Using Serial Trichotomization with Neuropsychological Measures to Inform Clinical Decisions on Fitness-to-Drive among Older Adults with Cognitive Impairment.
Stephanie Yamin, Valerie Ranger, Arne Stinchcombe, Frank Knoefel, Sylvain Gagnon, Michel Bédard
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引用次数: 0
Abstract
Decisions related to driving safety and when to cease driving are complex and costly. There is an interest in developing an off-road driving test utilizing neuropsychological tests that could help assess fitness-to-drive. Serial trichotomization has demonstrated potential as it yields 100% sensitivity and specificity in retrospective test samples. The purpose of this study was to test serial trichotomization using four common neuropsychological tests (Trail Making Test Part A and B, Clock Drawing Test, and Modified Mini-Mental State Examination). Test scores from 105 patients who were seen in a memory clinic were abstracted. After applying the model, participants were classified as unfit, fit, or requiring further testing, 38.1%, 25.8%, and 36.1%, respectively. This study provides further evidence that trichotomization can facilitate the assessment of fitness-to-drive.
期刊介绍：
Occupational Therapy in Health Care is a journal of contemporary practice in occupational therapy. It provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field. Focused on everyday practice, the journal addresses the concerns of new and experienced therapists, presenting innovations in client evaluations and treatments, current research findings, critical reviews of current textbooks, descriptions of novel programs and descriptions of fieldwork innovations. An essential guide to the changing trends in health care, social services, and education, Occupational Therapy in Health Care provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field.
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