Characteristics of Driving Risk Checklist-25 among community-dwelling older adults with mild cognitive impairment

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-08-13 DOI:10.1111/ggi.70127

Ayuto Kodama, Takuji Nakamura, Hideyuki Azuma, Yukiko Mouri, Yuji Tanaka, Hidenori Tochigi, Hidetaka Ota

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Abstract

Aim

With the rapid increase of aging societies worldwide, ensuring road safety among older adults has become a critical public health concern. This study aimed to assess driving risks among community-dwelling older adults with mild cognitive impairment (MCI).

Methods

A total of 387 participants aged 65 years and older were recruited from Akita Prefecture, Japan. Physical functions, such as walking speed and grip strength, cognitive functions, and depressive symptoms were evaluated alongside driving behaviors. Participants were classified into MCI-positive and MCI-negative groups based on cognitive assessments.

Results

The results demonstrated significant differences in driving risk, physical performance, and cognitive abilities between the two groups. MCI-positive individuals exhibited higher driving risks and poorer functional performance. Receiver operating characteristic (ROC) curve analysis identified a cutoff score of 5.5 on the Driving Risk Checklist-25 (DRCL-25), with a sensitivity of 45.5% and specificity of 89.7% for identifying MCI.

Conclusions

These findings underscore the importance of integrating physical and cognitive assessments to enhance the accuracy of driving risk evaluations. The DRCL-25 shows promise as a detection tool for MCI, facilitating the development of interventions aimed at maintaining mobility and improving road safety among older drivers. Future research should focus on refining the checklist and evaluating its applicability across diverse populations and settings. Geriatr Gerontol Int 2025; 25: 1194–1199.

Abstract Image

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轻度认知障碍社区老年人驾驶风险问卷-25的特征。

目的：随着世界范围内老龄化社会的迅速增加，确保老年人的道路安全已成为一个重要的公共卫生问题。本研究旨在评估社区居住的轻度认知障碍（MCI）老年人的驾驶风险。方法：从日本秋田县招募年龄在65岁及以上的387名参与者。身体功能，如步行速度和握力、认知功能和抑郁症状与驾驶行为一起被评估。参与者根据认知评估分为mci阳性组和mci阴性组。结果：结果显示两组在驾驶风险、身体表现和认知能力方面存在显著差异。mci阳性个体驾驶风险较高，功能表现较差。受试者工作特征（ROC）曲线分析确定Driving Risk Checklist-25 （DRCL-25）的临界值为5.5分，识别MCI的敏感性为45.5%，特异性为89.7%。结论：这些发现强调了整合身体和认知评估以提高驾驶风险评估准确性的重要性。DRCL-25有望成为MCI的检测工具，促进旨在保持老年驾驶员机动性和改善道路安全的干预措施的发展。未来的研究应侧重于改进检查表并评估其在不同人群和环境中的适用性。Geriatr Gerontol 2025；••: ••-••.

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.