| An analysis of an older driver evaluation program. | |
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MedLine Citation:
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PMID: 15271121 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To identify elements of an older driver evaluation program that predict driving performance in older adults. SETTING: Outpatient medical clinic in an academic medical center. DESIGN: A retrospective analysis. PARTICIPANTS: Six hundred sixty-four older adults who were referred to an older driver evaluation program. MEASUREMENTS: 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 persons' functional status; reaction time; driving skills; and cognitive, hearing, and vision abilities. Self-report data along with a medical history submitted by patients' primary care physicians supplemented the clinical assessments. RESULTS: A multinomial logistic regression revealed that the Mini-Mental State Examination (MMSE), cues needed with the Trail Making Test, Part B, grip strength, and an interaction effect between the 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 comparing imperfect and perfect drivers demonstrated the significance of the Traffic Sign and Visual Perception tests. CONCLUSION: 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 programs in medical settings that include random samples of older drivers are needed. |
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Authors:
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Bonnie Kantor; Linda Mauger; Virginia E Richardson; Kathleen Tschantz Unroe |
Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 52 ISSN: 0002-8614 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-07-23 Completed Date: 2004-09-14 Revised Date: 2008-03-10 |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 1326-30 Citation Subset: IM |
Affiliation:
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Office of Geriatrics and Gerontology, College of Health Sciences, Ohio State University, Columbus, Ohio 43210, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged* Automobile Driving* Cognition Female Hand Strength Hearing Tests Humans Intelligence Tests Male ROC Curve Reaction Time Retrospective Studies Trail Making Test Visual Perception |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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