TY  - JOUR
PY  - 2016//
TI  - Office-based assessment of at-risk driving in older adults with and without cognitive impairment
JO  - Journal of geriatric psychiatry and neurology
A1  - Stern, Robert A.
A1  - Abularach, Linda M.
A1  - Seichepine, Daniel R.
A1  - Alosco, Michael L.
A1  - Gavett, Brandon E.
A1  - Tripodis, Yorghos
SP  - 352
EP  - 360
VL  - 29
IS  - 6
N2  - BACKGROUND: A multitest approach is optimal for the identification of at-risk driving among older adults. This study examined the predictive validity of a combination of office-based screening tests for on-road driving performance in older adults with and without mild cognitive impairment (MCI)/dementia. <br><br>METHODS: Forty-four normal control, 20 participants with MCI, and 20 participants with dementia completed a battery of office-based assessments. On-road driving evaluation classified participants as not at-risk (n = 65) or at-risk drivers (n = 19). <br><br>RESULTS: Logistic regression revealed age and 2 tests of visual attention abilities (Useful Field of View [UFOV] Divided Attention and Neuropsychological Assessment Battery [NAB] Driving Scenes) best predicted at-risk drivers (C statistic = 0.90); no cutoff score had both sensitivity and specificity >80%. <br><br>CONCLUSIONS: Future research on larger and more clinically representative neurological samples will improve understanding of the utility of the UFOV Divided Attention and NAB Driving Scenes in detecting at-risk older adult drivers in the clinic.<br><br>© The Author(s) 2016.<p />  <p>Language: en</p>
LA  - en
SN  - 0891-9887
UR  - http://dx.doi.org/10.1177/0891988716666378
ID  - ref1
ER  -