A novel computer test to assess driving-relevant cognitive functions--a pilot study.
Background: The assessment of driving-relevant cognitive functions in older drivers is a difficult challenge as there is no clear-cut dividing line between normal cognition and impaired cognition and not all cognitive functions are equally important for driving.Methods: To support decision makers, t...
| Publicado en: | International Psychogeriatrics Vol. 26; no. 2; pp. 229 - 239 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Feb2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104002330&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104002330 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10416102 RAF jtl: International Psychogeriatrics issn: 10416102 maglogo: N pubinfo: dt: Feb2014 vid: 26 iid: 2 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 104002330 104002330 NLM24169256 2012444360 10.1017/S104161021300183X NLM24169256 104002330 ppf: 229 ppct: 10 formats: tig: atl: A novel computer test to assess driving-relevant cognitive functions--a pilot study. aug: au: Bieri, Rahel Jäger, Michael Gruber, Nicole Nef, Tobias Müri, René M Mosimann, Urs P affil: Gerontechnology and Rehabilitation Group, University of Bern, Bern, Switzerland. sug: subj: Accidents, Traffic Prevention and Control Accidents, Traffic Psychosocial Factors Automobile Driving Psychosocial Factors Cognition Disorders Diagnosis Cognition Disorders Psychosocial Factors Computer Simulation Aged Arousal Cognition Decision Making Diagnosis, Computer Assisted Methods Mental Processes Female Geriatric Assessment Methods Human Male Health Screening Methods Neuropsychological Tests Pilot Studies ROC Curve Task Performance and Analysis Aged: 65+ years Female Male ab: Background: The assessment of driving-relevant cognitive functions in older drivers is a difficult challenge as there is no clear-cut dividing line between normal cognition and impaired cognition and not all cognitive functions are equally important for driving.Methods: To support decision makers, the Bern Cognitive Screening Test (BCST) for older drivers was designed. It is a computer-assisted test battery assessing visuo-spatial attention, executive functions, eye-hand coordination, distance judgment, and speed regulation. Here we compare the performance in BCST with the performance in paper and pencil cognitive screening tests and the performance in the driving simulator testing of 41 safe drivers (without crash history) and 14 unsafe drivers (with crash history).Results: Safe drivers performed better than unsafe drivers in BCST (Mann-Whitney U test: U = 125.5; p = 0.001) and in the driving simulator (Student's t-test: t(44) = -2.64, p = 0.006). No clear group differences were found in paper and pencil screening tests (p > 0.05; ns). BCST was best at identifying older unsafe drivers (sensitivity 86%; specificity 61%) and was also better tolerated than the driving simulator test with fewer dropouts.Conclusions: BCST is more accurate than paper and pencil screening tests, and better tolerated than driving simulator testing when assessing driving-relevant cognition in older drivers. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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