Road Test and Naturalistic Driving Performance in Healthy and Cognitively Impaired Older Adults: Does Environment Matter?
Road Test and Naturalistic Driving Performance in Healthy and Cognitively Impaired Older Adults: Does Environment Matter?
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DOI：
10.1111/j.1532-5415.2012.04206.x
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发表时间：
2012-11-01
影响因子：
6.3
通讯作者：
Ott, Brian R.
中科院分区：
文献类型：
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作者：
Davis, Jennifer D.;Papandonatos, George D.;Ott, Brian R.
目的探讨具有一系列认知障碍的老年人的标准道路测试与自然驾驶录像的关系。设计横断面观察性研究。设置学术医疗中心记忆障碍门诊。参与者：通过道路测试的103名老年司机（44名健康，59名有认知障碍）。由专业驾驶教练进行的误差率和整体安全评级（有和没有建议通过，有限制或培训的边缘，或不及格）。结果道路测试的全球评级与自然驾驶之间存在公平的一致性。在自然主义环境中发现了更多的错误，但这并不影响全局评级。不同设置之间的错误得分显著相关，所犯错误的类型相似。每周行驶里程数修正后的碰撞历史与道路测试错误分数有关，但与自然驾驶错误分数无关。整体认知（迷你精神状态检查）与道路测试和自然驾驶错误相关。在健康的老年人中，年轻与道路测试中的错误较少和自然驾驶中的错误较多相关。结论道路测试成绩是评估老年人典型驾驶环境中驾驶能力的合理指标，但两种方法评估的性能差异尚不清楚，值得进一步研究。中华老年医学杂志，2012,31(2):556 - 562。
Objectives To relate the standardized road test to video recordings of naturalistic driving in older adults with a range of cognitive impairment.Design Cross-sectional observational study.Setting Academic medical center memory disorders clinic.Participants One hundred three older drivers (44 healthy, 59 with cognitive impairment) who passed a road test.Measurements Error rate and global ratings of safety (pass with and without recommendations, marginal with restrictions or training, or fail) made by a professional driving instructor.Results There was fair agreement between global ratings on the road test and naturalistic driving. More errors were detected in the naturalistic environment, but this did not affect global ratings. Error scores between settings were significantly correlated, and the types of errors made were similar. History of crashes corrected for miles driven per week was related to road test error scores but not naturalistic driving error scores. Global cognition (Mini-Mental State Examination) was correlated with road test and naturalistic driving errors. In healthy older adults, younger age was correlated with fewer errors on the road test and more errors in naturalistic driving.Conclusion Road test performance is a reasonable proxy for estimating fitness to drive in older individuals' typical driving environments, but differences between performance assessed using these two methods remain poorly understood and deserve further study. J Am Geriatr Soc 60: 2056-2062, 2012.