in PD, cervical dystonia, blepharospasm, HD and TS. We also included articles discussing the role of driving rehabilitation in patients with movement disorders. Conclusions Driving is often impaired in patients with PD and other movement disorders not only due to motor symptoms but also because of cognitive and behavioral co‐morbidities. Certain screening tools may be helpful in guiding the clinician in referring the patients for driving assessment.

show abstract

Predicting driving ability using DriveSafe and DriveAware in people with cognitive impairments: A replication study

Abstract: Findings will add to the body of evidence suggesting that not all drivers referred to occupational therapy driving assessors require expensive, time-consuming and potentially high risk on-road assessments.

Cited by 14 publications

References 15 publications

Blur, eye movements and performance on a driving visual recognition slide test

Blur, eye movements and performance on a driving visual recognition slide test

Driving with Mild Cognitive Impairment or Dementia: Cognitive Test Performance and Proxy Report of Daily Life Function in Older Women

Driving Impairment in Movement Disorders

Contact Info

Product

Resources

About