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Centre for Policy on Ageing | |
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| An analysis of an older driver evaluation program | | Author(s) | Bonnie Kantor, Linda Mauger, Virginia E Richardson |
| Journal title | Journal of the American Geriatrics Society, vol 52, no 8, August 2004 |
| Pages | pp 1326-1330 |
| Source | http://www.americangeriatrics.org http://www.blackwellpublishing.com |
| Keywords | Driving capability ; Screening ; Evaluation ; United States of America. |
| Annotation | The Older Driver Evaluation Program was designed to improve older drivers' safety by evaluating their driving skills. 664 older Americans were referred to the Program. A physician trained in geriatric medicine and a clinical geriatric nurse specialist oversaw an experienced driving evaluator and an occupational therapist who conducted assessments of older people's functional status, reaction time, driving skills and cognitive, hearing and visual abilities. Self-report data along with a medical history submitted by patients' primary care physicians supplemented the clinical assessments. A multinomial logistic regression analysis revealed that the Mini Mental State Examination (MMSE), cues needed with the Trail Making Test, Part B, grip strength, and an interaction between MMSE and reaction time constituted the most parsimonious model for predicting on-the-road performance. A receiver operating characteristic analysis indicated that this index had good sensitivity but low specificity. A binomial regression comprising imperfect and perfect drivers demonstrated the significance of the Traffic Sign and Visual Perception tests. Clinicians should employ a multilevel screening process that includes initial cognitive tests, such as the MMSE and the Trail Making Test, part B, although more studies of driving evaluation programmes in medical settings that include random samples of older drivers are needed. (RH). |
| Accession Number | CPA-040914201 A |
| Classmark | OPF: 3V: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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