TY - JOUR PY - 2021// TI - Clinical predictors of driving simulator performance in drivers with multiple sclerosis JO - Multiple Sclerosis: Clinical and Laboratory Research A1 - Krasniuk, Sarah A1 - Classen, Sherrilene A1 - Morrow, Sarah A. A1 - Alvarez, Liliana A1 - He, Wenqing A1 - Srinivasan, Sivaramakrishnan A1 - Monahan, Miriam SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Drivers with multiple sclerosis (MS) may experience visual-cognitive impairment that affects their fitness to drive. Due to limitations associated with the on-road assessment, an alternative assessment that measures driving performance is warranted. Whether clinical indicators of on-road outcomes can also predict driving performance outcomes on a driving simulator are not fully understood.

OBJECTIVE: This study examined if deficits in immediate verbal/auditory recall (California Verbal Learning Test-Second Edition; CVLT2-IR) and/or slower divided attention (Useful Field of View™; UFOV2) predicted deficits in operational, tactical, or strategic maneuvers assessed on a driving simulator, in drivers with and without MS.

METHODS: Participants completed the CVLT2-IR, UFOV2, and a driving simulator assessment of operational, tactical, and strategic maneuvers.

RESULTS: Deficits in immediate verbal/auditory recall and slower divided attention predicted adjustment to stimuli errors, pertaining to tactical maneuvers only, in 36 drivers with MS (vs 20 drivers without MS; F(3, 51) = 6.1, p = 0.001, R(2) = 0.3, Radj2 = 0.2).

CONCLUSION: The CVLT2-IR and UFOV2 capture the visual and verbal/auditory recall, processing speed, and divided attention required to appropriately adjust to stimuli in a simulated driving environment. Clinicians may use the CVLT2-IR and UFOV2 as precursors to driving performance deficits in drivers with MS.

Language: en

LA - en SN - 1352-4585 UR - http://dx.doi.org/10.1177/1352458521992507 ID - ref1 ER -