TY - JOUR
PY - 2022//
TI - Clinical tests predicting on-road performance in older drivers with cognitive impairment
JO - Canadian journal of occupational therapy
A1 - Krasniuk, Sarah
A1 - Crizzle, Alexander M.
A1 - Toxopeus, Ryan
A1 - Mychael, Diane
A1 - Prince, Natasha
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - Background. The Trail Making Test Part B (Trails B) and Useful Field of View® (UFOV) can predict on-road outcomes in drivers with cognitive impairment (CI); however, studies have not included drivers referred for comprehensive driving evaluations (CDEs), who typically have more severe CI.
PURPOSE. We determined the predictive ability of Trails B and UFOV on pass/fail on-road outcomes in drivers with CI (Montreal Cognitive Assessment <26) referred for CDEs.
METHOD. Retrospective data collection from two driving assessments centers (N = 100, mean age = 76.2 ± 8.8 years).
FINDINGS. The Trails B (area under the curve [AUC] = .70) and UFOV subtests 2 (AUC = .73) and 3 (AUC = .76) predicted pass/fail outcomes. A cut-point ≥467 ms on UFOV subtest 3 better-predicted pass/fail outcomes with 78.9% sensitivity and 73.5% specificity. In comparison, a cut-point ≥3.58 min on Trails B had lower sensitivity (73.7%) and specificity (61.8%). Implications. The UFOV subtest 3 may be more useful than the Trails B for predicting pass/fail outcomes in drivers with more severe CI referred for CDEs.
Language: en
LA - en SN - 0008-4174 UR - http://dx.doi.org/10.1177/00084174221117708 ID - ref1 ER -