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The addenbrooke’s cognitive examination revised as a potential screening test for elderly drivers
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Orientador(es)
Resumo(s)
Considerable research has shown that neuropsychological tests are predictive of real-world driving ability.
The Mini-Mental State Examination (MMSE) is a brief cognitive test that has been commonly used
in the assessment of older drivers. However, this test has inherent problems that limit its validity to
evaluate cognitive abilities related to driving and to screen for driving impairments in non-demented
people. Therefore, it is useful to test new screening instruments that may predict potential unsafe drivers
who require an in-depth neuropsychological assessment in a specialised centre. To date, the utility of
the Addenbrooke’s Cognitive Examination Revised (ACE-R) as an indicator of driving ability has not been
established. In the current study, fifty older drivers (mean age = 73.1 years) who were referred for a psychological
assessment, the protocol of which included the ACE-R, underwent an on-road driving test.
Using linear discriminant analyses, the results highlighted the higher classification accuracy of the ACER
compared to the MMSE score, particularly for detecting unsafe drivers. Measures of visuospatial and
executive functions, which are not incorporated in the MMSE score, had an incremental value in the
prediction of driving ability. This emerging brief cognitive test may warrant additional study for use in
the fitness to drive assessment of older adults.
Descrição
Palavras-chave
Addenbrooke’s cognitive examination Revised Fitness to drive Prediction On-road assessment Older driver
Contexto Educativo
Citação
Accident Analysis and Prevention, 49, 278-286