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Comparison of assessments of fitness to drive for people with dementia

Vella, Kristina; Lincoln, Nadina

Authors

Kristina Vella

Nadina Lincoln Nadina.Lincoln@nottingham.ac.uk



Abstract

Cognitive tests are used to inform recommendations about the fitness to drive of people with dementia. The Rookwood Driving Battery (RDB) and Dementia Drivers' Screening Assessment (DDSA) are neuropsychological batteries designed to assist in this process. The aim was to assess the concordance between the classifications (pass/fail) of the RDB and DDSA in individuals with dementia, and to compare any discordant classifications against on-road driving ability. Participants were identified by community mental health teams and psychiatrists. Twenty four participants were recruited. The mean age was 74.1 (SD 8.9) years and 18 (75%) were men. Each participant was assessed on the RDB and DDSA in an order determined by random allocation. Those with discrepant results also had an on-road assessment. The agreement between the tests was 54% using a cut-off of > 6 on the RDB, and 75% using the cut-off to > 10 on the RDB. Three participants with discrepant results agreed to be assessed on the road and all were found to be safe to drive. The findings suggested that there was poor concurrent validity between the RDB and DDSA. This raises questions about the choice of assessments in making clinical recommendations about fitness to drive in people with dementia.

Journal Article Type Article
Journal Neuropsychological Rehabilitation
Print ISSN 0960-2011
Electronic ISSN 1464-0694
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 24
Issue 5
APA6 Citation Vella, K., & Lincoln, N. (in press). Comparison of assessments of fitness to drive for people with dementia. Neuropsychological Rehabilitation, 24(5), https://doi.org/10.1080/09602011.2014.903197
DOI https://doi.org/10.1080/09602011.2014.903197
Keywords Cognition, Driving, Dementia, Assessment
Publisher URL http://www.tandfonline.com/doi/abs/10.1080/09602011.2014.903197
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is an Accepted Manuscript of an article published by Taylor & Francis in Neuropsychological Rehabilitation on 06.05.2014, available online: http://www.tandfonline....80/09602011.2014.903197

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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