@article{ref1,
title="Assessment of driving safety in older adults with mild cognitive impairment",
journal="Journal of Alzheimer's disease",
year="2017",
author="Anstey, Kaarin J. and Eramudugolla, Ranmalee and Chopra, Sidhant and Price, Jasmine and Wood, Joanne",
volume="57",
number="4",
pages="1197-1205",
abstract="BACKGROUND: With population aging, drivers with mild cognitive impairment (MCI) are increasing; however, there is little evidence available regarding their safety. <br><br>OBJECTIVE: We aimed to evaluate risk of unsafe on-road driving performance among older adults with MCI. <br><br>METHOD: The study was a cross-sectional observational study, set in Canberra, Australia. Participants were non-demented, current drivers (n = 302) aged 65 to 96 years (M = 75.7, SD = 6.18, 40% female) recruited through the community and primary and tertiary care clinics. Measures included a standardized on-road driving test (ORT), a battery of screening measures designed to evaluate older driver safety (UFOV®, Drive Safe, Multi-D), a neurocognitive test battery, and questionnaires on driving history and behavior. <br><br>RESULTS: Using Winblad criteria, 57 participants were classified as having MCI and 245 as cognitively normal (CN). While the MCI group had a significantly lower overall safety rating on the ORT (5.61 versus 6.05, p = 0.03), there was a wide range of driving safety scores in the CN and MCI groups. The MCI group performed worse than the CN group on the off-road screening tests. The best fitting model of predictors of the ORT performance across the combined sample included age, the Multi-D, and DriveSafe, classifying 90.4% of the sample correctly. <br><br>CONCLUSION: Adults with MCI exhibit a similar range of driving ability to CN adults, although on average they scored lower on off-road and on-road assessments. Driving specific tests were more strongly associated with safety ratings than traditional neuropsychological tests.<p /> <p>Language: en</p>",
language="en",
issn="1387-2877",
doi="10.3233/JAD-161209",
url="http://dx.doi.org/10.3233/JAD-161209"
}