Long‐Term Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment
Long‐Term Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment
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驾驶技能培训对轻度认知障碍老年人安全驾驶的长期影响
DOI：
10.1111/jgs.16888
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发表时间：
2020
影响因子：
6.3
通讯作者：
Shimada Hiroyuki
中科院分区：
文献类型：
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作者：
Ishii Hideaki;Doi Takehiko;Tsutsumimoto Kota;Nakakubo Sho;Kurita Satoshi;Shimada Hiroyuki
背景/结论驾驶技能计划对老年人的安全驾驶表现有积极影响，即使是那些有认知障碍的人。然而，该计划的长期影响仍不清楚。本研究的目的是检查这种效果是否维持在1年后的老年人认知障碍谁有低驾驶技能的干预。单盲随机对照试验的辅助分析。设置在日本社区设置。参与者社区生活的成年人，年龄65岁或以上（n = 159），干预干预组完成了10个1小时的课堂课程和10个50分钟的道路课程，重点是老年驾驶员的常见问题领域。对照组接受一次关于安全驾驶的教育课程。测量在干预前和干预后以及1年随访时，由驾驶学校的认证驾驶学校教练评估道路驾驶性能。共有159名社区生活老年驾驶员参加了这项研究，并随机分为干预组（n = 71）或对照组（n = 88）。干预一年后，159名社区老年驾驶员中有104名完成了随访评估（干预组，n = 58）。关于安全驾驶技能评分，有一个显着的组×时间的相互作用（P<0.01），表明随着时间的推移干预的好处。虽然干预组的安全驾驶技能得分较干预后有显著下降，（评分= 38.9 ± 46.1）至1年随访（评分= −0.3 ± 55.2），1年随访时两组之间存在显著差异（对照组评分= −148.5 ± 46.4）（P<0.05），在预先干预（评分= −132.0 ± 54.6）和1年随访结论：驾驶技能训练项目维持了MCI老年人通过干预而提高的安全驾驶能力。
BACKGROUND/OBJECTIVEA driving skill program had positive effects on safe driving performance in older adults, even those with cognitive impairment. However, the long‐term effects of the program remain unclear. The purpose of this study was to examine whether such effects were maintained at 1 year after the intervention in older adults with cognitive impairment who had low driving skills.DESIGNA secondary analysis of single‐blind randomized controlled trial.SETTINGCommunity setting in Japan.PARTICIPANTSCommunity‐living adults, aged 65 years or older (n = 159), with mild cognitive impairment (MCI).INTERVENTIONThe intervention group completed 10 classroom sessions of 1 hour and 10 on‐road sessions of 50 minutes, focusing on common problem areas of older drivers. The control group received one education class about safety driving.MEASUREMENTSOn‐road driving performance was assessed by certified driving school instructors in a driving school at preintervention and postintervention, and 1‐year follow‐up.RESULTSA total of 159 community‐living older drivers participated in this study and were randomized to either an intervention group (n = 71) or a control group (n = 88). One year after the intervention, 104 of 159 community‐living older drivers completed the follow‐up assessment (intervention group, n = 58). Regarding the safe driving skill score, there was a significant group × time interaction (P< .01), indicating benefits of the intervention over time. Although the intervention group showed a significant decline in the safe driving skill score from postintervention (score = 38.9 ± 46.1) to 1‐year follow‐up (score = −0.3 ± 55.2), there was a significant difference between the groups at 1‐year follow‐up (control group score = −148.5 ± 46.4) (P< .05), and between preintervention (score = −132.0 ± 54.6) and 1‐year follow‐up in the intervention group (P< .05).CONCLUSIONThe driving skill program maintained safe driving performance that had been improved by the intervention in older adults with MCI.
老年驾驶员再培训：有效性证据的最新系统审查。
影响因子：
4.1
作者：
N. Korner;Ailene Kua;C. von Zweck;Kathy Van Benthem
通讯作者：
Kathy Van Benthem
老年驾驶员再培训计划的评估
DOI：
10.1007/bf03405135
发表时间：
2004
期刊：
Canadian Journal of Public Health
影响因子：
--
作者：
M. Bédard;Ivy Isherwood;Elizabeth Moore;C. Gibbons;Wendy Lindstrom
通讯作者：
Wendy Lindstrom
个性化培训后驾驶安全得到改善：一项涉及城市地区老年驾驶员的随机对照试验
影响因子：
2
作者：
S. Gagnon;A. Stinchcombe;M. Curtis;M. Kateb;J. Polgar;M. Porter;M. Bédard
通讯作者：
M. Bédard