Sophia Vardaki, Anne E. Dickerson, Ion Beratis, George Yannis, Sokratis G. Papageorgiou; Simulator Measures and Identification of Older Drivers With Mild Cognitive Impairment. Am J Occup Ther 2016;70(2):7002270030p1-7002270030p10. doi: 10.5014/ajot.2016.017673.
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© 2017 American Occupational Therapy Association
This study examined whether a sign recall task on a driving simulator, self-report of driving ability, or age predicted differences in performance between drivers with mild cognitive impairment (MCI) and control participants. For the dependent measure, gathered using a driving simulator, working memory was subjected to interference at varying levels of driving task demands. Reliable between-groups differences in sign recall accuracy were demonstrated; recall declined under higher task demands. Recall scores, self-reported frequency of avoiding driving, and driver age did not predict MCI; only self-reported decline in global driving ability was significant. Findings support the use of driving simulators in practice and suggest that screening for age-related cognitive impairment should incorporate self-reported changes in driving proficiency for early identification of drivers who merit medical review. The results, although exploratory, have implications for practitioners.
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