利用神经心理测量的序列分层法为认知障碍老年人是否适合开车的临床决策提供依据。

IF 0.9 Q4 REHABILITATION

OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2024-01-01 Epub Date: 2020-11-28 DOI:10.1080/07380577.2020.1843750

Stephanie Yamin, Valerie Ranger, Arne Stinchcombe, Frank Knoefel, Sylvain Gagnon, Michel Bédard

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引用次数: 0

摘要

与驾驶安全和何时停止驾驶有关的决定既复杂又昂贵。人们对利用神经心理测试开发越野驾驶测试很感兴趣，这种测试有助于评估驾驶适应性。在回顾性测试样本中，序列三分法具有 100% 的灵敏度和特异性，因此已被证明具有潜力。本研究的目的是使用四种常见的神经心理测试（路径制作测试 A 部分和 B 部分、时钟绘制测试和改良版迷你精神状态检查）来测试序列三分法。我们抽取了在记忆诊所就诊的 105 名患者的测验分数。应用该模型后，参与者中分别有 38.1%、25.8% 和 36.1%的人被归类为不适合、适合或需要进一步测试。这项研究进一步证明了三分类法有助于评估驾驶适宜性。

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Using Serial Trichotomization with Neuropsychological Measures to Inform Clinical Decisions on Fitness-to-Drive among Older Adults with Cognitive Impairment.

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.

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来源期刊

OCCUPATIONAL THERAPY IN HEALTH CARE REHABILITATION-

CiteScore

1.90

自引率

0.00%

发文量

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.