The SIMARD-MD is not an Effective Driver Screening Tool for Determining Fitness-To-Drive.
Background Studies have reported poor sensitivity and specificity of the Screen for the Identification of Cognitively Impaired Medically At-Risk Drivers, a modification of the DemTech (SIMARD-MD) to screen for drivers with cognitive impairment. The purpose of this study was to determine whether the...
| Publicado en: | Canadian Geriatrics Journal Vol. 24; no. 1; pp. 14 - 22 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Canadian Geriatrics Society
Mar2021
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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=149059596&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149059596 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19258348 EV2Z jtl: Canadian Geriatrics Journal issn: 19258348 maglogo: N pubinfo: dt: Mar2021 vid: 24 iid: 1 pid: 76420 pub: Canadian Geriatrics Society place: Markham, Ontario artinfo: ui: 149059596 149059596 149059596 10.5770/cgj.24.444 149059596 ppf: 14 ppct: 8 formats: fmt: @attributes: type: P tig: atl: The SIMARD-MD is not an Effective Driver Screening Tool for Determining Fitness-To-Drive. aug: au: Crizzle, Alexander M. Mullen, Nadia Mychael, Diane Meger, Natasha Toxopeus, Ryan Gibbons, Carrie Ostap, Simeon Dubois, Sacha Bédard, Michel affil: School of Public Health, University of Saskatchewan, Saskatoon, SK sug: subj: Cognition Disorders Diagnosis Automobile Driving Psychosocial Factors Physical Fitness Evaluation Automobile Driver Examination Evaluation Health Screening Human Aged Comparative Studies ROC Curve Descriptive Statistics Confidence Intervals Sensitivity and Specificity Validation Studies Neuropsychological Tests Predictive Validity Aged: 65+ years ab: Background Studies have reported poor sensitivity and specificity of the Screen for the Identification of Cognitively Impaired Medically At-Risk Drivers, a modification of the DemTech (SIMARD-MD) to screen for drivers with cognitive impairment. The purpose of this study was to determine whether the SIMARD-MD can accurately predict pass/fail on a road test in drivers with cognitive impairment (CI) and healthy drivers. Methods Data from drivers with CI were collected from two comprehensive driving assessment centres (n=86) and compared with healthy drivers (n=30). All participants completed demographic measures, clinical measures, and a road rest (pass/fail). Analyses consisted of correlations between the SIMARD-MD and the other clinical measures, and a receiver-operating-characteristic (ROC) curve to determine the predictive ability of the SIMARD-MD. Results All healthy drivers passed the road test compared with 44.2% of the CI sample. On the SIMARD-MD, the CI sample scored significantly worse than healthy drivers (p < .001). The ROC curve showed the SIMARD-MD, regardless of any cut-point, misclassified a large number of CI individuals (AUC=.692; 95% CI = 0.578, 0.806). Conclusions Given the high level of misclassification, the SIMARD-MD should not be used with either healthy drivers or those with cognitive impairment for making decisions about driving. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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